Examining an Already Autopsied or Exhumed Body

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Essentials of Autopsy Practice

Abstract

Experienced forensic pathologists would acknowledge that the outcome of a case cannot be predicted with any certainty at the initial stage of the investigation. What may initially present as a complicated case requiring a lengthy autopsy examination with extended procedures may be resolved through autopsy without the need for further opinion. On the other hand, what appeared to be an uncomplicated case at the beginning may raise additional questions during the course of examination requiring additional investigation or opinion. Additional pieces of evidence may cause one to consider or undertake supplementary analyses, including the use of unpredicted kinds of evidence. This chapter considers the value of the further examination of a body that has already undergone an invasive autopsy as well as the examination of the exhumed body.

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References

  1. Code of Criminal Procedure of the Republic of Poland Act of 6 June 1997. https://www.legislationline.org/documents/action/popup/id/17669.

  2. Naczelna Izba Lekarska, Zestawienie nr 04. https://nil.org.pl/uploaded_files/1641220880_za-grudzien-2021-zestawienie-nr-04.pdf.

  3. Gunasekera RS, Brown AB, Costas EH. Tales from the grave: opposing autopsy reports from a body exhumed. J Forensic Leg Med. 2012;19(5):297–301. https://doi.org/10.1016/j.jflm.2012.02.011.

    Article  CAS  PubMed  Google Scholar 

  4. Behrens LM, Sperhake J-P, Püschel K, Schröder AS. The postmortem examination prior to cremation: still a necessary safety measure? Leg Med (Tokyo). 2020;43: 101664. https://doi.org/10.1016/j.legalmed.2019.101664.

    Article  CAS  Google Scholar 

  5. Jones D. Fatal call-getting away with murder: a study into influences on decision making at the initial scene of unexpected death. The doctoral thesis, School of Criminology and Criminal Justice, University of Portsmouth;2016. https://researchportal.port.ac.uk/en/studentTheses/fatal-call-getting-away-with-murder.

  6. Dorozynski A. Yves Montand to be exhumed to test paternity. BMJ. 1997;315(7120):1398. https://doi.org/10.1136/bmj.315.7120.1397b.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Ossowski A, Kuś M, Kupiec T, Bykowska M, Zielińska G, Jasiński ME, March AL. The Polish genetic database of victims of totalitarianisms. Forensic Sci Int. 2016;258:41–9. https://doi.org/10.1016/j.forsciint.2015.10.029.

    Article  CAS  PubMed  Google Scholar 

  8. Szleszkowski Ł, Thannhäuser A, Szwagrzyk K, Kawecki J, Jurek T. Gunshot wounds (resulting from execution) of exhumed victims of the communist regime in Poland. Leg Med (Tokyo). 2014;16(4):201–7. https://doi.org/10.1016/j.legalmed.2014.03.009.

    Article  Google Scholar 

  9. Szleszkowski Ł, Thannhäuser A, Szwagrzyk K, Jurek T. The possibility of establishing causes of death on the basis of the exhumed remains of prisoners executed during the communist regime in Poland: the exhumations at Powązki Military Cemetery in Warsaw. Int J Legal Med. 2015;129(4):801–6. https://doi.org/10.1007/s00414-014-1084-z.

    Article  PubMed  Google Scholar 

  10. Wojciechowski A, Fudalej M, Skowronek P. Assessment of head gunshot wounds by means of post-mortem computed tomography in exhumed anonymous cadaver. BJR Case Rep. 2016;2(4):20150304. https://doi.org/10.1259/bjrcr.20150304.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Ríos L, Martínez B, García-Rubio A, Herrasti L, Etxeberria F. Marks of autopsy and identification of victims of human rights violations exhumed from cemeteries: the case of the Spanish Civil War (1936–1939). Int J Legal Med. 2014;128(5):889–95. https://doi.org/10.1007/s00414-013-0896-6.

  12. Varlet V, Bruguier C, Grabherr S, Augsburger M, Mangin P, Uldin T. Gas analysis of exhumed cadavers buried for 30 years: a case report about long time alteration. Int J Legal Med. 2014;128(4):719–24. https://doi.org/10.1007/s00414-014-0998-9.

  13. Bolliger SA, Thali MJ. Decomposition. In: Thali MJ, Dirnhofer R, Vock P, editors. The virtopsy approach. 3D optical and and radiological scanning and reconstruction in forensic medicine. Boca Raton: CRC Press;2009. p. 188–94.

    Google Scholar 

  14. Franckenberg S, Flach PM, Gascho D, Thali MJ, Ross SG. Postmortem computed tomography–angiography (PMCTA) in decomposed bodies–a feasibility study. J Forensic Radiol Imaging. 2015;3:226–34.

    Article  Google Scholar 

  15. Egger C, Vaucher P, Doenz F, Palmiere C, Mangin P, Grabherr S. Development and validation of a postmortem radiological alteration index: the RA-Index. Int J Legal Med. 2012;126(4):559–66. https://doi.org/10.1007/s00414-012-0686-6.

    Article  CAS  PubMed  Google Scholar 

  16. Teresiński G, Unarski J, Wach W. [Wypadki i katastrofy lotnicze] in Polish. In, [Medycyna sądowa t.1. Tanatologia i traumatologia sądowa] in Polish. Warszawa: PZWL;2019. p. 777–88.

    Google Scholar 

  17. Ambade VN, Godbole HV, Batra AK. Atherosclerosis: a medicolegal tool in exhumed decomposed bodies. Am J Forensic Med Pathol. 2008;29(3):279–80. https://doi.org/10.1097/PAF.0b013e31817e792b.

    Article  PubMed  Google Scholar 

  18. Omalu B, Hammers J, Luckasevic T. Diagnosis of hemorrhagic stroke in an exhumed brain after three years of burial in a deep grave. J Forensic Sci. 2012;57(6):1665–8. https://doi.org/10.1111/j.1556-4029.2012.02214.x.

    Article  PubMed  Google Scholar 

  19. Rocchi A, Presciuttini S, Chiti E, Pierotti S, Spinetti I. Identification of an exhumed corpse by DNA extraction from bulb swab. A disputed parentage case report. Sci Justice. 2019;59(2):214–6. https://doi.org/10.1016/j.scijus.2018.10.001.

  20. Agostini V, Bailo P, Chiti E, Linarello P, Gentile G, Primignani P, Giriodi M, Piccinini A. Ocular swabs on exhumed bodies: an alternative to the collection of “classical” tissue samples in forensic genetics. Forensic Sci Int Genet. 2020;44: 102206. https://doi.org/10.1016/j.fsigen.2019.102206.

    Article  CAS  PubMed  Google Scholar 

  21. Emmons AL, Davoren J, DeBruyn JM, Mundorff AZ. Inter and intra-individual variation in skeletal DNA preservation in buried remains. Forensic Sci Int Genet. 2020;44: 102193. https://doi.org/10.1016/j.fsigen.2019.102193.

    Article  CAS  PubMed  Google Scholar 

  22. Simoes Dutra Correa H, Cortellini V, Brescia G, Verzeletti A. Human identification through DNA analysis of restored postmortem teeth. Forensic Sci Int Genet. 2020;47:102302. https://doi.org/10.1016/j.fsigen.2020.102302.

  23. Käferstein H, Sticht G, Madea B. Chlorprothixene in bodies after exhumation. Forensic Sci Int. 2013;229(1–3):e30–4. https://doi.org/10.1016/j.forsciint.2013.03.051.

    Article  CAS  PubMed  Google Scholar 

  24. Cippitelli M, Mirtella D, Ottaviani G, Tassoni G, Froldi R, Cingolani M. Toxicological analysis of opiates from alternative matrices collected from an exhumed body. J Forensic Sci. 2018;63(2):640–3. https://doi.org/10.1111/1556-4029.13559.

    Article  PubMed  Google Scholar 

  25. Bolte K, Dziadosz M, Kono N, Vennemann B, Klintschar M, Teske J. Determination of drugs in exhumed liver and brain tissue after over 9 years of burial by liquid chromatography-tandem mass spectrometry-part 1: cardiovascular drugs. Drug Test Anal. 2021;13(3):595–603. https://doi.org/10.1002/dta.2940.

    Article  CAS  PubMed  Google Scholar 

  26. Bolte K, Dziadosz M, Kono N, Vennemann B, Klintschar M, Teske J. Determination of drugs in exhumed liver and brain tissue after over 9 years of burial by liquid chromatography-tandem mass spectrometry-part 2: Benzodiazepines, opioids, and further drugs. Drug Test Anal. 2021;13(7):1318–30. https://doi.org/10.1002/dta.3029.

    Article  CAS  PubMed  Google Scholar 

  27. Tabata N, Morita M. Immunohistochemical demonstration of bleeding in decomposed bodies by using anti-glycophorin a monoclonal antibody. Forensic Sci Int. 1997;87(1):1–8. https://doi.org/10.1016/s0379-0738(97)02118-x.

    Article  CAS  PubMed  Google Scholar 

  28. Woźniak K, Gross A, Konopka T, Pohl J, Kłys M. [Report from the medico-legal autopsy of the exhumed corpse of general Władysław Sikorski] in Polish. Arch Med Sadowej Kryminol. 2009;59(1):15–21.

    PubMed  Google Scholar 

  29. Rzepecka-Woźniak E, Furgał-Borzych A. [Histological examination of specimens obtained during autopsy of the exhumed corpse of general Władysław Sikorski] in Polish. Arch Med Sadowej Kryminol. 2009;59(1):22–6.

    PubMed  Google Scholar 

  30. Plenzig S, Holz F, Bojkova D, Kettner M, Cinatl J, Verhoff MA, Birngruber CG, Ciesek S, Rabenau HF. Detection and infectivity of SARS-CoV-2 in exhumated corpses. Int J Legal Med. 2012;135(6):2531–6. https://doi.org/10.1007/s00414-021-02670-4.

    Article  Google Scholar 

  31. Ebner L, Flach PM, Schumann K, Gascho D, Ruder T, Christe A, Thali M, Ampanozi G. The tip of the tip of the knife: stab sequence reconstruction using postmortem CT in a homicide case. J Forensic Radiol Imaging. 2014;2(4):205–9. https://doi.org/10.1016/j.jofri.2014.08.002.

    Article  Google Scholar 

  32. Bolliger SA, Thali MJ. Sharp trauma. In: Thali MJ, Dirnhofer R, Vock P, editors. The virtopsy approach. 3D optical and and radiological scanning and reconstruction in forensic medicine. Boca Raton: CRC Press;2009. p. 304–17.

    Google Scholar 

  33. Bolliger SA, Kneubuehl BP, Thali MJ. Gunshot. In: Thali MJ, Dirnhofer R, Vock P, editors. The virtopsy approach. 3D optical and and radiological scanning and reconstruction in forensic medicine. Boca Raton: CRC Press;2009. p. 318–31.

    Google Scholar 

  34. Dedouit F, Mokrane F-Z, Savall F, Faruch M, Grimm JM, Grabherr S, Mangin P, Rousseau H, Rougé D, Telmon N. Blunt trauma. In: Grabherr S, Grimm JM, Heinemann A, editors. Atlas of postmortem angiography. Cham: Springer;2016. p. 345–409.

    Google Scholar 

  35. Woźniak K, Moskała A, Grabherr S. Sharp trauma. In: Grabherr S, Grimm JM, Heinemann A, editors. Atlas of postmortem angiography. Cham: Springer;2016. p. 411–51.

    Google Scholar 

  36. Woźniak K, Moskała A, Grabherr S. Gunshot trauma. In: Grabherr S, Grimm JM, Heinemann A, editors. Atlas of postmortem angiography. Cham: Springer;2016. p. 453–90.

    Google Scholar 

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Woźniak, K.J., Moskała, A., Barszcz, M., Rzepecka-Woźniak, E. (2022). Examining an Already Autopsied or Exhumed Body. In: Rutty, G.N. (eds) Essentials of Autopsy Practice. Springer, Cham. https://doi.org/10.1007/978-3-031-11541-7_7

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  • DOI: https://doi.org/10.1007/978-3-031-11541-7_7

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