Shaqiri Elmas, Xhemali Bledar, Ismaili Zija, Sinamati Admir, Vyshka Gentian
1 Department of Forensic Pathology, Institute of Legal Medicine, Tirana, Albania.
2 Faculty of Medicine, University of Medicine in Tirana, Tirana, Albania.
Med Leg J. 2017 Mar;85(1):51-54. doi: 10.1177/0025817216678718. Epub 2016 Nov 12.
Atypical gunshot wounds present a challenge for the forensic expert, and sometimes differentiating these from a blunt trauma can be difficult. A careful crime scene investigation can be helpful in finding additional evidence and clarifying the nature of the injuries. We describe a case of an unusual craniocerebral injury that was initially interpreted as a blow from a wooden object. The appearance of the wound lacked the classical characteristics of entrance and exit bullet wounds, but the investigation showed it was due to the ricocheting of a destabilized bullet. Potentially lethal, craniocerebral gunshot injuries are a common occurrence in developing countries even in non-conflict areas, with very bad outcomes even when treated aggressively in specialized neurosurgical facilities. The authors briefly discuss similar cases and opinions in the relevant literature, emphasizing the importance of a rational approach during the reconstruction of the crime scene.
非典型枪伤给法医专家带来了挑战，有时将其与钝器伤区分开来可能很困难。仔细的犯罪现场调查有助于找到更多证据并厘清损伤的性质。我们描述了一例不寻常的颅脑损伤病例，最初该损伤被认为是由木质物体击打所致。伤口外观缺乏典型的子弹入口和出口伤特征，但调查显示这是一枚失稳子弹跳弹造成的。颅脑枪伤具有潜在致命性，即使在非冲突地区的发展中国家也很常见，即便在专业神经外科机构积极治疗，预后也非常差。作者简要讨论了相关文献中的类似病例和观点，强调了在犯罪现场重建过程中采用合理方法的重要性。
