Raniero Dario, Del Balzo Giovanna, Vermiglio Elisa, Uberti Andrea, Schweiger Vittorio, Turrina Stefania, De Leo Domenico
Department of Diagnostic and Public Health, Section of Forensic Medicine, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy.
Department of Anaesthesia and Intensive Care B, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy.
Int J Legal Med. 2022 Jan;136(1):179-187. doi: 10.1007/s00414-021-02728-3. Epub 2021 Oct 26.
Multiple suicidal gunshot wounds are rare and often present a challenging issue for forensic pathologists in determining the manner of death.We describe three cases of suicidal multiple gunshot wounds in which crime scene investigation, cadaveric examination, and autopsy were provided. In all cases, integration of circumstantial data and crime scene investigation suggested a suicidal event.Firstly, we describe the self-infliction of two gunshots to the chest and head in a 90-year-old man by a revolver with wounds to the left lung and lethal wound to both frontal and temporal lobes. The second case concerns a 97-year-old man found dead with two gunshot wounds to the chest by a semi-automatic weapon and bullets penetrated to the left lung and heart. The last case, exceptional in literature, is a 41-year-old man with three self-inflicted gunshots, all-penetrating the left lung and the heart, using a revolver. This paper illustrates that immediate incapacitation can lack even in case of multiple fatal gunshot wounds on instantaneously lethal targets. Therefore, a complete investigation is required for a correct interpretation of the manner of death.An extensive review of literature is also provided.
多处自杀性枪伤较为罕见，对于法医病理学家而言，在判定死亡方式时往往是一个具有挑战性的问题。我们描述了三例自杀性多处枪伤案例，并提供了犯罪现场勘查、尸体检验和尸检情况。在所有案例中，综合环境数据和犯罪现场勘查表明为自杀事件。首先，我们描述一名90岁男性用左轮手枪朝胸部和头部自射两枪，造成左肺受伤以及额叶和颞叶致命伤的情况。第二例涉及一名97岁男性，被发现死于半自动武器造成的胸部两处枪伤，子弹穿透左肺和心脏。最后一例在文献中较为特殊，是一名41岁男性用左轮手枪自射三枪，均穿透左肺和心脏。本文表明，即使是对瞬间致命目标造成多处致命枪伤的情况，也可能不存在立即丧失行动能力的情况。因此，为正确判定死亡方式需要进行全面调查。同时还对文献进行了广泛综述。
