Vehicular runover of pedestrians is a commonly reported occurrence in literature. The usual presentations at autopsy are avulsion of the intra-abdominal viscera, solid organ crushing, hemorrhage, fracture of pelvic bone and vertebra, and herniation of the abdominal contents. There are reports of many cases where the abdominal and thoracic viscera have herniated out of their respective compartment following rupture of the diaphragm. Herniation of the intestine through natural orifices or other anatomical openings of the body has also been reported. This herniation occurs following a reduction in the anteroposterior diameter and acute increase in intra-abdominal pressure, displacing the abdominal contents out of their normal position through some natural anatomical openings inside the body following the path of least resistance. We report an interesting case of vehicular runover where the intestinal coils have come out of the body at the ankle. The authors describe the plausible mechanism and the route through which the intestine could have traversed.

行人的车辆碾压是文献中普遍报道的事件。尸检的常见表现是腹腔内脏器撕脱、实体器官压碎、出血、骨盆骨和椎骨骨折以及腹腔内容物突出。有许多病例报告称，在横膈膜破裂后，腹腔和胸腔内脏从各自的隔室中突出出来。也有报道称通过身体的自然孔道或其他解剖学开口导致肠道疝出。这种疝发生在前后径减小和腹内压急剧增加之后，沿着阻力最小的路径通过身体内部的一些自然解剖开口将腹部内容物移位到正常位置之外。我们报告了一个有趣的车辆翻车案例，其中肠道线圈在脚踝处从身体中出来。作者描述了可能的机制和肠道可能穿过的路线。