Lesions that simulate gunshot wounds - further examples II.

A variety of postmortem and antemortem defects may be misinterpreted as gunshot wounds. In this paper, we present an additional series of lesions that simulate gunshot wounds. We briefly discuss each case, emphasizing various aspects of the scene investigation, clinical correlation and autopsy that are important in each case.

Death due to Ehlers-Danlos syndrome type IV.

Ehlers-Danlos syndrome (EDS) represents a group of collagen connective tissue disorders characterized by joint laxity, easy bruising, and various skin manifestations. Persons with type IV EDS are at risk for gastrointestinal, uterine, and arterial rupture. Mutations in the COL3A1 gene that encodes for type III procollagen underlie the pathologic abnormalities.

Pregnancy-related maternal deaths.

Pregnancy is a normal biologic process, but because of a variety of physiologic factors, it increases a woman's risk for death. Maternal deaths in pregnancy may be due to conditions unique to pregnancy, conditions associated with pregnancy, or conditions unrelated to but exacerbated by pregnancy. Death may occur during any trimester, during labor/birth, or postpartum.

Accidental sharp force injury fatalities.

The authors review all accidental sharp force injury deaths investigated at the Southwestern Institute of Forensic Sciences from 1990 to 1999. Twenty-two cases of accidental sharp force injury were identified, accounting for 0.29% of all accidental deaths (9,562) during the 10-year study period.