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Gunshot Wound With Massive Intraintestinal Hemorrhage
Jonathan Wassink1, Thomas Holobyn2, Joseph A Prahlow3
1Western Michigan Homer Stryker M.D. School of Medicine, Kalamazoo, MI.
The American Journal of Forensic Medicine and Pathology
|September 12, 2025
Summary
Massive intraintestinal hemorrhage can occur after abdominal trauma, accumulating significant blood within the intestines. This case underscores the importance of considering the intestinal lumen as a potential space for hemorrhage in trauma patients.
Area of Science:
- Forensic Pathology
- Trauma Surgery
Background:
- Multiple gunshot wounds can cause severe abdominal trauma.
- Hemorrhage is a common complication of abdominal trauma.
Purpose of the Study:
- To report an unusual case of massive intraintestinal hemorrhage.
- To raise awareness among emergency physicians and trauma surgeons.
Main Methods:
- Autopsy examination of a 31-year-old female deceased from multiple gunshot wounds.
Main Results:
- A massive intraintestinal hemorrhage of 1.3 L was identified.
- Minimal associated intraperitoneal and retroperitoneal hemorrhage was noted.
Conclusions:
- The intestinal lumen can serve as a potential space for extensive blood accumulation in abdominal trauma.
- Clinicians should consider intraintestinal hemorrhage in patients with similar trauma presentations.
