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An Unusual Case of Fatal Thoracoabdominal Gunshot Wound without Diaphragm Injury
In case of thoracoabdominal gunshot wounds (GSW), diaphragmatic lesions are common autopsy findings. In these cases, the bullet’s path involves both the thorax and the abdomen, so the diaphragm (the muscle that separates the two cavities) is frequently damaged. In the present report we illustrate a...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9024727/ https://www.ncbi.nlm.nih.gov/pubmed/35453947 http://dx.doi.org/10.3390/diagnostics12040899 |
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author | Sablone, Sara Lagona, Valeria Introna, Francesco |
author_facet | Sablone, Sara Lagona, Valeria Introna, Francesco |
author_sort | Sablone, Sara |
collection | PubMed |
description | In case of thoracoabdominal gunshot wounds (GSW), diaphragmatic lesions are common autopsy findings. In these cases, the bullet’s path involves both the thorax and the abdomen, so the diaphragm (the muscle that separates the two cavities) is frequently damaged. In the present report we illustrate a very unusual autopsy finding, came up after a man was shot twice and affected by a lethal thoracoabdominal gunshot wound. In particular, as expected based on CT scans, the corpse exhibited a thoracic-abdominal path and a retained bullet in the abdomen, but no diaphragmatic lesions or hemorrhagic infiltrations of this muscle have been detected during the autopsy. After a scrupulous examination and the section of all the organs, the intracorporeal projectile’s path was reconstructed, inferring that the thoracoabdominal transit of the bullet extraordinarily had occurred in correspondence of the diaphragmatic inferior vena cava’s ostium, thus exploiting a natural passage without damaging the diaphragmatic muscle. |
format | Online Article Text |
id | pubmed-9024727 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-90247272022-04-23 An Unusual Case of Fatal Thoracoabdominal Gunshot Wound without Diaphragm Injury Sablone, Sara Lagona, Valeria Introna, Francesco Diagnostics (Basel) Case Report In case of thoracoabdominal gunshot wounds (GSW), diaphragmatic lesions are common autopsy findings. In these cases, the bullet’s path involves both the thorax and the abdomen, so the diaphragm (the muscle that separates the two cavities) is frequently damaged. In the present report we illustrate a very unusual autopsy finding, came up after a man was shot twice and affected by a lethal thoracoabdominal gunshot wound. In particular, as expected based on CT scans, the corpse exhibited a thoracic-abdominal path and a retained bullet in the abdomen, but no diaphragmatic lesions or hemorrhagic infiltrations of this muscle have been detected during the autopsy. After a scrupulous examination and the section of all the organs, the intracorporeal projectile’s path was reconstructed, inferring that the thoracoabdominal transit of the bullet extraordinarily had occurred in correspondence of the diaphragmatic inferior vena cava’s ostium, thus exploiting a natural passage without damaging the diaphragmatic muscle. MDPI 2022-04-04 /pmc/articles/PMC9024727/ /pubmed/35453947 http://dx.doi.org/10.3390/diagnostics12040899 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Sablone, Sara Lagona, Valeria Introna, Francesco An Unusual Case of Fatal Thoracoabdominal Gunshot Wound without Diaphragm Injury |
title | An Unusual Case of Fatal Thoracoabdominal Gunshot Wound without Diaphragm Injury |
title_full | An Unusual Case of Fatal Thoracoabdominal Gunshot Wound without Diaphragm Injury |
title_fullStr | An Unusual Case of Fatal Thoracoabdominal Gunshot Wound without Diaphragm Injury |
title_full_unstemmed | An Unusual Case of Fatal Thoracoabdominal Gunshot Wound without Diaphragm Injury |
title_short | An Unusual Case of Fatal Thoracoabdominal Gunshot Wound without Diaphragm Injury |
title_sort | unusual case of fatal thoracoabdominal gunshot wound without diaphragm injury |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9024727/ https://www.ncbi.nlm.nih.gov/pubmed/35453947 http://dx.doi.org/10.3390/diagnostics12040899 |
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