Skip Navigation LinksHome > June 2009 - Volume 30 - Issue 2 > The Discrepant Severity of External and Internal Injuries in...
American Journal of Forensic Medicine & Pathology:
doi: 10.1097/PAF.0b013e3181879ceb
Case Report

The Discrepant Severity of External and Internal Injuries in a Traffic Accident: The Cushioning Effect via a Human Body Against Direct Impact: Autopsy Cases

Nishitani, Yoko MD, PhD; Okazaki, Shunichiro MD, PhD; Suzuki, Kengo MD; Imabayashi, Kiyomi DDS, PhD; Katada, Ryuichi MD; Matsumoto, Hiroshi MD, PhD

Collapse Box

Abstract

Traffic accidents cause unexpectedly severe injuries of internal organs despite tiny injuries observed on the external body. A 51-year-old woman (subject 1) and a 54-year-old man (subject 2) were found dead on a road. Subject 1 had subcutaneous and intramuscular bleeding with décollement on the posterior aspect of her body, including upper cervical spine dislocation. Subject 2 did not exhibit any apparent findings on autopsy that were indicative of a direct injury by a motor vehicle, but had severe internal organ injuries, including the transection at the pontomedullary junction. We surmise that subjects 1 and 2 were walking in line with the vehicle which collided with them from behind, and then the body of subject 1 cushioned the direct impact of the vehicle against subject 2. This report illustrates the need of forensic autopsy for victims with no severe external injuries.

© 2009 Lippincott Williams & Wilkins, Inc.

Login

Article Tools

Share

Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.