Crossbow injuries: A case report

Abstract 

Despite the increasing popularity of crossbows in recreational hunting, injuries and deaths from crossbows are still relatively rare. In suicides, the body areas favoured are similar to those of gun users, namely the thorax and head. These deaths almost always occur in males. The case presented is that of a 49 year old male with a history of mental illness and suicidal attempts, who committed suicide with a crossbow. The weapon was discharged into the left thorax. Examination of crossbow injuries can be difficult due to their similarities with other incised wound patterns. As many victims may survive for some time after injury, removal of the bolt is possible. As well, removal of the bolt followed by advanced decomposition may alter the wound patterns. Careful examination of clothing, as well as entry wound reconstruction may give an indication to the weaponry used. Radiology is useful for detecting debris along the wound path, as well as position of the bolt when it is in situ. Finally, when dealing with cases of crossbow head injuries, consideration of both blood loss as well as diffuse axonal damage is important, both in non-fatal and fatal cases.

Keywords: Crossbow injuries, Suicide, Homicide, Diffuse axonal damage