title: Exit keyhole lesion and direction of fire in a gunshot wound of the skull.
abstract: An exit keyhole lesion of the skull is presented. A defect with keyhole configuration has been previously described only at the site of entrance. This case documents that such a lesion should not be interpreted as an indicator of entrance in all cases.
mesh_terms: D005554:Forensic Medicine; D006801:Humans; D008297:Male; D008875:Middle Aged; D012886:Skull / Q000293:injuries*; D014948:Wounds, Gunshot / Q000473:pathology*