Multiple self-inflicted gunshot wounds of the head are uncommon. Detai
led history, scene investigation, autopsy findings, consideration of b
allistics, and evidentiary proceedings are necessary to determine the
manner of death in these cases. This report involves a pattern of atyp
ical, self-inflicted bullet wounds of the head of a 26-year-old male.
Investigation confirmed that a single eyewitness and several earwitnes
ses reported a single discharge of a firearm. The eyewitness testified
that the decedent singly discharged a Smith & Wesson revolver, calibe
r .38 Special, to the right side of his head after interposing several
objects between the muzzle and his skin immediately prior to discharg
e. He was declared brain dead two days later. At necropsy two contiguo
us atypical entry wounds were present in the right preauricular temple
. The inferior wound was interpreted to be a near contact wound. The g
ray metal slug fragmented, creating separate tracks to the right maxil
lary sinus and the mid left posterior cerebrum, respectively. The larg
er, atypical wound of entry was associated with passage of the project
ile through the right temporalis muscle and squamous temporal bone. Th
e projectile, consisting of a slightly distorted empty metallic cartri
dge case containing a ''live'' primer, was recovered from its point of
final lodgment in the right temporal lobe. The literature addressing
paired entry wounds following single discharge of the firearm with int
erposed targets is relatively sparse. Cases reporting multiple bullet
wounds involving suicide are only sporadically reported This report su
mmarizes the investigative findings supporting the determination of th
e manner of death and revealing the interesting origin of the ''mispla
ced'' casing.