Skull injury due to atypical firearm: a case report

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Abstract

BACKGROUND: Injuries from atypical firearms are highly variable in their morphology and often differ from typical gunshot injuries. This can lead to problems in forensic diagnostics. Knowledge of the atypical weapons design and discovery of atypical projectiles inside a body or at crime scene allows proper injury nature assessment.

CASE PRESENTATION: The morphological features of the entrance and exit gunshot wounds of the occipital and frontal bones caused by an atypical projectile ― a concrete nail 4.5×60 mm are described. The entrance gunshot injury had typical morphological features associated with the specific action of the projectile (a tissue defect, internal beveling of wound). The exit wound was atypical due to the incomplete exit of the concrete nail from the cranial cavity, as well as the anatomical features of the damaged area.

CONCLUSION: Atypical firearms and projectiles are diverse and their samples may have many unique designs and technological features knowledge of which may be crucial for forensic examination of gunshot injuries. A comprehensive medico-legal assessment of the injury gunshot nature and the number of shots is traditionally based on the injury morphology and revealing the gunshot residues. However, the presence of projectiles and/or their fragments in the body facilitates the solving of expert tasks. In our case the key to the correct interpretation of the wounds nature was the presence in the skull of an atypical projectile ― a concrete-nail.

About the authors

Viachaslau V. Siamionau

Belarusian State Medical University

Email: vjach_ws@mail.ru
ORCID iD: 0000-0002-6106-1806
SPIN-code: 1298-4821
Belarus, Minsk

Andrei M. Tsiatsiuyeu

Belarusian State Medical University

Author for correspondence.
Email: atetyuev@gmail.com
ORCID iD: 0000-0001-9240-2661
SPIN-code: 2088-8111

MD, Cand. Sci (Med.), Associate Professor

Belarus, Minsk

References

  1. Zhitkov VS. Injuries by so-called secondary shells. Forensic Medical Examination. 1960;(4):50–51. (In Russ).
  2. Raichman VI. Atypical gunshot wounds. Forensic Medical Examination. 1966;(3):55–56. (In Russ).
  3. Kayumov TYa. Suicide of an elderly person by a shot from an atypical firearm (arson). In: Topical issues of forensic medicine and law: a collection of scientific and practical works. Kazan: Medicine; 2011. Р. 78–80. (In Russ).
  4. Fink KB. Gunshot bullet blind head wound when fired from an atypical weapon. In: Topical issues of forensic medicine and expert practice: a collection of scientific and practical works. Issue 14. Barnaul-Novosibirsk; 2008. (In Russ).
  5. Nadesan K. A fatal nail gun injury ― an unusual ricochet? Med Sci Law. 2000;40(1):83–87. doi: 10.1177/002580240004000116
  6. Jimenez A, Giffen MA. A pen as an intermediate target becomes a secondary projectile. J Forensic Sci. 2021;66(5):2010–2012. doi: 10.1111/1556-4029.14754
  7. Lisitsyn AF. Forensic medical examination of injuries from hunting smoothbore weapons. Moscow: Medicine; 1968. 236 p. (In Russ).
  8. Popov VL, Shigeev VB, Kuznetsov LE. Forensic ballistics. Saint Petersburg: Gippokrat; 2002. 656 p. (In Russ).
  9. Molchanov VI, Popov VL, Kalmykov KN. Gunshot injuries and their forensic medical examination: a guide for doctors. Leningrad: Meditsina; 1990. 269 p. (In Russ).
  10. Brooks AJ, Clasper J, Midwinter M, et al. Ryan’s ballistic trauma. A practical guide. Springer; 2011. doi: 10.1007/978-1-84882-124-8
  11. Beck H, Siemens M, Reuter M. Powder-actuated fasteners and fastenings screws in steel construction. John Wiley & Sons Limited; 2011. 88 p.
  12. Jodati A, Safaei N, Toufan M, Kazemi B. A unique nail gun injury to the heart with a delayed presentation. Interact Cardiovasc Thorac Surg. 2011;13(3):363–365. doi: 10.1510/icvts.2011.272120
  13. Stern LC, Moore TA. Nail gun injury to the sacrum. Spine. 2011;36(26):E1778–E1780. doi: 10.1097/BRS.0b013e318226771f
  14. Rupprecht H, Ghidau M. Penetrating nail-gun injury of the heart managed by adenosine-induced asystole in the absence of a heart-lung machine. Texas Heart Ins J. 2014;41(4):429–432. doi: 10.14503/THIJ-13-3405
  15. Testerman GM, Dacks LM. Multiple self-inflicted nail gun head injury. Southern Med J. 2007;100(6):608–610. doi: 10.1097/SMJ.0b013e3180398e47
  16. Carnevale JA, Morrison JF, Choi DB, et al. Self-inflicted nail-gun injury with cranial penetration and use of intraoperative computed tomography. Surg Neurolog Int. 2016;7(10):S259–S262. doi: 10.4103/2152-7806.181980
  17. Frank M, Franke E, Schönekeß HC, et al. Ballistic parameters and trauma potential of direct-acting, powder-actuated fastening tools (nail guns). Int J Legal Med. 2012;126(2):217–222. doi: 10.1007/s00414-011-0584-3
  18. Frank M, Schönekeß HC, Jäger F, et al. Temporary cavity created by free-flying projectiles propelled from a powder-actuated nail gun. Int J Legal Med. 2012;126(5):801–805. doi: 10.1007/s00414-012-0742-2
  19. Gerarda RV, Lindsaya E, McVicara MJ, et al. A survey of primer residues produced by contemporary powder-actuated tool rounds and their relation to gunshot residue. Canadian Society Forensic Sci J. 2013;44:81–88. doi: 10.1080/00085030.2011.10768143
  20. Wallace JS, McQuillan J. Discharge residues from cartridge-operated industrial tools. J Forensic Science Society. 1984;24:495–508. doi: 10.1016/S0015-7368(84)72329-2
  21. Shadymov AB. Features of forensic medical examination of gunshot bullet injuries of the cerebral skull. Forensic Medical Examination. 2000;(1):14–19. (In Russ).
  22. Dubrovin IA. Forensic medical assessment of gunshot fractures of flat bones [dissertation]. Saint Petersburg; 2006. 148 p. (In Russ).

Supplementary files

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1. JATS XML
2. Fig. 1. Skull, back view (a). Penetrating defect in the central part of the occipital bone squama, external view (b) and view from the cranial cavity (с).

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3. Fig. 2. Skull base, anterior cranial fossa. Tapered tip of a metal foreign body protruding from the frontal bone squama. The metal foreign body trapped in the frontal bone squama ― concrete nail 4.5×60 mm.

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4. Fig. 3. Penetrating defect in the frontal bone squama, external view (a) and view from the cranial cavity (b).

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Copyright (c) 2022 Siamionau V.V., Tsiatsiuyeu A.M.

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