胸を銃で撃たれたカナダ女性、乳房インプラントで命拾い　論文

【ワシントンＡＦＰ＝時事】カナダ・トロント市の通りを歩いていた女性（30）が至近距離から胸部を銃で撃たれたが、乳房に埋め込んでいたシリコンインプラントに命を救われたとする論文が、先週医学誌「SAGE」に発表された。（写真は資料写真）
　この事例研究によると、女性の左乳房に入っていたシリコンインプラントによって、弾丸は大事な臓器をそれて右胸に当たったという。
　この事件は２０１８年に起きたが、論文によると、乳房インプラントによって女性の命が救われた数少ない事例の一つで、シリコン製では初の事例だとみられるという。
　論文の著者で外科医のジャンカルロ・マケベニュー氏は米ＣＮＮの取材に対し、弾丸は女性の左側から撃ち込まれ、インプラントに当たって跳ね返ると胸骨を通過して右乳房に当たったと説明。「インプラントが銃弾の軌道を変えた」「左側には心臓と肺があり、銃弾が胸部を突き進んでいたら、彼女はずっと深刻な命に関わる傷を負っていただろう」と述べた。
　女性は至近距離から撃たれたにもかかわらず、肋骨（ろっこつ）骨折とインプラントの損傷という比較的軽傷で済んだ。
　論文によると、この発砲事件については調査中だという。【翻訳編集ＡＦＰＢＢＮｅｗｓ】
〔ＡＦＰ＝時事〕（2020/04/23-12:31）

A woman's life was likely saved by her silicone breast implants after she was shot in the chest at close range while walking down a street in Toronto, doctors have said.
The 30-year-old's left breast implant deflected the bullet away from her vital organs into the other breast, according to a case study published last week in the SAGE medical journal.
The incident, which occurred in 2018, is one of only a handful of cases where a woman was saved by her breast implants and is believed to be the first involving silicone ones, the study said.
The patient, who was not named, went to the local emergency department in the Canadian city after feeling pain in her chest and seeing blood.
Surgeons found a single entry wound and retrieved a bullet from below her right breast, which police forensics later determined was a copper jacketed 0.40 caliber, the study said.
They removed her implants and photographs with the study and CT scans show the bullet passed through her left implant and hit her right one.
Based on trajectory of bullet entry clinically and evaluation radiologically, the only source of bullet deflection of the bullet is the left breast implant, it said.
This implant overlies the heart and intrathoracic cavity and therefore likely saved the woman's life.
Surgeon Giancarlo McEvenue, who wrote the case study, told CNN the bullet entered the woman's left side and ricocheted across her sternum into the right breast.
The implant caused the change in the trajectory of the bullet, he said.
On the left hand side is the heart and lungs -- if the bullet would have gone into the chest, she would have had a much more serious, possibly life-threatening injury.
Despite being shot in the chest at close range, the woman escaped relatively unscathed with a fractured rib and damaged implants.
The shooting was under investigation, the study said.
The firearm was never recovered, and the shooter remains unknown.