Mandal SP, Senthil KR, Vaishnav D (2017) Unintentional Celebratory Gunshot to a 3-year-old Child with Injury to Deep Circumlex Iliac Artery - A Rare Case Report. Int J Forensic Sci Pathol. 5(4), 357-359. 357 OPEN ACCESS http://scidoc.org/IJFP.php International Journal of Forensic Science & Pathology (IJFP) ISSN 2332-287X Unintentional Celebratory Gunshot to a 3-year-old Child with Injury to Deep Circumlex Iliac Artery - A Rare Case Report Case Report Mandal SP 1* , Senthil KR 2 , Vaishnav D 3 1 Additional Professor, Department of Forensic Medicine, PGIMER, Chandigarh, India. 2 Senior Resident, Department of Forensic Medicine, PGIMER, Chandigarh, India. 3 Junior Resident, Department of Forensic Medicine, PGIMER, Chandigarh, India. Introduction Celebratory iring is one of the causes of accidental irearm re- lated injuries in India [1]. Though some states have banned it af- ter some fatalities reported at marriage functions and festivals, in many states of North India, people still practice this as a custom. We report such kind of irearm injury to a female child. She died due to haemorrhagic shock following injury to the deep circum- lex iliac artery, a rare kind of injury to be reported in an acciden- tal gunshot fatality. Case Report A 3-year-old girl was brought to the Pediatric Emergency Depart- ment of PGIMER, Chandigarh with an alleged history of irearm injury in a marriage function held in the North Indian state of Haryana. Immediately she was taken to a local hospital where the wound was cleaned and stitched. The ultrasound taken at that time was normal, and after 12 hours of the conservative treat- ment, she was shifted here as per the wish of her parents. She arrived the Emergency room with a feeble pulse, tachycar- dia and her blood pressure was 70/32 mmHg. The abdomen was found distended, tender and guarding rigidity was noted. The X-ray in supine position showed few dilated bowel loops with no metallic foreign bodies. USG examination showed gross free luid in abdomen and pelvis with oedema of bowel loops. After 9 hours of best efforts to save her life, she succumbed to her injuries. The bleeding organ/vessel was not identiied clinically, and cause of death was given as concealed abdominal haemor- rhage with compartment syndrome in a case of gunshot injury. The case was shifted to the Department of Forensic Medicine for the purpose of post-mortem examination. Autopsy Findings On examination, a stitched irearm entry wound was noted on the right side of the upper abdomen, 3 cm above and 5 cm lateral to the umbilicus. On removing the stitches, the wound measured 0.7 x 0.6 cm, and a ring of abrasion collar surrounded by a contu- sion ring was found in and around the margins of the wound. A stitched irearm exit wound was present over the left hip, 1 cm *Corresponding Author: Dr. Shatrughan Prasad Mandal, Additional Professor, Department of Forensic Medicine, PGIMER, Chandigarh, India. Email: drspmandalpgi@gmail.com Received: May 26, 2017 Accepted: June 27, 2017 Published: July 04, 2017 Citation: Mandal SP, Senthil KR, Vaishnav D (2017) Unintentional Celebratory Gunshot to a 3-year-old Child with Injury to Deep Circumlex Iliac Artery - A Rare Case Report. Int J Forensic Sci Pathol. 5(4), 357-359. doi: http://dx.doi.org/10.19070/2332-287X-1700078 Copyright: Mandal SP © 2017. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited. Abstract Celebratory iring is one of the causes of Unintentional irearm injuries. This paper reports a case of a 3-year-old female child who died following gunshot injury sustained in a marriage function she attended with her parents. The bullet entered from the right upper abdomen and injured deep circumlex iliac artery on the left side before perforating the left iliac blade and leaving the body. The rarity of the vessel injury caused the clinician to miss the hemoperitoneum initially which lead to hemorrhagic shock and inally death. This article discusses the mechanism of gunshot injury sustained by the girl, and also urges the government to implement strict laws to prevent such kind of accidents in the future. Keywords: Unintentional Firearm Injuries; Celebratory Firing; Deep Circumlex Iliac Artery; Hemoperitoneum; Hemor- rhagic Shock.