Bone-patch type secondary projectiles: A report on two shots fired at point-blank range using hollow point bullets

The number of head wounds due to firearms remains low in France because these cases are primarily linked to suicide (or attempted suicide) and, to a lesser extent, to attacks or hunting accidents [1]. Characterized by the impact of a projectile, which in most cases is made of metal, at high levels of kinetic energy, such acts generally result in severe trans-cerebral lesions with significant levels of morbidity/mortality [2].Seldom are cases reported in the literature that give a detailed study of intracranial foreign bodies made of bone in such situations [3].Here we report on the case of two suicides resulting from a transcranial gunshot wounds caused by weapons and ammunition issued by the French police force. Each case helped distinguish a characteristic bone fragment, in the form of a “patch”, equivalent in size to the caliber of the bullet.