[SavageGlow]

Case Of A Survivor To A Through-And-Through Head Gunshot Wound Following Russian Roulette

At the end of October of 2013, a 20-year-old Albanian boy was recovering in our hospital following serious self-inflicted craniofacial trauma suffered while playing Russian roulette with a friend using a 0.22-caliber revolver. The police report describes the typical crime scene, with the drunk victim lying on the floor, one additional player, and a female figure who took flight and was then tracked down. Clinically, the patient presented a circled entry wound at the level of the right inferior border of the mandible and the exit wound at the level of the left frontotemporal region.

The bullet passed through the head in a left-to-right direction, involving the floor of the mouth, the left maxillary bone, and the left orbital cavity, with traumatic orbital exenteration and cerebral frontal hernia (Fig. 1). The patient underwent tracheostomy and anesthesiology care for 10 days. Evoked potentials were present, and the electroencephalogram was normal. He underwent head and neck computed tomographic scanning showing extensive damage involving the frontal and temporal lobes (Fig. 2). He underwent surgery performed by neurosurgeons, maxillofacial surgeons, and an ophthalmologist.

The patient was still alive, in good condition, and was discharged to home after 30 days (Fig. 3).

[Ozymandias]

fucking dunce.

[Mr.NoCredit]

Yep, what a complete fucking fool. Everyone knows it’s much better to play with a minimum of .38 calibers.

[kellyhound]

Dumb drunkass

This is the first man surviving a through-and-through head gunshot wound suffered while playing Russian roulette. Most articles in the literature focus on the physiologic, social, and forensic aspects of patients who died while playing with their life.

Only one other survivor from Italy has been described, with trauma involving the lower and midface that was successfully reconstructed.

The suicidal gun game of Russian Roulette originated in Tsarist Russia but remained nameless until it hit America just before the Second World War. Its gambling moniker was the invention of Georges Arthur Surdez, a Swiss-born and Brooklyn-based writer of pulp fiction stories.