Nouma Youssef, Krimi Sami, Regaieg Karama
From the Forensic Unit, Regional Hospital of Gabes, Gabes, Tunisia.
Am J Forensic Med Pathol. 2018 Mar;39(1):73-77. doi: 10.1097/PAF.0000000000000359.
We report an unusual case of suicide committed with a speargun shot through the mouth, causing a penetrating brain injury. The special features of the present case are not only related to the method chosen for the purpose but also to the difficulties encountered in confirming the diagnosis. Although this type of suicide has been previously reported, this case is particularly interesting in terms of the shooting mechanism and manner of death. Because of the length of the weapon, which was apparently used and found at the scene, a suicidal manner of death first seemed unlikely and the possibility of a simulated suicide was raised. It seemed impossible for the decedent to have shot himself without a mechanism to launch the shaft through the mouth. However, a complete forensic approach eventually allowed for a plausible mechanism of self-infliction, confirming the suicide diagnosis.
我们报告一例罕见的自杀案例，自杀者用鱼枪经口腔射击，导致穿透性脑损伤。本案的特殊之处不仅在于选择的自杀方式，还在于确诊过程中遇到的困难。尽管此前已有此类自杀的报道，但就射击机制和死亡方式而言，本案尤为引人关注。由于在现场发现的明显被使用过的武器长度，最初似乎不太可能是自杀方式，因而引发了伪装自杀的可能性。若无将枪杆经口腔发射的机制，死者似乎不可能自行开枪。然而，完整的法医调查最终找到了合理的自伤机制，证实了自杀的诊断。
