Cranial injury caused by missile

Case contributed by Dr Jamal Milad Doggah

Presentation

Unconscious teenager brought to the ER in a bad condition.

Patient Data

Age: 15
Gender: Male
Modality: CT

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

Notice the linear haemorrhagic 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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Case Information

rID: 26452
Case created: 22nd Dec 2013
Last edited: 9th Mar 2016
Inclusion in quiz mode: Included

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