Case Report of a Migrating Bullet: An Unusual Cause of Postmortem Confusion
Migrating bullets are rare sequelae of penetrating gunshot wounds. Such cases have been described in the neurosurgical literature because they can produce complications in the management of patients such as decline in neurologic status, delays in rehabilitation, and difficulties in bullet removal. I...
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| Veröffentlicht in: | Journal of forensic sciences 2017-09, Vol.62 (5), p.1386-1388 |
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| container_title | Journal of forensic sciences |
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| creator | Chute, Dennis J. Newman, Kia Bready, Robert J. Benjamin, Eric D. |
| description | Migrating bullets are rare sequelae of penetrating gunshot wounds. Such cases have been described in the neurosurgical literature because they can produce complications in the management of patients such as decline in neurologic status, delays in rehabilitation, and difficulties in bullet removal. In contrast, few postmortem reports have described this phenomenon. We report a case of a gunshot wound in which the projectile entered the left side of the head and traversed to the right frontal area as documented by CT scan on hospital admission. At autopsy, the bullet was noted to have migrated back to the left side of the head from where it was recovered. Medical examiners need to be aware of this unusual phenomenon of retained intracranial projectiles. |
| doi_str_mv | 10.1111/1556-4029.13428 |
| format | Article |
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Such cases have been described in the neurosurgical literature because they can produce complications in the management of patients such as decline in neurologic status, delays in rehabilitation, and difficulties in bullet removal. In contrast, few postmortem reports have described this phenomenon. We report a case of a gunshot wound in which the projectile entered the left side of the head and traversed to the right frontal area as documented by CT scan on hospital admission. At autopsy, the bullet was noted to have migrated back to the left side of the head from where it was recovered. Medical examiners need to be aware of this unusual phenomenon of retained intracranial projectiles.</description><identifier>ISSN: 0022-1198</identifier><identifier>EISSN: 1556-4029</identifier><identifier>DOI: 10.1111/1556-4029.13428</identifier><identifier>PMID: 28217834</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Autopsies ; Case reports ; Computed tomography ; entrance wound ; Foreign-Body Migration - diagnostic imaging ; Foreign-Body Migration - pathology ; Forensic Ballistics ; Forensic pathology ; forensic science ; gunshot wound ; Head Injuries, Penetrating - diagnostic imaging ; Head Injuries, Penetrating - pathology ; Humans ; Male ; migrating bullet ; Projectiles ; retained projectile ; Tomography, X-Ray Computed ; wound path ; Wounds, Gunshot - diagnostic imaging ; Wounds, Gunshot - pathology ; Young Adult</subject><ispartof>Journal of forensic sciences, 2017-09, Vol.62 (5), p.1386-1388</ispartof><rights>2017 American Academy of Forensic Sciences</rights><rights>2017 American Academy of Forensic Sciences.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3388-b20f034e9ea4f8d56fc1da942c2d3b92bbb37ee1e7fb67b63dd6729560305eb3</citedby><cites>FETCH-LOGICAL-c3388-b20f034e9ea4f8d56fc1da942c2d3b92bbb37ee1e7fb67b63dd6729560305eb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1556-4029.13428$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1556-4029.13428$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28217834$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chute, Dennis J.</creatorcontrib><creatorcontrib>Newman, Kia</creatorcontrib><creatorcontrib>Bready, Robert J.</creatorcontrib><creatorcontrib>Benjamin, Eric D.</creatorcontrib><title>Case Report of a Migrating Bullet: An Unusual Cause of Postmortem Confusion</title><title>Journal of forensic sciences</title><addtitle>J Forensic Sci</addtitle><description>Migrating bullets are rare sequelae of penetrating gunshot wounds. Such cases have been described in the neurosurgical literature because they can produce complications in the management of patients such as decline in neurologic status, delays in rehabilitation, and difficulties in bullet removal. In contrast, few postmortem reports have described this phenomenon. We report a case of a gunshot wound in which the projectile entered the left side of the head and traversed to the right frontal area as documented by CT scan on hospital admission. At autopsy, the bullet was noted to have migrated back to the left side of the head from where it was recovered. Medical examiners need to be aware of this unusual phenomenon of retained intracranial projectiles.</description><subject>Autopsies</subject><subject>Case reports</subject><subject>Computed tomography</subject><subject>entrance wound</subject><subject>Foreign-Body Migration - diagnostic imaging</subject><subject>Foreign-Body Migration - pathology</subject><subject>Forensic Ballistics</subject><subject>Forensic pathology</subject><subject>forensic science</subject><subject>gunshot wound</subject><subject>Head Injuries, Penetrating - diagnostic imaging</subject><subject>Head Injuries, Penetrating - pathology</subject><subject>Humans</subject><subject>Male</subject><subject>migrating bullet</subject><subject>Projectiles</subject><subject>retained projectile</subject><subject>Tomography, X-Ray Computed</subject><subject>wound path</subject><subject>Wounds, Gunshot - diagnostic imaging</subject><subject>Wounds, Gunshot - pathology</subject><subject>Young Adult</subject><issn>0022-1198</issn><issn>1556-4029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkF1LwzAUhoMobk6vvZOA193y0aStd7M4vyYTmdchaZPR0TWzaZD9ezM7d-u5OXB43vfAA8A1RmMcZoIZ41GMSDbGNCbpCRgeL6dgiBAhEcZZOgAXzq0RQhxzfA4GJCU4SWk8BK-5dBp-6K1tO2gNlPCtWrWyq5oVvPd1rbs7OG3gZ-OdlzXMpQ944N6t6zYhozcwt43xrrLNJTgzsnb66rBHYDl7WOZP0Xzx-JxP51FBaZpGiiCDaKwzLWOTloybApcyi0lBSqoyopSiidZYJ0bxRHFaljwhGeOIIqYVHYHbvnbb2i-vXSfW1rdN-ChwRhnCMaM8UJOeKlrrXKuN2LbVRrY7gZHYuxN7U2JvSvy6C4mbQ69XG10e-T9ZAWA98F3Vevdfn3iZLfriH8J_d2A</recordid><startdate>201709</startdate><enddate>201709</enddate><creator>Chute, Dennis J.</creator><creator>Newman, Kia</creator><creator>Bready, Robert J.</creator><creator>Benjamin, Eric D.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K7.</scope></search><sort><creationdate>201709</creationdate><title>Case Report of a Migrating Bullet: An Unusual Cause of Postmortem Confusion</title><author>Chute, Dennis J. ; Newman, Kia ; Bready, Robert J. ; Benjamin, Eric D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3388-b20f034e9ea4f8d56fc1da942c2d3b92bbb37ee1e7fb67b63dd6729560305eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Autopsies</topic><topic>Case reports</topic><topic>Computed tomography</topic><topic>entrance wound</topic><topic>Foreign-Body Migration - diagnostic imaging</topic><topic>Foreign-Body Migration - pathology</topic><topic>Forensic Ballistics</topic><topic>Forensic pathology</topic><topic>forensic science</topic><topic>gunshot wound</topic><topic>Head Injuries, Penetrating - diagnostic imaging</topic><topic>Head Injuries, Penetrating - pathology</topic><topic>Humans</topic><topic>Male</topic><topic>migrating bullet</topic><topic>Projectiles</topic><topic>retained projectile</topic><topic>Tomography, X-Ray Computed</topic><topic>wound path</topic><topic>Wounds, Gunshot - diagnostic imaging</topic><topic>Wounds, Gunshot - pathology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chute, Dennis J.</creatorcontrib><creatorcontrib>Newman, Kia</creatorcontrib><creatorcontrib>Bready, Robert J.</creatorcontrib><creatorcontrib>Benjamin, Eric D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Criminal Justice (Alumni)</collection><jtitle>Journal of forensic sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chute, Dennis J.</au><au>Newman, Kia</au><au>Bready, Robert J.</au><au>Benjamin, Eric D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Case Report of a Migrating Bullet: An Unusual Cause of Postmortem Confusion</atitle><jtitle>Journal of forensic sciences</jtitle><addtitle>J Forensic Sci</addtitle><date>2017-09</date><risdate>2017</risdate><volume>62</volume><issue>5</issue><spage>1386</spage><epage>1388</epage><pages>1386-1388</pages><issn>0022-1198</issn><eissn>1556-4029</eissn><abstract>Migrating bullets are rare sequelae of penetrating gunshot wounds. Such cases have been described in the neurosurgical literature because they can produce complications in the management of patients such as decline in neurologic status, delays in rehabilitation, and difficulties in bullet removal. In contrast, few postmortem reports have described this phenomenon. We report a case of a gunshot wound in which the projectile entered the left side of the head and traversed to the right frontal area as documented by CT scan on hospital admission. At autopsy, the bullet was noted to have migrated back to the left side of the head from where it was recovered. Medical examiners need to be aware of this unusual phenomenon of retained intracranial projectiles.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28217834</pmid><doi>10.1111/1556-4029.13428</doi><tpages>3</tpages></addata></record> |
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| ispartof | Journal of forensic sciences, 2017-09, Vol.62 (5), p.1386-1388 |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Autopsies Case reports Computed tomography entrance wound Foreign-Body Migration - diagnostic imaging Foreign-Body Migration - pathology Forensic Ballistics Forensic pathology forensic science gunshot wound Head Injuries, Penetrating - diagnostic imaging Head Injuries, Penetrating - pathology Humans Male migrating bullet Projectiles retained projectile Tomography, X-Ray Computed wound path Wounds, Gunshot - diagnostic imaging Wounds, Gunshot - pathology Young Adult |
| title | Case Report of a Migrating Bullet: An Unusual Cause of Postmortem Confusion |
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