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腹部刺伤伴不寻常表现:一例病例报告。

Abdominal stab wound with an unusual presentation: A case report.

作者信息

Galoria Darshan, Datta Arijit, Shukla Srushti, Rana Pradip, Tiwari Preeti, Goswami Dhara

机构信息

Forensic Medicine & Toxicology, Pramukhswami Medical College & Shree Krishna Hospital, Bhaikaka University, Karamsad, Gujarat, India.

Community Medicine, Pramukhswami Medical College & Shree Krishna Hospital, Bhaikaka University, Karamsad, Gujarat, India.

出版信息

SAGE Open Med Case Rep. 2024 Aug 16;12:2050313X241271892. doi: 10.1177/2050313X241271892. eCollection 2024.

DOI:10.1177/2050313X241271892
PMID:39157032
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11329954/
Abstract

The forensic literature has described unusual wounds of entry into fatal stab wounds that are rarely found in autopsies. Stab wounds are considered fatal injuries when they occur in vital organs. Many authors have suggested that the description of the wound track helps recreate the crime scene. Still, many say that the recreation of a crime scene is a static event, whereas the actual event is dynamic. We received the dead body of a 25-year-old male for postmortem examination. During autopsy, we found a wedge-shaped stab wound in the epigastric region. Interestingly, when we dissected the skin and subcutaneous tissue without disturbing the wound, we observed two separate wedge-shaped wounds over the rectus sheath. A knife can produce an atypical appearance after plunging into the body. With a single external primary stab wound, two different wound tracks can be made internally. Thus, examining only the wound track made it impossible to comment on the circumstances of violence.

摘要

法医学文献中描述了致命刺伤中罕见的进入伤口,这些伤口在尸检中很少见。当刺伤发生在重要器官时,被视为致命伤。许多作者认为伤口轨迹的描述有助于重现犯罪现场。然而,许多人表示,犯罪现场的重现是一个静态事件,而实际事件是动态的。我们接收了一名25岁男性的尸体进行尸检。尸检过程中,我们在中上腹区域发现了一个楔形刺伤。有趣的是,当我们在不干扰伤口的情况下解剖皮肤和皮下组织时,我们在腹直肌鞘上观察到两个分开的楔形伤口。刀子刺入身体后可能会产生非典型外观。仅一个外部原发性刺伤,内部就可以形成两条不同的伤口轨迹。因此,仅检查伤口轨迹无法对暴力情况作出评论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e633/11329954/0224306ae647/10.1177_2050313X241271892-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e633/11329954/07ef5f4680c0/10.1177_2050313X241271892-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e633/11329954/8b60ee39dd54/10.1177_2050313X241271892-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e633/11329954/1bbde16f588c/10.1177_2050313X241271892-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e633/11329954/0224306ae647/10.1177_2050313X241271892-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e633/11329954/07ef5f4680c0/10.1177_2050313X241271892-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e633/11329954/8b60ee39dd54/10.1177_2050313X241271892-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e633/11329954/1bbde16f588c/10.1177_2050313X241271892-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e633/11329954/0224306ae647/10.1177_2050313X241271892-fig4.jpg

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本文引用的文献

1
Singular stab wounds to the trunk: Is this suicidal or homicidal?躯干单一刺伤:这是自杀还是他杀?
Leg Med (Tokyo). 2024 May;68:102430. doi: 10.1016/j.legalmed.2024.102430. Epub 2024 Feb 24.
2
Utility of contrast-enhanced computed tomography in forensic examination of a stab wound in living individuals.对比增强计算机断层扫描在活体刺伤法医检查中的应用价值。
Forensic Sci Med Pathol. 2019 Sep;15(3):463-469. doi: 10.1007/s12024-019-00133-2. Epub 2019 Jun 27.
3
The atypical entrance wound: differential diagnosis and discussion of an unusual cause.
非典型入口创口:鉴别诊断及一种罕见病因的探讨
Am J Forensic Med Pathol. 2012 Sep;33(3):250-2. doi: 10.1097/paf.0b013e3181e5e0f8.
4
Atypical wound of entry and unusual presentation in a fatal stab injury.致命刺伤中不典型的伤口入口及异常表现。
J Forensic Leg Med. 2008 Nov;15(8):524-6. doi: 10.1016/j.jflm.2008.05.002. Epub 2008 Aug 9.