Exit gunshot wounds are usually irregular in shape and relatively large – and may be confused with contact entrance wounds. exit wounds tend to vary widely in their appearance and may be multiple (in the event of fragmentation of the projectile or secondary projectiles resulting from shattered bone), very irregular in shape (even mimicking incised wounds) and are usually significantly larger than the entrance wounds. care should be taken to differentiate contact entrance wounds from exit wounds, especially to the head. examining the base of the wound for signs of blackening and searing will help.

Fig.1 Exit gunshot wound.

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Fig.1 Contact shotgun wound to the head.

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