CONSIDERING A CHEST X-RAY AND FOCUSED ASSESSMENT WITH SONOGRAPHY FOR TRAUMA (FAST-SCAN) AS A MODALITY TO ASSESS THE IMPACT OF TORACO-ABDOMINAL TRAUMA IN CLINICAL FORENSIC PRACTICE

In clinical forensic practice describing the type of wound, the degree of injury, and the impact of the violence contained in the Visum et Repertum (VeR) must be accountable, VeR is valid evidence in the judicial process. It is necessary to consider additional modalities in imaging examinations to assess the impact of violent injuries, especially in the thoracoabdominal area. Blunt trauma and sharp trauma in the thoracoabdominal area prone to internal injuries. A 21-year-old man was stabbed and hit in the upper right abdomen by an unknown person using a sickle, initially, there was a dispute while driving on the Surabaya toll road. The victim was taken to Dr. Hospital. Soetomo and the VeR application were submitted by investigators to the Medicolegal Forensic Department. On physical examination of compos mentis consciousness, on external examination found oval wounds, sharp edges, sharp angles, soft tissue, and bone base, the length of the wound was ten centimeters. Chest X-ray revealed 7, 8, and 9 left rib fractures, FAST-Scan examination revealed free perivesical fluid. Conclusion: VeR based on the results of physical examination, chest X-ray, and FAST-scan is a stab wound in the upper right abdomen due to sharp violence that poses a danger of death, a serious injury according to Article 90 of the Criminal Code.