Received: November 8, 2012
Accepted: November 17, 2012
Ref: Gupta B.D. and Trangadia MM. Intestinal perforation by Blast Injury. Anil Aggrawal's Internet Journal of Forensic Medicine and Toxicology, 2013; Vol. 14, No. 1 (Jan - June 2013): ; Published: Jan 1, 2013, (Accessed: 

Email Dr. B.D.Gupta (the corresponding author) by clicking here

Dr. B.D. Gupta (Click to enlarge)

Case Report

Picture 1: Multiple small but multiple granular lacerated wounds on the front and upper parts of the body and small injury on the lower part of abdomen below the umbilicus in the middle.

Picture 2: Closer view of the injury on the lower part of abdomen

Picture 3: Dirty fluid in the peritoneal cavity as soon as the cavity was opened at the time of postmortem examination

Picture 4: Closer view in situ of the two perforations seen in the loops of intestine

Picture 5: Isolated loop of perforated intestine

Please click all pics to enlarge

The deceased was a male child of about 12 years of age. He and some of his family members visited one temple nearby. During this outing the child picked up one article from the debris lying near the temple. He started playing with it. He took the object at his home also, while he was at home and playing with the article the object burst and injured the child.
The boy rushed to hospital where he was treated in the Out Patient Department ( OPD) basis and not admitted, but discharged.
After few hours of discharge boy developed pain in abdomen and he vomited also. When he was again brought to hospital he was declared dead. Had the patient admitted and kept under observation probably the perforation and effects there off could have been diagnosed early and could have been treated. Skin from the wounds was examined chemically and aluminum, potassium and nitrites (lower explosives) were detected.
The object turns out to be a crude cracker that was disposed off carelessly. Crackers are used to celebrate festivals like diwali. Sometimes crackers are also used on other festive occasions like marriages or birth days or a win in a cricket match. Crackers are freely available in India and there are hardly any guidelines for their use or disposal.

(N.B. Click all pictures to enlarge!)

*Corresponding author and requests for reprints:
B.D. Gupta
Professor of Forensic Medicine
M.P.Shah Medical College
Jamnagar 361008
India

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