• BMJ case reports · Jan 2011

    Case Reports

    Head trauma by captive bolt gun.

    • Anastasia Oikonomou, Manos Astrinakis, Theodossios Birbilis, Pavlos Pavlidis, and Panos Prassopoulos.
    • Department of Radiology, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece. aoikonom@med.duth.gr
    • BMJ Case Rep. 2011 Jan 1;2011.

    AbstractAn 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.

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