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This individual placed a 12-gauge shotgun against his right temple and pulled the trigger. As can be noted, there are scorch marks around the entry wound near the right ear. Shotgun wounds to the head, especially those involving large-gauge shotguns generally result in enormous damage to the head.

Head injuries from shotguns are typically quite devastating, often with extensive soft tissue destruction, skull fractures, and pulpifaction of the brain. Occasionally, the brain is largely expelled from the cranial vault and may be found near the body.

Fig.1 This individual placed a 12-gauge shotgun against his right temple and pulled the trigger.

The head is the most common location for a suicidal gunshot wound (74%), followed by the chest (20%) and then the abdomen (6%). In head wounds, the most common location was intraoral (50%), followed by under the chin (19%); side of head, including parietal and temporal wounds (15%); and the face, including the forehead (13%).

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Fig.1 Left lateral view of the head showing extensive lacerations to the face and head.

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