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A Self-Inflicted Gunshot Wound With an Unusual Hand Injury

Cecchini, Matthew J., MD, PhD; Shkrum, Michael J., MD

The American Journal of Forensic Medicine and Pathology: March 2019 - Volume 40 - Issue 1 - p 47–48
doi: 10.1097/PAF.0000000000000427
Case Reports

Self-inflicted gunshot wounds are a common cause of firearm-related deaths. The appearance and location of the entry wound, other concomitant findings at autopsy, and correlation with the scene and circumstances are critical in determining the manner of death. A case of a 72-year-old man with a self-inflicted gunshot wound with an unusual injury pattern is described. There was a contact range gunshot entry in the right temple, and an exit wound was seen in the left parietal region. There was a re-entry with an associated exit wound on the left hand.

From the Department of Pathology and Laboratory Medicine, London Health Sciences Centre; and Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

Manuscript received June 6, 2018; accepted June 30, 2018.

The authors received no funding for this article and report no conflict of interest.

Reprints: Michael J. Shkrum, MD, Department of Pathology and Laboratory Medicine, London Health Sciences Centre–University Hospital, Room A3-140, 339 Windermere Rd, London, Ontario, Canada, N6A 5A5. E-mail:

© 2019 by Lippincott Williams & Wilkins.