Postmortem CT and autopsy findings in nine victims of terrorist attack.
Firearm injuries
IED
PMCT
Slash wounds
Terrorism
Journal
International journal of legal medicine
ISSN: 1437-1596
Titre abrégé: Int J Legal Med
Pays: Germany
ID NLM: 9101456
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
received:
30
06
2020
accepted:
17
12
2020
pubmed:
10
1
2021
medline:
10
9
2021
entrez:
9
1
2021
Statut:
ppublish
Résumé
In a foreign country, a religious terrorist group raided a restaurant, using pipe bombs, sharp-edged weapons, and various types of firearms (handguns, submachine guns, and AK-47 assault rifles) loaded with normal and prohibited bullets to kill foreigner customers, some of whom were Italian tourists. Local pathologists performed forensic autopsies on the bodies, but we were asked to perform additional external examinations, postmortem computed tomography (PMCT) scans, and then a second round of complete autopsies on nine victims (5 females and 4 males). Four victims had slash wounds inflicted by sharp-edged weapons, mostly localized in the head and neck. All but two victims had gunshot wounds. Finally, three casualties had injuries caused by the explosion of improvised explosive devices. In all cases, PMCT was a reliable source of information and provided strategic guide during autopsies, helping identify and describe the injuries and thus reconstruct the events. Therefore, in these cases, we suggest integrating the autopsy findings with the postmortem radiological data.
Identifiants
pubmed: 33420525
doi: 10.1007/s00414-020-02492-w
pii: 10.1007/s00414-020-02492-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
605-618Subventions
Organisme : Università Cattolica del Sacro Cuore (IT)
ID : R01287545
Références
Tessler RA, Mooney SJ, Witt CE, O'Connell K, Jenness J, Vavilala MS, Rivara FP (2017) Use of firearms in terrorist attacks: differences between the United States, Canada, Europe, Australia, and New Zealand. JAMA Intern Med 177:1865–1868. https://doi.org/10.1001/jamainternmed.2017.5723
doi: 10.1001/jamainternmed.2017.5723
pubmed: 28986599
pmcid: 5820736
Gibbons AJ, Farrier JN, Key SJ (2003) The pipe bomb: a modern terrorist weapon. J R Army Med Corps 149(1):23–26
doi: 10.1136/jramc-149-01-04
Singh AK, Ditkofsky NG, York JD, Abujudeh HH, Avery LA, Brunner JF, Sodickson AD, Lev MH (2016) Blast injuries: from improvised explosive device blasts to the Boston Marathon bombing. Radiographics 36(1):295–307. https://doi.org/10.1148/rg.2016150114.Review.Matthews
doi: 10.1148/rg.2016150114.Review.Matthews
pubmed: 26761543
DePalma RG, Burris DG, Champion HR, Hodgson MJ (2005) Blast injuries. N Engl J Med 352(13):1335–1342
doi: 10.1056/NEJMra042083
Alvis-Miranda HR, Rubiano AM, Agrawal A, Rojas A, Moscote-Salazar LR, Satyarthee GD, Calderon-Miranda WG, Hernandez NE, Zabaleta-Churio N (2016) Craniocerebral gunshot injuries; a review of the current literature. Bull Emerg Trauma 4:65–74
pubmed: 27331062
pmcid: 4897986
Jorgensen JJ, Naess PA, Gaarder C (2016) Injuries caused by fragmenting rifle ammunition. Injury 47:1951–1954. https://doi.org/10.1016/j.injury.2016.03.023
doi: 10.1016/j.injury.2016.03.023
pubmed: 27037026
Prinz M, Carracedo A, Mayr WR, Morling N, Parsons TJ, Sajantila A, Scheithauer R, Schmitter H, Schneider PM (2007) International Society for Forensic Genetics. DNA Commission of the International Society for Forensic Genetics (ISFG): recommendations regarding the role of forensic genetics for disaster victim identification (DVI). Forensic Sci Int Genet (1):3-12. https://doi.org/10.1016/j.fsigen.2006.10.003
Ampanozi G, Halbheer D, Ebert LC, Thali MJ, Held U (2020) Postmortem imaging findings and cause of death determination compared with autopsy: a systematic review of diagnostic test accuracy and meta-analysis. Int J Legal Med 134(1):321–337. https://doi.org/10.1007/s00414-019-02140-y
doi: 10.1007/s00414-019-02140-y
pubmed: 31455980
Gascho D, Thali MJ, Niemann T (2018) Post-mortem computed tomography: technical principles and recommended parameter settings for high-resolution imaging. Med Sci Law 58(1):70–82. https://doi.org/10.1177/0025802417747167
doi: 10.1177/0025802417747167
pubmed: 29310502
Bolliger SA, Thali MJ (2015) Imaging and virtual autopsy: looking back and forward. Philos Trans R Soc Lond Ser B Biol Sci 370(1674):20140253. https://doi.org/10.1098/rstb.2014.0253
doi: 10.1098/rstb.2014.0253
Ruder TD, Flach PM, Thali MJ (2013) Virtual autopsy. Forensic Sci Med Pathol 9(3):435–436. https://doi.org/10.1007/s12024-013-9454-2
doi: 10.1007/s12024-013-9454-2
pubmed: 23760861
Grassi S, Campuzano O, Coll M, Brión M, Arena V, Iglesias A, Carracedo Á, Brugada R, Oliva A (2020) Genetic variants of uncertain significance: How to match scientific rigour and standard of proof in sudden cardiac death? Legal Med (Tokyo, Japan) 45:101712. Advance online publication. https://doi.org/10.1016/j.legalmed.2020.101712
Aquila I, Sacco MA, Abenavoli L, Malara N, Arena V, Grassi S, Ausania F, Boccuto L, Ricci C, Gratteri S, Oliva A, Ricci P (2020) SARS-CoV-2 pandemic: review of the literature and proposal for safe autopsy practice. Arch Pathol Lab Med. https://doi.org/10.5858/arpa.2020-0165-SA
Madea B (2014) Kraniales CT als Grundlage von Tatrekonstruktion und Identifzierung eines Tatwerkzeuges [Cranial CT as basis for reconstruction of events and identification of a weapon]. Arch Kriminol 234(1-2):59–65 German
pubmed: 25122994
Schyma C, Hagemeier L, Greschus S, Schild H, Madea B (2012) Visualisation of the temporary cavity by computed tomography using contrast material. Int J Legal Med 126(1):37–42. https://doi.org/10.1007/s00414-010-0546-1
doi: 10.1007/s00414-010-0546-1
pubmed: 21437598
Craigie RJ, Farrelly PJ, Santos R, Smith SR, Pollard JS, Jones DJ (2020) Manchester Arena bombing: lessons learnt from a mass casualty incident. BMJ Mil Health 166:72–75
doi: 10.1136/jramc-2018-000930
Visentin S, Pelletti G, Dengo C, De Matteis M, Montisci M (2017) Post-autopsy computed tomography. Pros and cons in a firearm death. Forensic Sci Int. https://doi.org/10.1016/j.forsciint.2017.04.017
Quatrehomme GToupenay S, Delabarde T, Padovani B, Alunni V (2019) Forensic answers to the 14th of July 2016 terrorist attack in Nice. Int J Legal Med 133(1):277–287. https://doi.org/10.1007/s00414-018-1833-5
doi: 10.1007/s00414-018-1833-5
Tartaglione T, Filograna L, Roiati S, Guglielmi G, Colosimo C, Bonomo L (2012) Importance of 3D-CT imaging in single-bullet cranioencephalic gunshot wounds. Radiol Med 117(3):461–470. https://doi.org/10.1007/s11547-011-0784-4
doi: 10.1007/s11547-011-0784-4
pubmed: 22271006
Cascini F, Polacco M, Cittadini F, Paliani GB, Oliva A, Rossi R (2020) Post-mortem computed tomography for forensic applications: a systematic review of gunshot deaths. Med Sci Law 60(1):54–62. https://doi.org/10.1177/0025802419883164
doi: 10.1177/0025802419883164
pubmed: 31739723
Filograna L, Tartaglione T, Filograna E, Cittadini F, Oliva A, Pascali VL (2010) Computed tomography (CT) virtual autopsy and classical autopsy discrepancies: radiologist’s error or a demonstration of post-mortem multi-detector computed tomography (MDCT) limitation. Forensic Sci Int 195(1-3):e13–e17. https://doi.org/10.1016/j.forsciint.2009.11.001
doi: 10.1016/j.forsciint.2009.11.001
pubmed: 19954903
Chattopadhyay CS, Sukul B (2013) Pattern of defence injuries among homicidal victims. Egypt J Forensic Sci 3: 81–84
Handlos P, Uvíra M, Dokoupil M, Marecová K (2019) Axe injury pattern in homicide. Forensic Sci Med Pathol Sep 15(3):516–518. https://doi.org/10.1007/s12024-019-00112-7
doi: 10.1007/s12024-019-00112-7
Penn-Barwell JG, Brown KV, Fries CA (2015) High velocity gunshot injuries to the extremities: management on and off the battlefield. Curr Rev Musculoskelet Med 8:312–317. https://doi.org/10.1007/s12178-015-9289-4
doi: 10.1007/s12178-015-9289-4
pubmed: 26108862
pmcid: 4596205
Khorram-Manesh A (2016) Europe on fire; medical management of terror attacks - new era and new considerations. Bull Emerg Trauma 4:183–185
pubmed: 27878122
pmcid: 5118569
Maiden N (2009) Ballistics reviews: mechanisms of bullet wound trauma. Forensic Sci Med Pathol 5:204–209. https://doi.org/10.1007/s12024-009-9096-6
doi: 10.1007/s12024-009-9096-6
pubmed: 19644779
Swift B, Rutty GN (2004) The exploding bullet. J Clin Pathol 57(1):108
doi: 10.1136/jcp.57.1.108
Hakki L, Smith A, Babin J, Hunt J, Duchesne J, Greiffenstein P (2019) Effects of a fragmenting handgun bullet: considerations for trauma care providers. Injury 50(5):1143–1146. https://doi.org/10.1016/j.injury.2019.01.033
doi: 10.1016/j.injury.2019.01.033
pubmed: 30711320
Kirchhoff SM, Scaparra EF, Grimm J, Scherr M, Graw M, Reiser MF, Peschel O (2016) Postmortem computed tomography (PMCT) and autopsy in deadly gunshot wounds--a comparative study. Int J Legal Med 130:819–826. https://doi.org/10.1007/s00414-015-1225-z
doi: 10.1007/s00414-015-1225-z
pubmed: 26156451
Levy AD, Abbott RM, Mallak CT, Getz JM, Harcke HT, Champion HR, Pearse LA (2006) Virtual autopsy: preliminary experience in high-velocity gunshot wound victims. Radiology 240:522–528. https://doi.org/10.1148/radiol.2402050972
doi: 10.1148/radiol.2402050972
pubmed: 16801370
Makhlouf F, Scolan V, Ferretti G, Stahl C, Paysant F (2013) Gunshot fatalities: correlation between post-mortem multi-slice computed tomography and autopsy findings: a 30-months retrospective study. Leg Med (Tokyo) 15:145–148. https://doi.org/10.1016/j.legalmed.2012.11.002
doi: 10.1016/j.legalmed.2012.11.002
Mahoney PF, Carr DJ, Delaney RJ, Hunt N, Harrison S, Breeze J, Gibb I (2017) Does preliminary optimisation of an anatomically correct skull-brain model using simple simulants produce clinically realistic ballistic injury fracture patterns? Int J Legal Med Jul 131(4):1043–1053. https://doi.org/10.1007/s00414-017-1557-y
doi: 10.1007/s00414-017-1557-y
Monica Coll, Catarina Allegue, Sara Partemi, Jesus Mates, Bernat Del Olmo, Oscar Campuzano, Vincenzo Pascali, Anna Iglesias, Pasquale Striano, Antonio Oliva, Ramon Brugada, (2016) Genetic investigation of sudden unexpected death in epilepsy cohort by panel target resequencing. International Journal of Legal Medicine 130 (2):331-339. https://doi.org/10.1007/s00414-015-1269-0
Sara Partemi, Monica Coll Vidal, Pasquale Striano, Oscar Campuzano, Catarina Allegue, Marianna Pezzella, Maurizio Elia, Pasquale Parisi, Vincenzo Belcastro, Susanna Casellato, Lucio Giordano, Massimo Mastrangelo, Nicola Pietrafusa, Salvatore Striano, Federico Zara, Amedeo Bianchi, Daniela Buti, Angela La Neve, Carlo Alberto Tassinari, Antonio Oliva, Ramon Brugada, (2015) Genetic and forensic implications in epilepsy and cardiac arrhythmias: a case series. International Journal of Legal Medicine 129 (3):495-504. https://doi.org/10.1007/s00414-014-1063-4