Shotgun injury to the head

Case contributed by Dr Roberto Schubert

Presentation

"Sorry honey. I have a headache."

Patient Data

Age: 40
Gender: Female

Lateral skull CT scout

Modality: X-ray

Lateral planning CT scout demonstrates a large number of radio-opaque rounded foreign bodies predominantly overlying the forehead.  Note how the fragments over the forehead are flattened, whereas the ones elsewhere are more rounded. 

Modality: CT

Two selected images of the brain demonstrate the predominantly superficial location of the shotgun pellets. A few pellets have penetrated the skull and are situated in the left frontal lobe, near the left optic canal and in the right caudate head.

Case Discussion

This patient re-presented with aggravating headaches. She had been shot in the face with a shotgun by a former boyfriend two years ago, after which she had been in a coma for 5 months.

Although they are still Facebook friends, they are no longer dating. The patient refers to him as "the douchebag" and refuses to 'like' any of his posts. 

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Case Information

rID: 13847
Case created: 23rd May 2011
Last edited: 12th Oct 2015
System: Head & Neck
Inclusion in quiz mode: Included

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