title: [Confusing injury findings in a suicidal gunshot fired to the chest from a carbine with a sawed-off barrel].
abstract: The stellate bullet entrance wound is one of the facultative features of a contact shot. For the formation of a star-shaped wound two factors are of special importance: first, an extensive bony support underlying the skin in the entrance region, and second, a strong propellant charge of the cartridge fired. Contact shots to the precordial region usually do not cause stellate entrance wounds, even if high-powered rifle ammunition is used. In the reported case, an injury pattern was observed that was not in line with normal findings and seemed confusing at first. Following a suicidal gunshot to the chest from a sawed-off carbine 98a (cal. 8 x 57 Js), a 4.5 cm wide, gaping bullet entrance wound with radiating tears was found. Instead of the usual pocket, the anterior thoracic wall showed a fist-sized area of destruction with extensive undermining of the subcutis. Not far from the entrance hole, a rib fragment had become displaced retrogradely thus perforating the skin from the inside out. The unusual pattern of findings could be explained by the fact that the barrel had been sawed off: as a result of this manipulation, a considerable part of the propellant charge had been converted outside the barrel, i.e. in the initial section of the bullet path.
authors.affiliation: Institut für Rechtsmedizin der Universität Freiburg.
authors.forename: Markus Grosse
authors.initials: MG
authors.lastname: Perdekamp
authors.forename: Michael
authors.initials: M
authors.lastname: Bohnert
authors.forename: Roland
authors.initials: R
authors.lastname: Braunwarth
authors.forename: Stefan
authors.initials: S
authors.lastname: Pollak
mesh_terms: D000369:Aged, 80 and over; D001344:Autopsy / Q000331:legislation & jurisprudence; D003937:Diagnosis, Differential; D005389:Firearms / Q000331:legislation & jurisprudence*; D006335:Heart Injuries / Q000473:pathology; D006801:Humans; D008297:Male; D012867:Skin / Q000293:injuries / Q000473:pathology; D013405:Suicide / Q000331:legislation & jurisprudence*; D013898:Thoracic Injuries / Q000473:pathology*; D014948:Wounds, Gunshot / Q000473:pathology*