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15.06.2020 | Case Report

Suicidal tandem bullets to the heart with subsequent embolization – a case report

verfasst von: Fernando Fortes Picoli, Mayara Barbosa Viandelli Mundim-Picoli, André Montanini Alves, Maria Alves Garcia Santos Silva, Ademir Franco, Rhonan Ferreira Silva

Erschienen in: Forensic Science, Medicine and Pathology | Ausgabe 3/2020

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Abstract

A tandem bullet phenomenon is a rare situation in which two bullets travel nose-to-base towards the target. In terminal ballistics, a classic feature of the tandem bullet phenomenon is the presence of a single entrance wound with two or more bullets inside the body. During the autopsy, the phenomenon may result in confusion, especially related to the dynamics of the shooting. The present study reports a case of suicide by tandem bullets to the heart with subsequent bullet embolization into the aorta. A 40-year-old Caucasian woman, with a previous history of suicide, shot herself in the chest with a 0.32 revolver. During the autopsy, a single entrance wound (one centimeter in diameter) was observed in the sternal region. The injury was a close-range shot. Internally, a single wound was detected in the right atrium of the heart. Two 0.32 S&WL lead bullets were found inside the descending abdominal aorta. The bullets fitted each other perfectly in a nose-to-base position. Both bullets were tracked back to a single firearm that belonged to the victim’s father using forensic ballistics. The forensic report suggested a suicide. A multidisciplinary approach involving crime scene investigation, forensic pathology and forensic ballistics is necessary to investigate tandem bullet cases. Forensic experts must be aware of this phenomenon and, more importantly, they must be aware of its unusual manifestations, such as embolization, in order to come to optimal conclusions.
Literatur
1.
Zurück zum Zitat Shepherd R. Simpson’s forensic medicine. 12th ed. London: Hodder Arnold; 2003. Shepherd R. Simpson’s forensic medicine. 12th ed. London: Hodder Arnold; 2003.
2.
Zurück zum Zitat Saukko P, Knight B. Knight’s forensic pathology. 4th ed. Boca Raton: CRC Press; 2015.CrossRef Saukko P, Knight B. Knight’s forensic pathology. 4th ed. Boca Raton: CRC Press; 2015.CrossRef
3.
Zurück zum Zitat International Crime Police Organization. Disaster victim identification guide. Lyon: Interpol; 2018. International Crime Police Organization. Disaster victim identification guide. Lyon: Interpol; 2018.
4.
Zurück zum Zitat Pomara C, Karch SB, Fineschi V. Forensic autopsy: a handbook and atlas. 1st ed. Boca Raton: CRC Press; 2010.CrossRef Pomara C, Karch SB, Fineschi V. Forensic autopsy: a handbook and atlas. 1st ed. Boca Raton: CRC Press; 2010.CrossRef
5.
Zurück zum Zitat Fatteh A. Medicolegal investigation of gunshot wounds. Philadelphia: Lippincott; 1976. Fatteh A. Medicolegal investigation of gunshot wounds. Philadelphia: Lippincott; 1976.
6.
Zurück zum Zitat DiMaio VJM. Gunshot wounds practical aspects of firearms, ballistics, and forensic techniques. 3rd ed. Boca Raton: CRC Press; 2015.CrossRef DiMaio VJM. Gunshot wounds practical aspects of firearms, ballistics, and forensic techniques. 3rd ed. Boca Raton: CRC Press; 2015.CrossRef
7.
Zurück zum Zitat Kneubuehl BP, Coupland RM, Rothschild MA, Thali MJ. Wound ballistics: basics and applications. 3rd ed. Berlin: Springer; 2008. Kneubuehl BP, Coupland RM, Rothschild MA, Thali MJ. Wound ballistics: basics and applications. 3rd ed. Berlin: Springer; 2008.
8.
Zurück zum Zitat Dodd MJ. Terminal ballistics: a text and atlas of gunshot wounds. Boca Raton: CRC Press; 2005.CrossRef Dodd MJ. Terminal ballistics: a text and atlas of gunshot wounds. Boca Raton: CRC Press; 2005.CrossRef
9.
Zurück zum Zitat Durão CH, Machado MPS. Typical wounds and your eponyms in forensic ballistics. Rev Bras Odont Legal RBOL. 2015;2:82–8. Durão CH, Machado MPS. Typical wounds and your eponyms in forensic ballistics. Rev Bras Odont Legal RBOL. 2015;2:82–8.
10.
Zurück zum Zitat Tocchetto D. Balística Forense. 9th ed. Millenium: Campinas; 2018. Tocchetto D. Balística Forense. 9th ed. Millenium: Campinas; 2018.
11.
Zurück zum Zitat Bentley A, Busuttil A, Clifton B, Sibbald P. Homicidal tandem bullet wound of the chest. Am J Forensic Med Pathol. 1997;18:56–9.CrossRef Bentley A, Busuttil A, Clifton B, Sibbald P. Homicidal tandem bullet wound of the chest. Am J Forensic Med Pathol. 1997;18:56–9.CrossRef
12.
Zurück zum Zitat Tattoli L, Schmid S, Tsokos M. Three rounds as "tandem bullets": unusual findings in a case of a suicidal gunshot to the head. Forensic Sci Med Pathol. 2014;10:613–8.CrossRef Tattoli L, Schmid S, Tsokos M. Three rounds as "tandem bullets": unusual findings in a case of a suicidal gunshot to the head. Forensic Sci Med Pathol. 2014;10:613–8.CrossRef
13.
Zurück zum Zitat Khau A, Melinek J. Two cases of tandem bullets—one homicide and one suicide. Am J Forensic Med Pathol. 2019;40:262–5.CrossRef Khau A, Melinek J. Two cases of tandem bullets—one homicide and one suicide. Am J Forensic Med Pathol. 2019;40:262–5.CrossRef
14.
Zurück zum Zitat De Giorgio F, Rainio J. Two entrances, one exit – an atypical shotgun injury: a case report. Med Sci Law. 2007;47:353–6.CrossRef De Giorgio F, Rainio J. Two entrances, one exit – an atypical shotgun injury: a case report. Med Sci Law. 2007;47:353–6.CrossRef
15.
Zurück zum Zitat Du Toit-Prinsloo L, Morris NK, Saayman G. Tandem bullet injury: an unusual variant of an unusual injury. Forensic Sci Med Pathol. 2014;10:262–5.CrossRef Du Toit-Prinsloo L, Morris NK, Saayman G. Tandem bullet injury: an unusual variant of an unusual injury. Forensic Sci Med Pathol. 2014;10:262–5.CrossRef
16.
Zurück zum Zitat Chao J, Barnard J, de Jong JL, Prahlow JA. A case series of anterograde and retrograde vascular projectile embolization. Acad Forensic Pathol. 2018;8:392–406.CrossRef Chao J, Barnard J, de Jong JL, Prahlow JA. A case series of anterograde and retrograde vascular projectile embolization. Acad Forensic Pathol. 2018;8:392–406.CrossRef
17.
Zurück zum Zitat Prahlow JA. Fatal gunshot wounds in young children. Acad Forensic Pathol. 2016;6:691–702.CrossRef Prahlow JA. Fatal gunshot wounds in young children. Acad Forensic Pathol. 2016;6:691–702.CrossRef
18.
Zurück zum Zitat Duke E, Peterson AA, Erly WK. Migrating bullet: a case of a bullet embolism to the pulmonary artery with secondary pulmonary infarction after gunshot wound to the left globe. J Emerg Trauma Shock. 2014;7:38–40.CrossRef Duke E, Peterson AA, Erly WK. Migrating bullet: a case of a bullet embolism to the pulmonary artery with secondary pulmonary infarction after gunshot wound to the left globe. J Emerg Trauma Shock. 2014;7:38–40.CrossRef
19.
Zurück zum Zitat Nolan T, Phan H, Hardy AH, Khanna P, Dong P. Bullet embolization: multidisciplinary approach by interventional radiology and surgery. Semin Interv Radiol. 2012;29:192–6.CrossRef Nolan T, Phan H, Hardy AH, Khanna P, Dong P. Bullet embolization: multidisciplinary approach by interventional radiology and surgery. Semin Interv Radiol. 2012;29:192–6.CrossRef
20.
21.
Zurück zum Zitat Strajina V, Živković V, Nikolić S. Forensic issues in suicidal single gunshot injuries to the chest: an autopsy study. Am J Forensic Med Pathol. 2012;33:373–6.CrossRef Strajina V, Živković V, Nikolić S. Forensic issues in suicidal single gunshot injuries to the chest: an autopsy study. Am J Forensic Med Pathol. 2012;33:373–6.CrossRef
22.
Zurück zum Zitat Kohlmeier RE, McMahan CA, DiMaio VJ. Suicide by firearms: a 15-year experience. Am J Forensic Med Pathol. 2001;22:337–40.CrossRef Kohlmeier RE, McMahan CA, DiMaio VJ. Suicide by firearms: a 15-year experience. Am J Forensic Med Pathol. 2001;22:337–40.CrossRef
23.
Zurück zum Zitat Lowbeer L. An unusual gunshot wound of the head. J Forensic Sci. 1961;6:88–97. Lowbeer L. An unusual gunshot wound of the head. J Forensic Sci. 1961;6:88–97.
24.
Zurück zum Zitat Sinha JK, Bhattacharyya CN. Identification of tandem bullets. Med Sci Law. 1989;29:249–50.CrossRef Sinha JK, Bhattacharyya CN. Identification of tandem bullets. Med Sci Law. 1989;29:249–50.CrossRef
25.
Zurück zum Zitat Prahlow SP, Wolfenbarger R, Prahlow JA. Tandem bullet homicide. Acad Forensic Pathol. 2016;6:130–9.CrossRef Prahlow SP, Wolfenbarger R, Prahlow JA. Tandem bullet homicide. Acad Forensic Pathol. 2016;6:130–9.CrossRef
Metadaten
Titel
Suicidal tandem bullets to the heart with subsequent embolization – a case report
verfasst von
Fernando Fortes Picoli
Mayara Barbosa Viandelli Mundim-Picoli
André Montanini Alves
Maria Alves Garcia Santos Silva
Ademir Franco
Rhonan Ferreira Silva
Publikationsdatum
15.06.2020
Verlag
Springer US
Erschienen in
Forensic Science, Medicine and Pathology / Ausgabe 3/2020
Print ISSN: 1547-769X
Elektronische ISSN: 1556-2891
DOI
https://doi.org/10.1007/s12024-020-00275-8

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