Chute Dennis J, Newman Kia, Bready Robert J, Benjamin Eric D
Dutchess County Medical Examiner's Office, 168 Washington Street, Poughkeepsie, NY, 12601.
J Forensic Sci. 2017 Sep;62(5):1386-1388. doi: 10.1111/1556-4029.13428. Epub 2017 Feb 20.
Migrating bullets are rare sequelae of penetrating gunshot wounds. Such cases have been described in the neurosurgical literature because they can produce complications in the management of patients such as decline in neurologic status, delays in rehabilitation, and difficulties in bullet removal. In contrast, few postmortem reports have described this phenomenon. We report a case of a gunshot wound in which the projectile entered the left side of the head and traversed to the right frontal area as documented by CT scan on hospital admission. At autopsy, the bullet was noted to have migrated back to the left side of the head from where it was recovered. Medical examiners need to be aware of this unusual phenomenon of retained intracranial projectiles.
游走性子弹是穿透性枪伤罕见的后遗症。神经外科文献中已有此类病例的描述，因为它们会在患者治疗过程中引发并发症，如神经功能状态下降、康复延迟以及子弹取出困难。相比之下，很少有尸检报告描述过这种现象。我们报告一例枪伤病例，入院时CT扫描显示子弹从头部左侧进入并穿过至右额叶区域。尸检时发现子弹已从其被取出的位置移回到头部左侧。法医需要了解颅内遗留子弹的这种不寻常现象。
