Rancati Alessandra, Crudele Graziano Domenico Luigi, Gentile Guendalina, Zoja Riccardo
Dipartimento di Scienze Biomediche per la Salute - Sezione di Medicina Legale e delle Assicurazioni, Università degli Studi di Milano, Via Luigi Mangiagalli, 37, 20133 Milano, Italy.
Forensic Sci Int. 2014 Jan;234:e21-4. doi: 10.1016/j.forsciint.2013.10.030. Epub 2013 Oct 31.
A common form of violence against women is sexual coercion on the part of their husbands/partners, the uncontrollable effects of which can lead to extreme consequences, as in the case of uxoricide examined in this report. It involved a 59-year-old female alcoholic, under observation on the part of social services as the possible victim of abuse by her husband, an amputee with a transtibial prosthesis. The woman had never admitted to her social workers that her husband was abusing her. One night, she was admitted to hospital in a state of hemorrhagic shock due to massive vaginal bleeding, but despite treatment, she died 20 min after arrival. The anatomical-pathological examination conducted by the hospital revealed serious genital lesions which warranted reporting the case to the Judicial Authorities, who arranged for a forensic autopsy. The cause of death was identified as acute meta-hemorrhagic anemia in a cirrhotic woman, secondary to a large, irregular vaginal lesion involving both the vaginal wall and the soft perivaginal tissues as well as the medium and small urogenital vascular branches. To identify the foreign body used to inflict this injury, a scanning electron microscope and energy dispersive X-ray spectrometer (SEM-EDS) were used. This revealed tiny splinters of wood in the vaginal tissues examined. In addition to the genetic-forensic techniques used, this finding allowed the investigators to identify the husband's prosthetic limb as the instrument of sexual coercion. The report describes a particular case of marital rape that resulted in uxoricide, in which the overall concordance of the investigations carried out played a fundamental role in identifying the offending body and, consequently, the murderer.
对妇女的一种常见暴力形式是丈夫/伴侣实施的性胁迫，其不可控的影响可能导致极端后果，就像本报告中所研究的杀妻案那样。该案涉及一名59岁的女性酗酒者，社会服务部门将其作为可能遭受丈夫虐待的受害者进行观察，她的丈夫是一名经胫骨截肢并装有假体的人。该女子从未向她的社会工作者承认过丈夫对她的虐待行为。一天晚上，她因大量阴道出血而处于失血性休克状态被送往医院，但尽管接受了治疗，她在到达医院20分钟后死亡。医院进行的解剖病理检查发现了严重的生殖器损伤，因此有必要向司法当局报告此案，司法当局安排了法医尸检。死因被确定为一名肝硬化女性的急性失血性贫血，继发于一个大的、不规则的阴道损伤，该损伤累及阴道壁、阴道周围软组织以及中小泌尿生殖血管分支。为了确定造成这种伤害的异物，使用了扫描电子显微镜和能量色散X射线光谱仪（SEM-EDS）。这在检查的阴道组织中发现了微小的木屑碎片。除了所使用的基因法医技术外，这一发现使调查人员能够确定丈夫的假肢是性胁迫的工具。该报告描述了一起导致杀妻的婚内强奸特殊案件，其中所进行调查的整体一致性在确定犯罪工具以及因此确定凶手方面发挥了关键作用。
