Krispin Alon, Zaitsev Konstantin, Hiss Jehuda
The National Center of Forensic Medicine, Assaf Harofeh Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, 67 Ben-Zvi Road, POB 49015, 61490 Tel Aviv, Israel.
Forensic Sci Med Pathol. 2010 Dec;6(4):288-92. doi: 10.1007/s12024-010-9163-z. Epub 2010 May 17.
Bullet retrieval from the body of a gunshot victim is one of many tasks in post-mortem forensic examination. Rarely, it is complicated by the migration of the missile away from the entry point by vessel embolism. Abdominal firearm injuries, in which the bullet enters the intestines and moves inside the lumen away from the point of penetration, are even less common. We present a case of postmortem recovery of a bullet from the intestines of a gunshot victim who died 18 days after being shot in the trunk by three low velocity bullets. A missile had moved within the colon during hospitalization and postmortem handling of the body and was recovered from the sigmoid colon. This case demonstrates an extremely rare type of bullet "embolism" and emphasizes the usefulness of CT scanning in the location of projectiles.
从枪击受害者体内取出子弹是尸检法医检查中的众多任务之一。很少有情况会因血管栓塞导致子弹偏离入口点而变得复杂。腹部火器伤，即子弹进入肠道并在肠腔内从穿透点移开的情况，更为罕见。我们报告一例从一名枪击受害者肠道中取出子弹的尸检案例，该受害者在躯干被三颗低速子弹击中18天后死亡。一枚子弹在住院期间及尸体尸检处理过程中在结肠内移动，最终从乙状结肠中取出。该病例展示了一种极其罕见的子弹“栓塞”类型，并强调了CT扫描在定位射弹方面的作用。
