Cranial injury caused by missile

Case contributed by Jamal Milad Doggah
Diagnosis almost certain

Presentation

Unconscious teenager brought to the ER in a bad condition.

Patient Data

Age: 15
Gender: Male

Left temporal bone fracture with displacement caused by a markedly hyperintense foreign body (bullet/fragment) which passed through the brain parenchyma causing brain hemorrhage and finally settling in the right temporal lobe.  Multiple foci of intracranial air.

Notice the linear hemorrhagic track from the site of entry to the final resting position of the bullet.

Case Discussion

This case shows a major trauma caused by firearms. The patient was an unfortunate young man who was victim of war in Libya

He passed away shortly after the CT was performed.

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