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Atypical wound trajectory after a tangential pistol shot
Constantin Lux1, Mattias Kettner1, Jan M Federspiel2
1Institute of Legal Medicine, University Hospital of Frankfurt, Goethe University, Kennedyallee 104, 60596, Frankfurt/Main, Germany.
International Journal of Legal Medicine
|November 10, 2022
Summary
Forensic analysis revealed a 7.65 mm bullet followed an unusual curved path through soft tissue. This case highlights the challenges in reconstructing bullet trajectories from entry and exit wounds alone.
Area of Science:
- Forensic Pathology
- Ballistics
- Medical Imaging
Background:
- A case involving three gunshot wounds from a 7.65 mm pistol is presented.
- The victim sustained a fatal head wound, a forehead graze, and a tangential perforating wound.
Purpose of the Study:
- To analyze the trajectory of a bullet in a tangential perforating wound.
- To investigate discrepancies between estimated and actual bullet paths in soft tissue injuries.
Main Methods:
- Postmortem computed tomography (CT) and forensic autopsy were performed.
- 3D CT data was used to reconstruct the bullet's trajectory.
- Analysis of wound characteristics and tissue damage.
Main Results:
- No bony thoracic injuries or perforations of thoracoabdominal cavities were found.
- The tangential bullet created a 40-cm subcutaneous wound channel.
- The actual bullet trajectory was significantly curved, deviating from a straight path predicted by entry/exit points.
Conclusions:
- The unusual curved trajectory may be due to dynamic body movement or shallow angle of incidence causing intracutaneous deflection.
- Soft tissue resistance and yawing could also influence bullet path.
- Reconstructing bullet trajectories solely from entry and exit wounds requires caution, especially in soft tissue injuries.

