Kernbach-Wighton G, Kijewski H, Sprung R, Degner D, Riegel A, Saternus K S
Institut für Rechtsmedizin, Georg-August-Universität Göttingen.
Aktuelle Radiol. 1998 May;8(3):131-4.
A 19-year-old man was admitted to hospital because of uncharacteristic neurologic symptoms. During the first examination morphologic alterations due to an injection of mercury into the left arm and the left side of the trunk were found. The dose and the manner of application were doubtful and suspected to be a case of self-infliction. The man informed the police only 7 months later because his relatives had finally persuaded him to do so. The description of the infliction by unknown perpetrators was full of contradictions. Initially the patient gave only an indistinct description. But later on, the number of details increased. At the same time there was a change in the characteristics of the perpetrator(s). Other differences existed concerning a loss of consciousness which should have been caused by a single stroke on an arm. Furthermore, the patient told about a swelling as big as an egg, provoked by an injection of liquid mercury. It could be shown by experiments that mercury can be injected into soft-tissue very simply and that it spreaded widely. Arguments for a self-injection were e.g. the technical possibility, the topography of the injection marks, and an easy handling of the syringe. A psychiatric examination furthermore revealed, that the patient had had periods of restriction of thinking, sometimes combined with a lack of appreciation.
一名19岁男子因出现异常的神经系统症状入院。首次检查时发现其左臂和躯干左侧因注射汞而出现形态学改变。注射剂量和方式存疑，怀疑是自我伤害行为。该男子直到7个月后才告知警方，因为他的亲属最终说服了他。关于不明作案者作案情况的描述充满矛盾。起初，患者的描述模糊不清。但后来，细节数量增加。与此同时，作案者的特征也发生了变化。关于因手臂单次击打导致意识丧失的情况也存在其他差异。此外，患者称注射液态汞引发了鸡蛋大小的肿胀。实验表明，汞可以很容易地注射到软组织中，且会广泛扩散。支持自我注射的论据包括技术可能性、注射痕迹的位置以及注射器易于操作等。此外，精神检查发现，该患者曾有思维受限的时期，有时还伴有认知缺乏。
