Case ReportsDislocation of Internal Organs of the Neck and Trunk Into Crush Injuries of the Head Case Report on a Truck-to-Pedestrian AccidentSzleszkowski, Łukasz MD, PhD; Golema, Wojciech MD; Jurek, Tomasz MD, PhDAuthor Information From the Department of Forensic Medicine, Wrocław Medical University, Wrocław, Poland. Manuscript received January 30, 2020; accepted February 28, 2020. Compliance with Ethical Standards: The authors declare no conflict of interest. Research does not involve human participants and animals. Authors received the consent of the prosecutor. Reprints: Łukasz Szleszkowski, MD, PhD, Uniwersytet Medyczny im Piastow Slaskich we Wroclawiu, Wroclaw, Poland. E-mail: [email protected]. The American Journal of Forensic Medicine and Pathology: June 2020 - Volume 41 - Issue 2 - p 135-137 doi: 10.1097/PAF.0000000000000545 Buy Metrics Abstract The authors report on a case of a 43-year-old male pedestrian struck and run over by a truck. The accident was accompanied by a mechanism of injury resulting in a unique autopsy picture of trunk and head injuries. The internal organs of the neck (larynx, trachea, esophagus), chest (lungs, thoracic aorta), and part of the abdominal cavity (bottom of the stomach and fragments of the liver) were dislocated in the direction of the head. The result was a traumatically deformed, crushed skull characterized by an extensive gaping wound with excerebration. The organs were dislocated through a channel formed by the rupture of soft tissues and comminuted fracture of the base of the skull. Parts of internal organs (larynx, trachea, and aorta) were turned 180° around the transverse axis of the body. This report, due to its unusual character, may be useful during detailed analysis of potential injury mechanisms in traffic accidents involving pedestrians. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.