PERTEMUAN ILMIAH REGIONAL JOGLOSEMAR 2019

INTRATHORACIC GUNSHOOT WOUND

Ardiansyah B 1, Sarwono P 2
1
Resident of Radiology1,Staff of Radiology2 Department Dr. Moewardi
Hospital,
Sebelas Maret University, Surakarta

ABSTRACT
Introduction
Thoracic injuries are a contributing factor in as many as 75% of all
trauma-related deaths. Determining the firing distance is of great
importance from the point of view of a criminal investigation.
Multi-sliced Computed Tomography (MSCT) data could provide
valuable information in the forensic assessment.

Case Report:
A 29 years old man with intrathoracic gunshoot wound was referred
to Moewardi Hospital. Right hematothorax was found during Water
Sealed Drainage (WSD) procedure was done at previous hospital.
Chest X- Ray showed right pulmonal contusion, right pleural
effusio and metal density of opacity projected as high as 8 th right
posterior costae, 3.5 cm from processus spinosus and 1.5 cm from
the marker. Contrasted chest MSCT demonstrated metal corpus
alienum projected as the level of 8th right SIC penetrating
subcutaneously, pleural cavity and right lung parenchyma leading
to right hematothorax, collapse of medial lobe right lung and 8th
right posterior costae fracture.

Discussion
In our case chest x-ray and contrasted chest MSCT demonstrate
closed distant gunshoot wound as the bullet port d’entry was from
the front, penetrating the right lung parenchyma, causing right
hematothorax and collapse of medial lobe right lung.

Yogyakarta, 3 Februari 2019

 PERTEMUAN ILMIAH REGIONAL JOGLOSEMAR 2019

Conclusion
Radiology takes an important role especially in the forensic
assessment. MSCT is rapidly evolving into a primary diagnostic
tool because of its ability to image various, intrathoracic structures
and to differentiate substances of different densities.

Key words: Gunshoot wound, hematothorax , Chest X-ray,

Contrasted chest MSCT.

Yogyakarta, 3 Februari 2019