Case: A twenty-year old man was found supine on Thompson Creak Trail with a bullet wound. The entrance of the wound was on the left lateral side 1cm above the third rib. The exit wound was 5cm above the belly button in the umbilical region. While tracing the bullet path you notice at the entrance the bullet travels in the frontal plane with a 45-degree downward angle. On inspection of the right side of the rib cage by x-ray you observe the 8th rib fractured. Fragments of the bullets are then traced to the final exit wound.
3 scenarios
-The man was shot in the heart and died of organ failure. The heart is unable to function and pump blood into the organs necessary for human life.
-the fragmented bones (from when the man fell after being shot) of from the fractured rib (8th rib) damaged the liver and nearby organs (such as the lung and the stomach), causing massive internal bleeding.
-The bullet may have puncture the lung and caused blood to spill into the victims lungs, causing him the inability to breath.
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