Shetty B Suresh Kumar, Babu Y P Raghavendra, Sameer K S Muhammed, Salian Preetham Raj, Shetty Mahabalesh, Manipady Shahnavaz, Majumdar K Pradyumna
Dept. of Forensic Medicine, Kasturba Medical College, Light House Hill Road, Mangalore, Karnataka 575001, India.
Leg Med (Tokyo). 2009 May;11(3):139-41. doi: 10.1016/j.legalmed.2008.12.003. Epub 2009 Feb 6.
Penetrating or stab injuries of the chest are not uncommon and could be accidental, suicidal or homicidal. However, the present case discusses the importance of a careful examination of an unusual presentation in a motor vehicle accident. The case presented with haemopericardium and haemothorax due to penetrating rib injury to the heart, subsequent to blunt force trauma on the posterior chest wall. This case is highlighted, so that it becomes a necessary tool for the forensic experts to have an unprejudiced approach at autopsy and come to a reasonable conclusion.
胸部穿透伤或刺伤并不罕见，可能是意外、自杀或他杀所致。然而，本病例探讨了在机动车事故中仔细检查异常表现的重要性。该病例因后胸壁钝性暴力创伤后，肋骨穿透伤导致心脏损伤，出现了心包积血和血胸。强调本病例是为了使法医专家在尸检时有公正的态度并得出合理结论成为一种必要手段。
