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Forensic Evaluation of Multiple Gunshot Injuries: A Case Report.
Treasa James1, Akhilesh Pathak1
1Forensic Medicine, All India Institute of Medical Sciences, Bathinda, IND.
Cureus
|July 8, 2025
Summary
Long-range shotgun wounds can be managed conservatively, even with retained pellets. This approach avoids complications and allows patients to resume normal activities without surgical intervention unless necessary.
Area of Science:
- Forensic Pathology
- Trauma Surgery
- Ballistics
Background:
- Firearm injuries, especially from shotguns, pose challenges in wound pattern analysis and projectile management.
- Understanding wound ballistics and forensic evidence is crucial for investigation and trauma care.
Observation:
- A case report details a 26-year-old male with multiple long-range shotgun entry wounds.
- Radiological imaging showed retained pellets in soft tissue without fractures or organ damage.
- The patient was hemodynamically stable with no immediate complications.
Findings:
- Conservative management was successful, with the patient discharged on day three.
- Six-month follow-up revealed no complications, and the patient returned to normal activities.
- Literature suggests retained fragments are often asymptomatic, negating the need for surgical removal.
Implications:
- Individualized patient management is key, as retained pellets may not cause adverse outcomes.
- This case contributes to understanding long-range shotgun wounds and forensic ballistics.
- A multidisciplinary approach integrating forensic medicine, clinical management, and ballistics is vital for firearm trauma.
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