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子弹在哪里?一例枪伤中难以追踪的射弹的 puzzling 病例。 (注:“puzzling”直译为“令人困惑的”,这里结合语境意译为“蹊跷的”更合适,完整译文为:子弹在哪里?一例枪伤中难以追踪的射弹的蹊跷病例。 )

Where Is the Bullet? A Puzzling Case of an Untraceable Projectile in a Gunshot Injury.

作者信息

Wankhade Toshal, Sharma Ravi Kumar, Patil Amit, Rastogi Ashok Kumar, Goel Nikhil

机构信息

Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Patna, Patna, IND.

Forensic Medicine and Toxicology, IQ City Medical College, Durgapur, IND.

出版信息

Cureus. 2024 Aug 19;16(8):e67188. doi: 10.7759/cureus.67188. eCollection 2024 Aug.

DOI:10.7759/cureus.67188
PMID:39295654
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11410433/
Abstract

In forensic examinations, gunshot injury cases can sometimes present unusual challenges. Typically, a gunshot injury involves an entry wound where the bullet penetrates the body and an exit wound where the bullet exits. If the bullet does not exit the body, it can often be recovered from the body cavity. However, there are instances where the entry wound is identified, but both the exit wound and the bullet appear to be missing. This paper explores such a paradox, where, despite a thorough postmortem examination, neither the bullet nor the exit wound is found. We consider various possibilities and analyze whether this was indeed a gunshot injury. Could the bullet still be inside the body, or might it have taken an unexpected route? This paper aims to clarify this puzzling phenomenon through detailed analysis and underscore the importance of meticulous forensic investigation in complex cases.

摘要

在法医检查中,枪伤案件有时会带来不同寻常的挑战。通常情况下,枪伤包括子弹射入身体的入口伤口和子弹射出身体的出口伤口。如果子弹没有射出身体,通常可以从体腔中找到。然而,在某些情况下,虽然确定了入口伤口,但出口伤口和子弹似乎都不见了。本文探讨了这样一个悖论,即尽管进行了全面的尸检,却既没有找到子弹也没有找到出口伤口。我们考虑了各种可能性,并分析这是否确实是枪伤。子弹是否仍在体内,或者它是否可能走了一条意想不到的路径?本文旨在通过详细分析来阐明这一令人费解的现象,并强调在复杂案件中进行细致法医调查的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ef/11410433/df07c0abae39/cureus-0016-00000067188-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ef/11410433/c1d6a57372c3/cureus-0016-00000067188-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ef/11410433/4243eb788036/cureus-0016-00000067188-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ef/11410433/df07c0abae39/cureus-0016-00000067188-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ef/11410433/c1d6a57372c3/cureus-0016-00000067188-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ef/11410433/4243eb788036/cureus-0016-00000067188-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ef/11410433/df07c0abae39/cureus-0016-00000067188-i03.jpg

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Where Is the Bullet? A Puzzling Case of an Untraceable Projectile in a Gunshot Injury.子弹在哪里?一例枪伤中难以追踪的射弹的 puzzling 病例。 (注:“puzzling”直译为“令人困惑的”,这里结合语境意译为“蹊跷的”更合适,完整译文为:子弹在哪里?一例枪伤中难以追踪的射弹的蹊跷病例。 )
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引用本文的文献

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本文引用的文献

1
Misinterpretation of a Gunshot Injury by a Non-forensic Medicine Expert: A Case Report of Misguidance in a Criminal Investigation Involving the Unusual Firearm Injury 'Kronlein Shot'.非法医学专家对枪伤的错误解读:一起涉及罕见火器伤“克伦莱因枪击伤”的刑事调查误导案例报告
Cureus. 2024 Feb 6;16(2):e53724. doi: 10.7759/cureus.53724. eCollection 2024 Feb.
2
Gunshot injury to the chest wall with an unusual bullet trajectory: A rare case report.胸壁枪伤伴异常子弹轨迹:一例罕见病例报告。
Int J Surg Case Rep. 2022 Jul;96:107343. doi: 10.1016/j.ijscr.2022.107343. Epub 2022 Jun 26.
3
Emerging Trends of Intentional Firearm Injuries in Northern India: A Study.
印度北部故意枪支伤害的新趋势:一项研究
J Clin Diagn Res. 2016 Oct;10(10):HC01-HC04. doi: 10.7860/JCDR/2016/23392.8760. Epub 2016 Oct 1.
4
An elusive bullet in the gastrointestinal tract: a rare case of bullet embolism in the gastrointestinal tract and a review of relevant literature.一枚隐匿于胃肠道的子弹:一例罕见的胃肠道子弹栓塞病例及相关文献综述
Case Rep Crit Care. 2014;2014:689539. doi: 10.1155/2014/689539. Epub 2014 Jan 28.
5
Expectoration of a bullet after gunshot wound to the chest.胸部枪伤后咳出子弹。
J Emerg Trauma Shock. 2013 Apr;6(2):135-7. doi: 10.4103/0974-2700.110792.
6
The elusive slug: bullet intestinal "embolism".难以捉摸的蛞蝓:子弹性肠“栓塞”
Forensic Sci Med Pathol. 2010 Dec;6(4):288-92. doi: 10.1007/s12024-010-9163-z. Epub 2010 May 17.
7
A "wandering bullet" in the thoracic esophagus.一枚位于胸段食管的“游走子弹”。
J Natl Med Assoc. 1983 Aug;75(8):835-6.
8
The wandering bullet.游走于体内的子弹。
J Natl Med Assoc. 1988 Jun;80(6):678-9, 682.