<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902025000101701</article-id>
<article-id pub-id-type="doi">10.29193/rmu.41.1.10</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Traumatismo penetrante de tórax mortal por proyectil de arma de aire comprimido: primer reporte nacional]]></article-title>
<article-title xml:lang="en"><![CDATA[Fatal penetrating thoracic trauma caused by a compressed air weapon projectile: first national report]]></article-title>
<article-title xml:lang="pt"><![CDATA[Trauma torácico penetrante fatal causado por projétil de arma de ar comprimido: primeiro relato nacional]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[María Noel Rodríguez]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[Natalia Bazán]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruibal]]></surname>
<given-names><![CDATA[Agustina]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almada]]></surname>
<given-names><![CDATA[Hugo Rodríguez]]></given-names>
</name>
</contrib>
</contrib-group>
<aff id="A">
<institution><![CDATA[,Universidad de la República Departamento de Medicina Legal y Ciencias Forenses Facultad de Medicina]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>41</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902025000101701&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902025000101701&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902025000101701&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Se presenta la primera comunicación nacional de una herida mortal provocada por un proyectil de arma de aire comprimido.  Objetivo: Alertar sobre los riesgos que supone esta clase de armamento y la necesidad de su regulación.  Reporte del caso: En el contexto de una reunión de adolescentes en una zona rural, uno de ellos disparó un rifle de aire comprimido de su propiedad desde una distancia de 25 metros. Uno de los proyectiles que alcanzó a uno de los jóvenes, penetró en tórax, causó hemoneumotórax, seguido de paro cardiorrespiratorio, con agravio encefálico irreversible y muerte 35 días después. En la autopsia se recuperó un proyectil de plomo de 5,5 mm de diámetro y 0,84 gramos de peso adherido al ventrículo izquierdo.  Discusión: La bibliografía internacional reporta casos y series en que este tipo de armamento causó lesiones de entidad y muerte, incluidos traumatismos penetrantes de tórax. Existe una errónea baja percepción del riesgo de las llamadas &#8220;armas menos letales&#8221;, en especial las de aire comprimido. Aunque a nivel mundial se alerta sobre esta situación, en Uruguay y otros países son tratadas como deportivas o recreativas y su comercialización es totalmente libre.  Conclusiones: 1) Los médicos de emergencia y forenses debemos tener en cuenta la posibilidad de que los proyectiles de armas de aire comprimido comprometan órganos vitales. 2) Es necesario derribar la falsa creencia de que este tipo de armamento es inofensivo para las personas. 3) Sería beneficioso para la prevención primaria que las autoridades públicas regularan la venta, porte y uso de este tipo de armamento, así como la implementación de campañas de concientización.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract This is the first national report of a fatal wound caused by a compressed air weapon projectile.  Objective: To raise awareness of the risks posed by this type of weaponry and the need for its regulation.  Case report: During a gathering of adolescents in a rural area, one of them fired a compressed air rifle he owned from a distance of 25 meters. One of the projectiles struck one of the young individuals, penetrating the thorax and causing hemopneumothorax, followed by cardiopulmonary arrest, irreversible brain damage, and death 35 days later. During the autopsy, a 5.5 mm diameter, 0.84-gram lead projectile was recovered, adhered to the left ventricle.  Discussion: International literature reports cases and series where this type of weapon caused serious injuries and deaths, including penetrating chest trauma. There is a mistaken underestimation of the risks posed by so-called &#8220;less-lethal weapons,&#8221; especially compressed air guns. While this issue is a global concern, in Uruguay and other countries, these weapons are considered sporting or recreational and are freely sold.  Conclusions: 1) Emergency and forensic physicians must consider the potential for compressed air weapon projectiles to damage vital organs. 2) It is essential to debunk the misconception that this type of weapon is harmless to humans. 3) Public authorities should regulate the sale, possession, and use of these weapons and implement awareness campaigns as part of primary prevention.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo Este é o primeiro relato nacional de uma ferida fatal provocada por projétil de uma arma de ar comprimido.  Objetivo: Alertar sobre os riscos que esse tipo de armamento representa e a necessidade de sua regulamentação.  Relato de caso: Durante uma reunião de adolescentes em uma área rural, um deles disparou um rifle de ar comprimido de sua propriedade a uma distância de 25 metros. Um dos projéteis atingiu um dos jovens, penetrando no tórax, causando hemopneumotórax, seguido de parada cardiorrespiratória, lesão cerebral irreversível e morte 35 dias depois. Na autópsia, foi recuperado um projétil de chumbo de 5,5 mm de diâmetro e 0,84 gramas aderido ao ventrículo esquerdo.  Discussão: A literatura internacional relata casos e séries em que este tipo de armamento causou lesões graves e mortes, incluindo traumas penetrantes no tórax. Existe uma percepção equivocada de baixo risco associada às chamadas &#8220;armas menos letais&#8221;, especialmente as de ar comprimido. Embora mundialmente se alerte sobre esta situação, no Uruguai e em outros países, essas armas são tratadas como esportivas ou recreativas, e sua comercialização é totalmente livre.  Conclusões: 1) Médicos de emergência e legistas devem considerar a possibilidade de que projéteis de armas de ar comprimido comprometam órgãos vitais. 2) É necessário desconstruir a crença de que esse tipo de armamento é inofensivo para as pessoas. 3) Seria benéfico, para a prevenção primária, que as autoridades públicas regulamentassem a venda, posse e uso deste tipo de armamento, além de implementar campanhas de conscientização.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Armas menos letales]]></kwd>
<kwd lng="es"><![CDATA[Heridas por proyectil de aire comprimido]]></kwd>
<kwd lng="es"><![CDATA[Heridas penetrantes de tórax]]></kwd>
<kwd lng="en"><![CDATA[Less-lethal weapons]]></kwd>
<kwd lng="en"><![CDATA[Compressed air weapon projectile wounds]]></kwd>
<kwd lng="en"><![CDATA[Penetrating thoracic wounds]]></kwd>
<kwd lng="pt"><![CDATA[Armas menos letais]]></kwd>
<kwd lng="pt"><![CDATA[Feridas por projéteis de ar comprimido]]></kwd>
<kwd lng="pt"><![CDATA[Feridas torácicas penetrantes]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bligh-Glover]]></surname>
<given-names><![CDATA[WZ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[One-in-a-million shot: a homicidal thoracic air rifle wound, a case report, and a review of the literature]]></article-title>
<source><![CDATA[Am J Forensic Med Pathol]]></source>
<year>2012</year>
<volume>33</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>98-101</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2.</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Maio]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<source><![CDATA[Gunshot wounds: Practical aspects of firearms, ballistics, and forensic techniques]]></source>
<year>2016</year>
<edition>3rd ed</edition>
<page-range>245-9</page-range><publisher-loc><![CDATA[Boca Ratón ]]></publisher-loc>
<publisher-name><![CDATA[Taylor &amp; Francis Group]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3.</label><nlm-citation citation-type="">
<source><![CDATA[Ley N° 19.247, 18 de agosto de 2014. Tipifícanse delitos y modifícase el art. 365 del Código Penal sobre el tráfico ilícito de armas. Diario Oficial. 27 de agosto de 2014; num. 29.033, p. 7-8]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B4">
<label>4.</label><nlm-citation citation-type="">
<source><![CDATA[Decreto 345/020, 18 de diciembre de 2020. Determínanse los requisitos para el registro y la declaración de las armas de fuego. Diario Oficial. 28 de diciembre de 2020; num. 30593, p. 2-8]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B5">
<label>5.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aslan]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Uzkeser]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Katirci]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Cakir]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Bilir]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Bilge]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Air guns: toys or weapons?: Toys or weapons?]]></article-title>
<source><![CDATA[Am J Forensic Med Pathol]]></source>
<year>2006</year>
<volume>27</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>260-2</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Apelt]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Greenwell]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Tweed]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Notrica]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
<name>
<surname><![CDATA[Maxson]]></surname>
<given-names><![CDATA[RT]]></given-names>
</name>
<name>
<surname><![CDATA[Garcia]]></surname>
<given-names><![CDATA[NM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Air guns: A contemporary review of injuries at six pediatric level I trauma centers]]></article-title>
<source><![CDATA[J Surg Res]]></source>
<year>2020</year>
<volume>248</volume>
<page-range>1-6</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bratton]]></surname>
<given-names><![CDATA[SL]]></given-names>
</name>
<name>
<surname><![CDATA[Dowd]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[Brogan]]></surname>
<given-names><![CDATA[TV]]></given-names>
</name>
<name>
<surname><![CDATA[Hegenbarth]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Serious and fatal air gun injuries: more than meets the eye]]></article-title>
<source><![CDATA[Pediatrics]]></source>
<year>1997</year>
<volume>100</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>609-12</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Japzon]]></surname>
<given-names><![CDATA[JKM]]></given-names>
</name>
<name>
<surname><![CDATA[Mokamad-Romancap]]></surname>
<given-names><![CDATA[HO]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Penetrating chest injury secondary to an improvised home-made marble airgun: a case report]]></article-title>
<source><![CDATA[Trauma Surg Acute Care Open]]></source>
<year>2023</year>
<volume>8</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>e001260</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Khan]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[Kamal]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Mirza FCPS]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Sherief]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pediatric air gun shot injury]]></article-title>
<source><![CDATA[Saudi Med J]]></source>
<year>2014</year>
<volume>35</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1507-9</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Milroy]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Clark]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Carter]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Rutty]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Rooney]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Air weapon fatalities]]></article-title>
<source><![CDATA[J Clin Pathol]]></source>
<year>1998</year>
<volume>51</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>525-9</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stankov]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Jakovski]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Pavlovski]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Muric]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Dwork]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Cakar]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Air gun injury with deadly aftermath--case report]]></article-title>
<source><![CDATA[Leg Med]]></source>
<year>2013</year>
<volume>15</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>35-7</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Radhakrishnan]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Fernandez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Geissler]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Air Rifles-lethal weapons]]></article-title>
<source><![CDATA[J Pediatr Surg]]></source>
<year>1996</year>
<volume>31</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1407-8</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13.</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vedovatti]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA[Heridas por proyectiles en Medicina Veterinaria y su importancia forense [Tesis de grado]]]></source>
<year>2007</year>
<page-range>30</page-range><publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[Facultad de Veterinaria, Universidad de la República]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<label>14.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Guenther]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Wozniak]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Leshikar]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fatal cardiac injury sustained from an air gun: Case report with review of the literature]]></article-title>
<source><![CDATA[Int J Surg Case Rep]]></source>
<year>2020</year>
<volume>70</volume>
<page-range>133-6</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15.</label><nlm-citation citation-type="book">
<collab>United Nations Human Rights</collab>
<source><![CDATA[Guidance on less-lethal weapons in law enforcement]]></source>
<year>2000</year>
<page-range>58</page-range><publisher-loc><![CDATA[New York, Geneva ]]></publisher-loc>
<publisher-name><![CDATA[United Nations High Commissioner for Human Rights]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<label>16.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Revetria]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Lagos]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Almada]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Muerte bajo custodia causada por armas &#8220;no letales&#8221; en Uruguay. Primera comunicación nacional de dos casos]]></article-title>
<source><![CDATA[Rev Méd Urug]]></source>
<year>2020</year>
<volume>36</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>459-63</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bruce-Chwatt]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Air gun wounding and current UK laws controlling air weapons]]></article-title>
<source><![CDATA[J Forensic Leg Med]]></source>
<year>2010</year>
<volume>17</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>123-6</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Laraque]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<collab>American Academy of Pediatrics Committee on Injury, Violence, and Poison Prevention</collab>
<article-title xml:lang=""><![CDATA[Injury risk of nonpowder guns]]></article-title>
<source><![CDATA[Pediatrics]]></source>
<year>2004</year>
<volume>114</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1357-61</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Petrus]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Angyal]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Tóth]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Poór]]></surname>
<given-names><![CDATA[VS]]></given-names>
</name>
<name>
<surname><![CDATA[Heckmann]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Simon]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Forensic assessment of a life-threatening penetrating abdominal air gun injury]]></article-title>
<source><![CDATA[Leg Med]]></source>
<year>2023</year>
<volume>60</volume>
<numero>102182</numero>
<issue>102182</issue>
<page-range>102182</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
