Text-book of forensic medicine and toxicologyBuchanan, R. J. M. (Robert James McLean)
Science
Text-book of forensic medicine and toxicology
Buchanan, R. J. M. (Robert James McLean)
Medical jurisprudence; Poisons
The aperture of entrance and exit must, if possible, be determined. On
this point there is much difference of opinion. The wound of _exit_
is always _smaller_ than the wound of _entrance_ (Casper). In this
opinion Casper agrees with M. Malle, Olliver d‘Angers, and M. Huguier,
but is opposed by Taylor, M. Matthysens, and others. “The characters
of a gunshot wound,” says Assistant-Surgeon Neill, “are those of a
contusion and laceration of all the tissues. Sometimes they are so
simple as to bear resemblance to a punctured wound, particularly if a
rifle-ball (conoidal), revolving on its long axis, has passed through
the soft parts at a great speed, but within a few hours it resembles
a contusion. The wound of entrance, as it has been termed, bears no
comparison in size or shape to that of the exit when a rifle-ball has
caused the injury. In the former you see the edges of the wound curving
inwards, and the circumference small, with little or no hæmorrhage.
In the latter, the wound is large, with torn and irregular edges
projecting outwards, and perhaps only slight oozing of blood. In a
short time, averaging an hour, round the entrance wound slight redness
begins, gradually extending to about two inches round its orifice.
Again, this colour changes to a blue- or greenish-black, and you see
all the appearances of a severe bruise, with a small wound of the skin,
its edges still curved inwards. In the exit wound the discoloration of
the skin is not apparent.” The probable reason for the discrepancies in
the statements of observers, as to the characters of entrance and exit
wounds, may be found in the fact that experiments have been conducted
with different-sized balls, different kinds of weapons, with varying
quantities and qualities of the powder used, the character of the wads,
and with varying velocities and distances. As pointed out by M. Roux,
the two openings may be equal if the ball preserves the same velocity
through the tissues as it possessed before entrance; the _entrance_
hole is smaller than the _exit_, when the ball has lost much of its
trajectile force, and enters the softer parts of the body first; the
_entrance_ is larger than the _exit_, when the ball first enters
through the denser tissues of the body, and leaves through the softer.
The opening of entrance made by the ball has generally, but by no means
always, inverted edges. The edges of the exit opening are everted,
bloody, and raw; but both the entrance and exit wounds may be everted
in fat persons, due to the protrusion of the fat; and this eversion
may also result from the expansive power of the gases generated during
putrefaction, should this condition be present. Wounds made by _double
shots_, as from double-barrelled guns, or pistols, or from slugs fired
from one barrel, diverge after their entrance into the body.
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