Jackson County Medical Examiners Office, Kansas City, Missouri, USA.
Diagn Pathol. 2009 Nov 24;4:40. doi: 10.1186/1746-1596-4-40.
Worldwide, over one million people commit suicide every year. In the United States, the majority of these cases consist of gunshot wounds, hangings, and drug overdoses. Nevertheless, on rare occasions will individuals exhibit extraordinary creativity in how they decide to end their lives. A decomposing white male was found lying beside his vehicle; blood was noted on the hood. Beneath the deceased's head was a copious amount of blood, and clutched within his right hand was a vehicle radio antenna. A search of a nearby storage shed uncovered drug paraphernalia and in the decedent's bedroom were two handwritten suicide notes. At autopsy, a defect was discovered in the right posterior oropharnyx. Immediately posterior to this injury were fractures of the right transverse processes and interarticular portions of the C2 and C3 vertebrae, with perforation of the right vertebral artery. No other injuries were noted externally. Radiographs of the head and neck showed no evidence of a projectile, and no corresponding exit defect was identified. Postmortem toxicology was positive for cocaine and methamphetamine. We present a case report of a man under the influence of cocaine and methamphetamine employing a car antenna to cause self-inflicted, intraoral penetrating trauma to the cervical spine and right vertebral artery, resulting in exsanguination and his subsequent death.
全球每年有超过 100 万人自杀。在美国，这些案例大多数是枪击、上吊和药物过量。然而，在极少数情况下，人们会在决定结束自己生命时表现出非凡的创造力。一名腐烂的白人男性被发现躺在他的车旁；引擎盖上有血迹。死者的头下有大量的血，他的右手紧握着一辆车的收音机天线。在附近的一个储藏棚里发现了吸毒用具，在死者的卧室里有两张手写的自杀遗书。尸检时，在右侧后咽峡发现了一个缺陷。在这个损伤的正后方是 C2 和 C3 椎骨的右侧横突和关节突骨折，伴有右侧椎动脉穿孔。外部没有发现其他损伤。头部和颈部的 X 光片没有显示弹丸的证据，也没有发现相应的出口缺陷。死后毒理学检查可卡因和冰毒呈阳性。我们报告了一例可卡因和冰毒影响下的男子，他使用汽车天线造成口腔内穿透性颈椎和右侧椎动脉损伤，导致出血，并随后死亡。
