International journal of legal medicine
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This case report describes a suicidal gunshot to the head using a solid hollow-point bullet (Quick Defense). There was an irregular skin defect measuring 16 x 6 cm on the right side of the head and a bone defect of 9 x 6 cm while a 1.2 x 0.7 cm skin defect was located at the left temple. ⋯ In addition, extensive backspatter consisting of brain tissue, bone fragments and blood had been expelled from the huge entrance wound and had travelled up to a distance of 4.6 m. The extraordinary entrance wound cannot be fully explained by special anatomical or ballistic features such as a muzzle velocity of 420 m/s or the solid hollow-point design of the bullet.