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自杀性近距离接触枪伤中的游走子弹栓塞

Wandering Bullet Embolization in Suicidal Near-Contact Gunshot Wound.

作者信息

Kasim Abdurrab A, Alzubaidi Faisal M, Zakari Yahya M, Aljohani Naif A, Alobaidaan Raed M, Assiri Raghad M, Ibrahim Samah F

机构信息

Forensic Medicine, Forensic Medicine Center, Riyadh, SAU.

Forensic Medicine, King Fahad Security College, Riyadh, SAU.

出版信息

Cureus. 2022 Jul 6;14(7):e26607. doi: 10.7759/cureus.26607. eCollection 2022 Jul.

Abstract

Suicidal firearm injuries with bullet embolization following wandering bullet path are infrequent findings where the penetrated bullet could not be detected in the expected location. If this condition exists, one entrance wound will be present without an exit wound. Through necro-radiographs and postmortem autopsy, forensic experts can determine the nonlinear trajectory of the bullet. To understand the internal bullet path properly, forensic experts should interpret the medicolegal investigation results in the context of tissue and ballistics factors. Various medical specialties, including forensic experts, should be aware of the possibility of the nonlinear bullet trajectory and the possibility of bullet embolization in distant sites in order to save lives and/or interpret the collected evidence to support the justice in such uncommon incident.

摘要

游走性子弹路径后伴有子弹栓塞的自杀性火器伤是罕见的情况,即无法在预期位置检测到穿透的子弹。如果存在这种情况,将只有一个入口伤口而没有出口伤口。通过坏死性X光片和尸体解剖,法医专家可以确定子弹的非线性轨迹。为了正确理解子弹在体内的路径,法医专家应结合组织和弹道因素来解读法医学调查结果。包括法医专家在内的各个医学专业都应意识到子弹非线性轨迹的可能性以及子弹在远处部位发生栓塞的可能性,以便在这种罕见事件中挽救生命和/或解读所收集的证据以支持司法公正。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cc3/9354923/64944aa3ba8d/cureus-0014-00000026607-i01.jpg

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