TY - JOUR PY - 2009// TI - The discrepant severity of external and internal injuries in a traffic accident: The cushioning effect via a human body against direct impact: Autopsy cases JO - American journal of forensic medicine and pathology A1 - Nishitani, Yoko A1 - Okazaki, Shunichiro A1 - Suzuki, K. A1 - Imabayashi, Kiyomi A1 - Katada, Ryuichi A1 - Matsumoto, Hisashi SP - 186 EP - 187 VL - 30 IS - 2 N2 - 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.

Language: en

LA - en SN - 0195-7910 UR - http://dx.doi.org/10.1097/PAF.0b013e3181879ceb ID - ref1 ER -