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I have personally seen this type of injury several times. Back when I worked in a big ER back in California, we had a number of patients over the years who were brought in with self inflicted gunshot wounds to the beans and franks. But the absolute funniest one was a guy who had shot himself through both his (ahem!) "little head" AND his left testicle. He kept repeating this crazy story about how some guy knocked him down onto his back, and then reached down and (demonstrating how the alleged perp held his pistol down low and parallel to the ground) shot him in his business.

Never mind that it was obvious that the entire muzzle blast had been contained within the front of his jockey shorts with most of the powder residue on the inside.

But most of them were just so darned embarrassed that they just told the truth about what happened.

I also saw a guy with a "self" inflicted through and through gunshot wound of his right buttock. He had a little .25 cal pistol hidden in the right rear pocket of his jeans - which had a hole in the pocket....

The dude is standing at a bar having a beer when the pistol falls out of the hole in his pocket and strikes the floor with the muzzle pointing straight up. The gun goes off, and the little pill smacks him on the underside of his buttock and exits the top. All I could say when he told me how it happened was, "Owee-eeee!"