Head trauma by captive bolt gun.
An 80 year-old former cattle-breeder committed suicide with a captive bolt gun. He was transmitted unconscious to emergency department. He had a large penetrating wound in right temporal area. Lateral radiograph of skull revealed a large rounded bony defect. CT verified a large rounded entry site and bony defect at the right pterion. It disclosed a wide, zonal-like haemorrhagic wound canal bearing intraparenchymal bony fragments at its end with no associated metallic fragments. Subarachnoid haemorrhage with bilateral subepidural hematomas and significant brain oedema was demonstrated.
Department of Radiology, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece. aoikonom@med.duth.gr
Anastasia
A
Oikonomou
Manos
M
Astrinakis
Theodossios
T
Birbilis
Pavlos
P
Pavlidis
Panos
P
Prassopoulos
D000369:Aged, 80 and over; D017809:Fatal Outcome; D020197:Head Injuries, Penetrating / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D013405:Suicide; D014057:Tomography, X-Ray Computed; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging* / Q000601:surgery