Pomara C, D'Errico S, Neri M
Department of Forensic Pathology, Institute of Legal Medicine, University of Foggia, Ospedali Riuniti, Via L. Pinto, no 1, 71100, Foggia, Italy,
Forensic Sci Med Pathol. 2007 Jun;3(2):124-7. doi: 10.1007/s12024-007-0006-5. Epub 2007 May 9.
The authors report the case of a man found unresponsive in a wooded area with injuries on the face, eyes, shoulders and back, probably produced by caustic agents. A penetrating wound was noted in the left occipital region. Four days after admission to an Intensive Care Unit he died. No weapon was found at the crime scene. Autopsy revealed an occipital bone defect in the wound area, and cerebral haemorrhage in the left hemisphere in the absence of an exit wound. Immunohistochemical staining of brain samples for β-APP were critical establishing the extent of the injury. The peculiarity of the wound and the lack of circumstantial evidence made it necessary to conduct a careful investigation to identify the weapon. Firing tests performed on experimental cranial models established the use of a crossbow weapon as a cause of the observed wound.
作者报告了一例在林区被发现无反应的男子的病例，其面部、眼睛、肩部和背部有损伤，可能由腐蚀性物质造成。左侧枕部发现一处穿透伤。入住重症监护病房四天后他死亡。犯罪现场未发现武器。尸检显示伤口部位枕骨缺损，左侧半球脑出血且无出口伤。对脑样本进行β-淀粉样前体蛋白（β-APP）的免疫组织化学染色对于确定损伤程度至关重要。伤口的特殊性和缺乏间接证据使得有必要进行仔细调查以确定武器。在实验性颅骨模型上进行的射击测试确定使用弩作为造成观察到的伤口的原因。
