Bizarre Impalement Fatalities—Where Is the Implement?

Karger, B.; Teige, K; Bajanowski, Thomas

doi:10.1520/jfs15264j

Cited by 23 publications

(14 citation statements)

References 18 publications

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“…Any penetrating injury to the mediastinum, including the rarely encountered impalement injury, is lethal because of the high concentration of major vascular and visceral structures that reside within the thoracic cavity. 9 Although the present case proved fatal, death was not due to injury to the blood vessels. Since the impaction was on right side, it lessened the likelihood of laceration of the heart and the blood vessels.…”

Section: Discussionmentioning

confidence: 48%

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An unusual case of impalement injury

Yadav

Badkur

2015

Med Sci Law

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Impalement injuries result when a hard elongated object penetrates the body cavity or any body part and remains in place. A rare and unusual case of impalement by a bamboo stick in the thoracic cavity through the oropharynx is described. Injury resulted when a man tried to pole-vault with a bamboo stick, which slipped and entered his mouth. Impalement injury through the natural orifice of the oropharynx is discussed, along with the mechanism of the trauma and subsequent death.

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Section: Discussionmentioning

confidence: 48%

“…1 Impalement injuries to the chest are infrequent, and most cases are potentially fatal. [2][3][4][5][6][7] Impalement injuries through natural orifices have been reported, 8,9 but impalement by a foreign body through the oropharynx is unusual.…”

Section: Introductionmentioning

confidence: 99%

An unusual case of impalement injury

Yadav

Badkur

2015

Med Sci Law

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“…To our knowledge, this type of fatal injury has not previously been reported, though some unique impalement injuries in the chest and the anorectal region inflicted by bar-like items have been reported (Karger et al, 2002;Rautji et al, 2004). .…”

Section: Discussionmentioning

confidence: 79%

2. An Unusual Death due to the Impalement of a Gear Stick into the Brain Stem through the Nasal Cavity

Nozawa

Watanabe²,

Сузукі³

et al. 2005

Med Sci Law

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A 59-year-old male was driving a car on the road and was involved in a traffic accident, colliding with a tanker and a big lorry. When an ambulance arrived at the scene, he was in a state of cardiopulmonary arrest and was bleeding profusely from his right nostril. He was confirmed dead at hospital. The autopsy showed a laceration of the right upper lip extending to the right nostril. In the basal skull there was a notable perforation at the ethmoid bone together with the central part of the sphenoid bone including the sella turcica. In accordance with the basal skull bone fractures, there were pronounced contusion injuries at the brain stem and a contusion injury was also observed in the right part of the cerebellum. After careful investigation of a causative stick-like item that was present inside the car, it was concluded that a severe movement of the man's body, as a result of the traffic collision, caused the gear stick which was fixed to the steering wheel to become impaled in the man's right nostril. The gear stick passed through the nasal cavity and into the basal skull bones, resulting in fatal brain stem injuries.

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“…Wounding mechanisms of impalement injury can be classified into three categories: (a) severe injury in a traffic accident or a fall from a height [7,8], (b) facial impalement due to falling down [9], and (c) genital and anal impalement, typically from sexual motivation [10,11]. The most common site of impalement injury is the oral cavity [12][13][14][15]; a typical wounding mechanism is impalement in the oral cavity of children by a stick-like object in their mouth, which penetrates the palate or pharynx when they accidentally fall facedown.…”

Section: Discussionmentioning

confidence: 99%