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Survey of bloodstain pattern analysts regarding pattern classifications on assorted fabrics 关于各种织物上血迹图案分类的血迹图案分析师调查
Q3 Medicine Pub Date : 2024-11-20 DOI: 10.1016/j.fsir.2024.100394
Dylan J. Drazdik , David M. Hammond , Travis J. Worst , Crystal M. Oechsle
Because bloodstain pattern analysis (BPA) on absorbent surfaces, such as fabrics, is far more complex than its application on hard, nonporous surfaces, pattern type may be interpreted differently between fabric substrates and by analysts with more or less experience. Four bloodstain pattern types (impact spatter, transfer, drip stains, and cast-off) were created on seven fabrics (cotton, satin polyester, rayon, blended polyester/spandex, blended nylon/spandex, blended modal/polyester/spandex, and terry cloth), foamboard, or butcher paper and then photographed. A survey questionnaire that asked respondents to classify 16 patterns as to general pattern type, specific pattern type, and directionality was developed and disseminated among bloodstain pattern analysts. Respondents (n = 32, divided into five experience levels) classified the bloodstains differently based upon amounts of training and experience, the pattern type, and the substrate type. The ability to accurately classify the specific pattern type overall (p-value < 0.0002) as wells as on fabric (p-value < 0.001) was dependent upon respondent experience level. The more experienced respondents were less likely to specifically classify patterns than the less experienced respondents (p-value < 0.001). Furthermore, the ability to accurately classify the specific pattern type was dependent upon whether the pattern had been created on fabric or some other substrate (p-value < 0.0000000001). However, if the proper morphology was present in the stain, it was found that BPA on certain fabrics was possible. This finding supports the need for further research and the development of guidelines and standards for bloodstain pattern analysis on fabric materials.
由于织物等吸收性表面上的血迹模式分析(BPA)比在坚硬、无孔表面上的应用要复杂得多,因此不同织物基材和经验丰富或经验不足的分析人员对模式类型的解释也可能不同。我们在七种织物(棉、缎纹聚酯、人造丝、混纺聚酯/氨纶、混纺尼龙/氨纶、混纺莫代尔/涤纶/氨纶和毛圈布)、泡沫板或肉纸上绘制了四种血迹图案类型(撞击飞溅、转移、滴渍和脱落),然后进行拍照。我们编制了一份调查问卷,要求受访者对 16 种图案的一般图案类型、特定图案类型和方向性进行分类,并向血迹图案分析人员分发。受访者(n = 32,分为五个经验等级)根据培训和经验的多少、图案类型和基质类型对血迹进行了不同的分类。受访者准确分类特定图案类型(p 值为 0.0002)和织物(p 值为 0.001)的能力取决于受访者的经验水平。与经验较少的受访者相比,经验较多的受访者不太可能对图案进行具体分类(p 值为 0.001)。此外,准确划分图案类型的能力还取决于图案是在织物上还是在其他基质上绘制的(p 值为 0.0000000001)。不过,如果污渍中存在适当的形态,则可以发现某些织物上可能含有双酚 A。这一发现支持了进一步研究和制定织物材料血迹图案分析指南和标准的必要性。
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引用次数: 0
Missing persons of post-conflict countries: Assessing dental identification through a questionnaire-based study in Syria 冲突后国家的失踪人员:通过在叙利亚开展基于问卷的研究评估牙齿识别情况
Q3 Medicine Pub Date : 2024-11-12 DOI: 10.1016/j.fsir.2024.100393
Rawad Qaq , Scheila Mânica , Sean McAleer
Locating and identifying missing persons is crucial to protecting human rights and rebuilding war-torn countries like Syria. Biological identity primarily relies on DNA, fingerprints, or dentition. However, post-conflict countries with high deaths, limited databases, insufficient resources, and a reduced or a lack of forensic expertise make this effort more challenging. Teeth are a practical and cost-effective means to identify human remains, particularly when acceptable dental records are available. Still, the application of comparative dental analysis in conflict scenarios needs to be more explored.
A survey study in Syria examined whether post-conflict countries could employ comparative dental identification of missing individuals. The attitudes and perceptions of four groups (the public and dentists, forensic odontologists, dental schools, and the Syrian Dental Association) were determined using questionnaires and analysed for the first two groups. Most respondents (>90 %) indicated that addressing disappearance is crucial for post-conflict reconstruction and considered it unachievable without international support and only 20 % had confidence in this support. Issues hindering human identification reported by a high percentage of dentists and forensic odontologists and included education in Forensic Odontology (92 %), expertise in the field (70 %), awareness (90 %), the availability of antemortem records (92.3 %) and political and security influence (50 %). Responses from over 80 % of the public, 50 % of the dentists and 92 % of the forensic odontologists indicated that comparative dental identification in Syria may not be feasible.
The results of this study provide strong evidence of the challenges in identifying missing persons using teeth in developing nations, particularly those affected by conflicts. They include the lack of antemortem records and forensic expertise. The international community is urged to support post-conflict nations including Syria.
定位和识别失踪人员对于保护人权和重建叙利亚这样饱受战争蹂躏的国家至关重要。生物身份识别主要依靠 DNA、指纹或牙齿。然而,冲突后国家死亡人数众多、数据库有限、资源不足、法医专业知识减少或缺乏,使得这项工作更具挑战性。牙齿是鉴定遗骸的一种实用且具有成本效益的方法,尤其是在有可接受的牙科记录的情况下。在叙利亚进行的一项调查研究考察了冲突后国家是否可以对失踪人员进行比较牙科鉴定。通过问卷调查确定了四个群体(公众和牙科医生、法医牙科专家、牙科学校和叙利亚牙科协会)的态度和看法,并对前两个群体进行了分析。大多数受访者(90%)表示,解决失踪问题是冲突后重建的关键,并认为没有国际支持是无法实现的,只有 20% 的受访者对国际支持有信心。很大比例的牙医和法医牙科医师报告了阻碍人类身份鉴定的问题,包括法医牙科教育(92 %)、该领域的专业知识(70 %)、认识(90 %)、尸体记录的可用性(92.3 %)以及政治和安全影响(50 %)。超过 80% 的公众、50% 的牙医和 92% 的法医牙科专家的回答表明,在叙利亚进行牙齿对比鉴定可能不可行。这项研究的结果有力地证明了在发展中国家,特别是受冲突影响的国家,利用牙齿鉴定失踪人员身份所面临的挑战。这项研究的结果有力地证明了在发展中国家,尤其是受冲突影响的国家,利用牙齿识别失踪人员身份所面临的挑战,其中包括缺乏死前记录和法医专业知识。我们敦促国际社会为包括叙利亚在内的冲突后国家提供支持。
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引用次数: 0
Technical Report A light touch; Reviewing the relative effectiveness of light sources and physical/chemical techniques for fingermark retrieval in casework 技术报告:轻触;审查光源和物理/化学技术在个案工作中提取指痕的相对有效性
Q3 Medicine Pub Date : 2024-11-09 DOI: 10.1016/j.fsir.2024.100391
Nicholas Marsh , Karen Marsh , Lisa Hall , Ruth Buckley , Stephen Bleay
This study reviewed the efficacy of non-contact light source examinations of serious crime scenes using ultraviolet A (UVA) light, bespoke white light and lasers, compared with subsequent powdering or chemical enhancements. Twenty-six examinations of serious crime scenes or motor vehicles were analysed, from which 655 areas of retrieved fingermark or friction ridge detail1 where reported on. It was found that undertaking a light source examination revealed equivalent numbers of marks to aluminium powder and chemical enhancements, with only a 4 % duplication rate between optical and physical/chemical techniques suggesting that both approaches are supplementary and should be used sequentially to each other.
本研究审查了使用紫外线 A (UVA)、定制白光和激光对严重犯罪现场进行非接触式光源检查的效果,并与随后的粉末处理或化学强化进行了比较。对 26 个严重犯罪现场或机动车辆进行了分析,从中报告了 655 个区域的指痕或摩擦纹细节1。结果发现,光源检查所发现的痕迹数量与铝粉和化学增强技术相当,光学技术和物理/化学技术的重复率仅为 4%,这表明这两种方法都是辅助性的,应依次使用。
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引用次数: 0
From death to the Virgin birth: Multi-analytical investigation of a suspected 16th century painting 从死亡到圣母诞生对一幅疑似 16 世纪绘画的多重分析调查
Q3 Medicine Pub Date : 2024-11-07 DOI: 10.1016/j.fsir.2024.100392
Michelle G. Carlin , Nicola Grimaldi
A painting depicting St John the Baptist prior to his brutal execution, until recently, was held in storage at the Bowes Museum in the North of England, UK. Owing to weakened joins in the wood panel the painting was marked for art conservation treatments, examination and analysis. However, other than the fact that the records show it purchased in Italy in the late nineteenth century by museum founders John and Joséphine Bowes, little else is known of the work. Through a combination of chemical testing and technical art history, further knowledge of the painting has been established. Preparation of cross sections of paint was carried out, as well as chemical testing involving pyrolysis gas chromatography – mass spectrometry (py-GCMS) and attenuated total reflectance – Fourier transform infrared spectroscopy (ATR-FTIR), lead white, chalk and linseed oil as binder were identified. The presence of an aged natural resin on the surface of the painting, presence of a thick gesso ground layer, as well as examination of the wood panel construction provided insight into the techniques used in the artwork and that they are comparable with late Medieval to early Renaissance period methods. During examination of the cross-section images, it was noted that there was a second preparatory ground layer in the central part of the sequence; this feature prompted further multi-spectral photography and analysis. X-radiography a commonly used technique for painting analysis surprisingly revealed an entirely different image depicting a nativity scene which had been previously completely concealed by the painting of St John we see today. Although an unexpected discovery still presents some unanswered questions such as who the original artist was and why was the panel so radically reworked. This investigation began with the depiction of the imminent death of the St John the Baptist and ended with the virgin birth. This analytical methodology was applied in technical art history but may also have applications in forensic investigations of suspected fraudulent works of art.
直到最近,一幅描绘施洗者圣约翰被残忍处死前的画作一直保存在英国英格兰北部的鲍斯博物馆。由于木板的接合处受损,这幅画被标记为需要进行艺术保护处理、检查和分析。然而,除了记录显示博物馆创始人约翰和约塞芬-鲍斯于 19 世纪末在意大利购买了这幅画之外,人们对这幅作品知之甚少。通过化学测试和技术艺术史的结合,我们对这幅画有了进一步的了解。我们制备了油漆的横截面,并通过热解气相色谱-质谱法(py-GCMS)和衰减全反射-傅立叶变换红外光谱法(ATR-FTIR)进行了化学测试,确定了作为粘合剂的铅白、白垩和亚麻籽油。画作表面存在老化的天然树脂、厚厚的石膏粉底层,以及对木板结构的检查,让我们了解到艺术品中使用的技术,这些技术可与中世纪晚期至文艺复兴早期的方法相媲美。在检查横截面图像时,我们注意到在序列的中央部分有第二层准备地面层;这一特征促使我们进一步进行多光谱摄影和分析。X 射线摄影是一种常用的绘画分析技术,它出人意料地发现了一幅完全不同的图像,描绘的是耶稣诞生的场景,而这幅图像之前完全被我们今天看到的圣约翰画作所掩盖。尽管这一发现出乎意料,但仍然存在一些未解之谜,例如原作者是谁,为什么这幅画会被如此彻底地重新加工。这项调查从描绘施洗者圣约翰濒临死亡开始,以童贞女降生结束。这种分析方法适用于技术艺术史,但也可用于对涉嫌欺诈的艺术品进行法医调查。
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引用次数: 0
Medico-legal analysis of the correlation between head trauma and aneurysm rupture: A case report 头部外伤与动脉瘤破裂之间相关性的医学法律分析:病例报告
Q3 Medicine Pub Date : 2024-10-18 DOI: 10.1016/j.fsir.2024.100390
Emanuele Capasso, Gaetano Di Donna, Roberto Cortese, Verdiana De Caro, Fabio Policino
We present the case of a 54 years old man who was found in a state of confusion and a forehead wound. Transported to the closest E.R., a brain CT scan showed massive subarachnoid hemorrhage and an angiographic exam showed a ruptured aneurysm of the cavernous siphon. Death occurred 4 days after admission. The autopsy showed the presence of a linear wound on the forehead which was considered a sharp force injury. The aneurysm rupture was therefore considered as a consequence of the head trauma associated to the frontal wound. In the medico-legal analysis of the case primary importance was given to the distinction between potential homicide, suicide or accident. In the end, based on the morphological features of the forehead wound, this case was defined as of potentially homicidal nature, so that the responsible of stab wound should be considered accountable for the man’s death.
本病例是一名 54 岁的男性,被发现时神志不清,前额有伤口。送往最近的急诊室后,脑部 CT 扫描显示大量蛛网膜下腔出血,血管造影检查显示海绵虹吸管动脉瘤破裂。患者在入院 4 天后死亡。尸检显示前额有一条线状伤口,被认为是锐器所伤。因此,动脉瘤破裂被认为是与前额伤口相关的头部外伤造成的。在对该病例进行医学-法律分析时,最重要的是区分可能是他杀、自杀还是意外事故。最后,根据前额伤口的形态特征,该病例被界定为潜在的他杀性质,因此刺伤者应被视为该男子死亡的罪魁祸首。
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引用次数: 0
Management and disposal of human remains acquired for medical education – A forensic perspective 管理和处置为医学教育获取的遗骸--法医学视角
Q3 Medicine Pub Date : 2024-10-11 DOI: 10.1016/j.fsir.2024.100389
Neelkamal Battu , Rutuja Kanekar , Siddharth Sawardekar , Girish Tasgaonkar, Vikrant Waghmare
In medical schools, the foundational subject of human anatomy usually requires the medical students to procure a set of human bones, either real or artificial, for comprehensive understanding of the human body. The proper maintenance and disposal of these human remains is the responsibility of the students and the institutions possessing the remains. Improper disposal of human remains can have far-reaching implications, including ethical, legal, public health, environmental, social, and psychological consequences. We present a case of a human skull used for medical studies found dumped in a garbage, leading to unnecessary investigation by the law authorities. The case brings to light the need for including ethical disposal of academic human skeletons at the beginning of the medical curriculum. The authors also discuss in detail the various legal provisions and cultural practices of disposal of human remains in the Indian scenario.
在医学院,人体解剖学这门基础学科通常要求医科学生购买一套真实或人造的人体骨骼,以便全面了解人体。妥善保管和处置这些人体遗骸是学生和拥有遗骸的机构的责任。人类遗骸处置不当会产生深远的影响,包括伦理、法律、公共卫生、环境、社会和心理后果。我们介绍了一个案例,一个用于医学研究的人类头骨被发现丢弃在垃圾中,导致法律部门进行了不必要的调查。这个案例让人们认识到,在医学课程的开始阶段,就有必要将学术研究用的人类骸骨的道德处置纳入其中。作者还详细讨论了印度处理人类遗骸的各种法律规定和文化习俗。
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引用次数: 0
Amino acid sensitive latent fingermark detection formulations based upon improvised carrier solvents for resource-limited environments: A proof-of-concept study 基于简易载体溶剂的氨基酸敏感潜伏指痕检测配方,适用于资源有限的环境:概念验证研究
Q3 Medicine Pub Date : 2024-09-19 DOI: 10.1016/j.fsir.2024.100388
Emma C. Jones , Jordan F.L. Hooper , Jemmy T. Bouzin , Renee Wilson , Simon W. Lewis
HFE-7100 and petroleum ether (bp 40–60 °C) are routine carrier solvents used in amino acid sensitive fingermark reagents such as 1,2-indanedione/zinc chloride (IND-Zn) and ninhydrin. However, limited resource jurisdictions face major challenges in sourcing laboratory-grade reagents due to budgetary and geographical restrictions. Common hydrocarbon solvents, available from hardware stores and similar outlets, may offer a more readily available and inexpensive alternative for such jurisdictions. This study assessed the range of improvised carrier solvents for their suitability in the IND-Zn formulation and found that eight different hydrocarbon solvents were able to develop fingermarks when substituted into the formulation. The formulation based on shellite solvent outperformed all other improvised formulations tested, providing high-quality fingermarks and similar sensitivity to a petroleum ether (bp 40–60 °C) based formulation across six porous substrates using six donors. A similar approach was applied to ninhydrin, where it was discovered that formulations using kerosene, white spirits and shellite as carrier solvents performed comparably to a formulation based on petroleum ether (bp 40–60 °C). By chemically characterising each solvent using gas chromatography-mass spectrometry, this study also provided a greater understanding of how the chemical composition of a carrier solvent impacts the efficacy of the resulting IND-Zn formulation, emphasising that hydrocarbon solvents should contain short-chain alkanes and minimal aromatic content to give a more volatile formulation. Additionally, the identity of the solvent was found to cause slight differences in the colour and luminescence intensity of ink diffusion on porous substrates. These results indicate that improvised hydrocarbon solvents are suitable alternatives to common carrier solvents with their operational use offering major benefits for limited resource jurisdictions by reducing costs and supply chain risks. A thorough risk assessment must be conducted by each jurisdiction that intends to use this method as health and safety considerations are concerns with these improvised solvents.
HFE-7100 和石油醚(bp 40-60°C)是用于氨基酸敏感性指印试剂(如 1,2-茚二酮/氯化锌 (IND-Zn) 和茚三酮)的常规载体溶剂。然而,由于预算和地理位置的限制,资源有限的司法管辖区在采购实验室级试剂时面临重大挑战。可从五金店和类似商店买到的普通碳氢溶剂可能会为这些地区提供一种更容易获得且价格低廉的替代品。本研究评估了各种简易载体溶剂在 IND-Zn 配方中的适用性,发现八种不同的碳氢化合物溶剂在替代到配方中时都能形成指痕。基于贝壳烯溶剂的配方优于所有其他测试过的简易配方,在六种多孔基底上使用六种供体可产生高质量的指痕,灵敏度与基于石油醚(bp 40-60 °C)的配方相似。对茚三酮也采用了类似的方法,结果发现使用煤油、白酒和贝壳粉作为载体溶剂的配方与使用石油醚(bp 40-60 °C)的配方性能相当。通过使用气相色谱-质谱法对每种溶剂进行化学特征描述,这项研究还进一步了解了载体溶剂的化学成分如何影响 IND-Zn 制剂的功效,并强调烃类溶剂应含有短链烷烃,并尽量减少芳烃含量,以提高制剂的挥发性。此外,还发现溶剂的特性会导致油墨在多孔基底上扩散的颜色和发光强度略有不同。这些结果表明,简易碳氢溶剂是普通载体溶剂的合适替代品,其操作使用可降低成本和供应链风险,从而为资源有限的地区带来重大好处。每个打算使用这种方法的辖区都必须进行全面的风险评估,因为这些简易溶剂涉及健康和安全问题。
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引用次数: 0
A preliminary evaluation of the effects of aquatic environments on the recovery of fingermarks on porous substrates 水生环境对多孔底质上指痕复原影响的初步评估
Q3 Medicine Pub Date : 2024-09-10 DOI: 10.1016/j.fsir.2024.100387
Amanda A. Frick , Ian Yi Liang Lim , Paola A. Magni

Latent fingermark detection can become increasingly difficult in the weeks following deposition, due to chemical and physical changes influenced by environment. There has been increased research interest into ageing mechanisms of fingermark residue, however these studies have typically been conducted in dry, indoors conditions. Less information is available regarding degradation processes that may occur in scenarios involving water and the potential longevity of porous substrates under such conditions. A pilot study was conducted to investigate the performances of Oil Red O (ORO) and physical developer (PD) on samples submerged in different aquatic environments in a laboratory setting. Charged fingermarks from three donors were deposited on copy paper and immersed in either salt water or freshwater; still or with water flow. Samples were treated at multiple intervals (1, 12, 20 and 40 days) after submersion. Results showed that high quality of development could be achieved up to 40 days after immersion. The overall performances of ORO and PD were generally unaffected in the early stages of the study. Physical and chemical degradation of both latent residue and substrate were observed, which were increased by salt and water movement. While PD appeared to be less affected by potential chemical changes, it was less effective than ORO due to substrate degradation in moving salt water. These results present the first steps towards better understanding the practical effects of degradation processes specific to fingermarks on porous substrates underwater.

由于化学和物理变化会受到环境的影响,在沉积后的几周内,潜伏指痕的检测会变得越来越困难。人们对指痕残留物老化机制的研究兴趣日益浓厚,但这些研究通常是在干燥的室内条件下进行的。关于在有水的情况下可能发生的降解过程以及多孔基质在这种条件下的潜在寿命的信息较少。我们进行了一项试验性研究,以调查油红 O(ORO)和物理显影剂(PD)在实验室环境中浸没在不同水生环境中的样本上的性能。将三个供体的带电指印沉积在复印纸上,然后浸入盐水或淡水中;静止或有水流。在浸没后的多个时间间隔(1、12、20 和 40 天)对样本进行处理。结果表明,浸泡 40 天后可获得高质量的发育。在研究的早期阶段,ORO 和 PD 的总体性能一般不受影响。潜伏残留物和基质都出现了物理和化学降解,盐和水的流动加剧了这种降解。虽然 PD 似乎受潜在化学变化的影响较小,但由于基质在流动的盐水中降解,其效果不如 ORO。这些结果为更好地了解指痕在水下多孔基底上特有的降解过程的实际效果迈出了第一步。
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引用次数: 0
Sex estimation from the first and second ribs using 3D postmortem CT images in a Japanese population: A comparison of discriminant analysis and machine learning techniques 在日本人群中使用三维尸检 CT 图像从第一和第二肋骨估测性别:判别分析与机器学习技术的比较
Q3 Medicine Pub Date : 2024-08-31 DOI: 10.1016/j.fsir.2024.100386
Tawachai Monum , Yohsuke Makino , Daisuke Yajima , Go Inoguchi , Fumiko Chiba , Suguru Torimitsu , Maiko Yoshida , Patison Palee , Yumi Hoshioka , Naoki Saito , Hirotaro Iwase

This study investigated the use of 3D postmortem computed tomography (PMCT) images of the first and second ribs for sex estimation in a Japanese population. Sex estimation models using conventional discriminant analysis and ten machine learning algorithms including logistic regression (LR), Naive Bayes (NB), K-Nearest Neighbors (KNN), decision tree (DT), random forest (RF), support vector machine (SVM), linear discriminant analysis (LDA), quadratic discriminant analysis (QDA), artificial neural network (ANN), and extra tree (ET), were achieved from PMCT measurements of the first and second rib and the accuracy of models were compared. The results showed that ML algorithms, particularly LR, outperformed discriminant analysis, achieving an accuracy of 83.6 % compared to 79.1 % for stepwise discriminant analysis. This study highlights the potential of 3D PMCT and ML for accurate sex estimation in forensic anthropology.

本研究调查了在日本人群中使用第一和第二肋骨的三维死后计算机断层扫描(PMCT)图像进行性别估计的情况。根据第一和第二肋骨的 PMCT 测量结果,使用传统判别分析和十种机器学习算法(包括逻辑回归 (LR)、奈夫贝叶斯 (NB)、K-近邻 (KNN)、决策树 (DT)、随机森林 (RF)、支持向量机 (SVM)、线性判别分析 (LDA)、二次判别分析 (QDA)、人工神经网络 (ANN) 和额外树 (ET))建立了性别估计模型,并对模型的准确性进行了比较。结果显示,ML 算法(尤其是 LR)优于判别分析,准确率达到 83.6%,而逐步判别分析的准确率为 79.1%。这项研究凸显了三维 PMCT 和 ML 在法医人类学中准确估计性别的潜力。
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引用次数: 0
A rectal foreign body with giant bladder stone; An autopsy case of unusual autoerotic death 直肠异物伴巨大膀胱结石;一例不寻常的自体死亡尸检病例
Q3 Medicine Pub Date : 2024-08-29 DOI: 10.1016/j.fsir.2024.100385
Tadashi Hosoya , Kazuki Harada , Jun Kanetake

A man in his 60 s, who had experienced sustained abdominal pain intermittently for three years, lost consciousness and was transferred to an emergency hospital, where he was pronounced dead. In the forensic autopsy, a giant bladder stone measuring 6.5 × 6.0 × 4.0 cm was found adhering to an aluminum eyeliner that penetrated the anterior wall of his rectum. This might have induced pyelonephritis in the left kidney, resulting in sepsis. The deceased may have inserted the eyeliner for sexual stimulation. However, the eyeliner did not injure the peritoneum and no peritonitis occurred, which probably prevented acute sepsis immediately after insertion. The exact time of penetration was undetermined; however, the rectal foreign body may have been retained for three years. This case suggests that sexual activity should be considered a possible manner of death, even if it took place several years previously.

一名 60 多岁的男子间歇性持续腹痛三年后失去知觉,被紧急送往医院,并被宣布死亡。法医验尸时发现,一颗 6.5 × 6.0 × 4.0 厘米的巨型膀胱结石附着在穿透其直肠前壁的铝制眼线笔上。这可能诱发了左肾的肾盂肾炎,导致败血症。死者可能是为了性刺激而插入眼线笔的。然而,眼线笔没有伤及腹膜,也没有发生腹膜炎,这可能避免了插入后立即发生急性败血症。插入的确切时间无法确定;不过,直肠异物可能已经保留了三年。该病例表明,即使性活动发生在几年前,也应将其视为可能的死亡方式。
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引用次数: 0
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Forensic Science International: Reports
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