关键词: atypical suicide gunshot; atypical entrance hole; firearm forensic medicine suicide

Mesh : Humans Male Wounds, Gunshot Suicide, Completed Aged, 80 and over Tongue / injuries pathology

来  源:   DOI:10.7417/CT.2024.5121

Abstract:
UNASSIGNED: Gunshot suicides are more common in those people who live in countries with greater cultural accessibility of firearms and whose weapon\'s availability and use are easier. In the case of suicide by firearm, the most typical site of the entrance hole is represented by the temple, the forehead or the submental region, while only in a smaller percentage of cases is intra-oral.
UNASSIGNED: We present a particular case of suicide of an 85-year-old man, using a single-charge, short-barrelled firearm. The shot was fired on contact, with the entrance hole located at the tongue. The bullet remained held inside the body and there was no exit hole on the skin. A rigorous and multidisciplinary methodological approach was adopted, including an accurate judicial inspection of the environment, an anamnestic collection, an autoptic procedure completed by macroscopic and microscopic examination of the entrance hole and internal organs, and a radiological examination.
UNASSIGNED: In cases of gunshot suicide involving the intra-oral region, the tongue is rarely affected. Normally, the victim points the weapon upwards and the bullet follows this direction. When the entrance hole is on an atypical site, and different from the skin, and the trajectory are inusual, the interpretation of the dynamic of the event is more complex. So, it is essential to conduct a complete investigation, including the information of the forensic examination, with the data emerged in autopsy, radiological and histological examination.
摘要:
枪击自杀在那些生活在文化上更容易获得枪支的国家,武器的可用性和使用更容易的人中更为常见。在枪支自杀的情况下,入口孔最典型的位置是寺庙,额头或金属下区域,而仅在较小百分比的病例中是口内。
我们提出了一个85岁男子自杀的特殊案例,使用单次充电,短管火器.枪击是在接触时开枪的,入口孔位于舌头上。子弹保持在体内,皮肤上没有出口孔。采取了严格的多学科方法,包括对环境的准确司法检查,一个令人印象深刻的收藏,通过对入口孔和内部器官的宏观和微观检查完成的自动手术,还有放射检查.
在涉及口腔内区域的枪击自杀病例中,舌头很少受到影响。通常,受害者将武器指向上方,子弹沿着这个方向移动。当入口孔位于非典型部位时,和皮肤不同,轨迹不寻常,对事件动态的解释更为复杂。所以,进行全面调查至关重要,包括法医检查的信息,尸检中出现的数据,放射学和组织学检查。
公众号