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Spain. Open secondary skull fracture at exit of a shotgun blast. No further info. Head injuries from shotguns and high-powered rifles 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 Open secondary skull fracture at exit of a shotgun blast.

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Fig.1 Shotgun suicide.

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Fig.1 Nitrous oxide death.

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