Tinjauan radiologi forensik terhadap luka tembak masuk: Laporan kasus

Abstract

Background: Gunshot wounds are a complex form of traumatic injury that requires specialized expertise in forensic examination. In addition to causing tissue damage, gunshot wounds contain crucial ballistic information, including the type of weapon, caliber, type of ammunition, and the energy dynamics of the projectile upon contact with the body. The ability to distinguish between entry wounds (IWW) and exit wounds (IWW), as well as the interpretation of gunshot residue, is a key foundation in event reconstruction. The issue of firearm violence shows a significant global trend.

Purpose: To conduct an in-depth analysis of forensic radiology and pathology findings in cases of deaths due to entry wounds and to determine the cause, mechanism, and nature of death.

Method: This is a descriptive study using a case report approach. Data were obtained through a review of medical documents, forensic examination results of the corpse, a request for a post-mortem examination (Visum et Repertum) from investigators, and supporting information from the police investigation. All data were analyzed descriptively to describe the case findings and related medicolegal aspects.

Results: The examination was conducted in the form of a complete autopsy, which included external and internal examinations of the corpse, at the Forensic Installation of the Hospital. Bhayangkara Mohammad Hasan Palembang. The internal examination included tracing the projectile's trajectory through various body cavities, documenting organ damage (lungs, liver, blood vessels), quantifying bleeding, and retrieval and identification of the projectile.

Conclusion: Autopsy findings were combined with radiological examinations to confirm the projectile's position.

Keywords: Entrance Gunshot Wound; Forensic Autopsy; Forensic Radiology; Massive Hemorrhage.