Traumatic abdominal wall herniation, especially of the groin region, is a rare condition and typically results from a high-energy trauma to the abdominal wall. We report a fatal case of a road-traffic collision involving a young male motorcyclist who collided with a speeding lorry. The victim sustained multiple injuries over the chest and abdomen, with traumatic inguinal herniation causing gross distension of the scrotum. At autopsy, multiple lacerations of thoracic and abdominal organs were seen, along with traumatic disruption of the right inguinal canal. The contused terminal ileum was present in the scrotal sac. A literature search has revealed a limited number of reported cases of gross inguinal herniation following thoracoabdominal trauma. In cases of high-energy trauma to the thoraco-abdominal region with unilateral or bilateral distension of the scrotum, the possibility of herniation of the abdominal contents into the scrotal sac should be considered by the forensic pathologist.

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Owing to multiple factors, human-wildlife interactions are increasing, and conflict can result in fatal injuries. A 21-y-old man was brought to the emergency department in critical condition with 2 puncture wounds over the thoracoabdominal region after a nilgai, or blue bull (Boselaphus tragocamelus), had gored him. The patient sustained double gastric perforation, which was managed laparoscopically and complicated by an abscess formation in the lesser sac 1 wk later, which required further surgical exploration. The operative culture showed growth of Klebsiella pneumoniae. Intravenous antibiotics were given as per the culture sensitivity report, and the patient improved. Many horn injuries are described as puncture lacerated wounds owing to the rugged nature of animal horns. However, in this case, the margins of the wound were regular and incision-like owing to the smooth and straight structure of blue bull horns. Early surgical exploration and monitoring of treatment progress are crucial in reducing morbidity in penetrating horn injuries.