Moravanský Norbert, Masnicová Soňa, Švábová Petra, Kuruc Roman, Gális Branislav, Beňuš Radoslav
Institute of Forensic Medicine, Faculty of Medicine, Comenius University, Bratislava, Slovak Republic.
Institute of Forensic Medical Expertise, Expert Institute, Bratislava, Slovak Republic.
Forensic Sci Res. 2024 Aug 14;9(3):owae049. doi: 10.1093/fsr/owae049. eCollection 2024 Sep.
Mummification of corpses with partial skeletonization is not an uncommon occurrence in daily forensic work. Cooperation between different forensic fields is important in these cases in terms of obtaining the most accurate and forensically relevant results, especially when child abuse and neglect is suspected. In Central Europe, up to 21% of children are exposed to physical and psychological harm, which is mostly perpetrated by family members. This report describes a case of subadult female mummified remains in which interdisciplinary forensic pathology, forensic anthropology, and entomology input was needed to obtain legally relevant results. Entomological analysis of the fly and beetle species present served primarily to estimate the postmortem interval. External examination confirmed advanced postmortem decomposition of the body. The anthropological findings based on radiographs and analysis of selected bones confirmed various antemortem fractures and post-traumatic changes involving the ribs, the distal portion of the humerus, the nasal bones, and the anterior portions of the maxilla and mandible. Furthermore, non-specific findings of growth arrest (Harris) lines in the distal metaphysis of the right tibia indicated growth retardation and, overall, child neglect. The autopsy findings confirmed subdural blood coagulum, part of which formed a clearly moulded plaster mass that had originally been attached to the cranial vault up to the internal lamina. The findings indicated a post-traumatic condition as the underlying cause of death in this child. Interdisciplinary forensic analyses confirmed that the child had been repeatedly exposed to violent assaults throughout her lifetime.
If mummified remains with partial skeletonization of a subadult are found, collaboration among forensic experts is requiredIn this case, dried subdural blood coagulum indicated post-traumatic, non-spontaneous subdural haemorrhagePeriosteal reaction present on the facial bones and distal portion of the humerus was a suspicious findingAnalyses of female subadult remains based on an interdisciplinary approach revealed a syndrome of child abuse and neglect.
在日常法医工作中，尸体木乃伊化并伴有部分骨骼化的情况并不罕见。在这些案件中，不同法医领域之间的合作对于获得最准确且与法医相关的结果非常重要，尤其是在怀疑存在虐待和忽视儿童的情况下。在中欧，高达21%的儿童遭受身体和心理伤害，而这些伤害大多是由家庭成员实施的。本报告描述了一例未成年女性木乃伊化遗体的案例，需要法医病理学、法医人类学和昆虫学的跨学科投入才能获得与法律相关的结果。对现存苍蝇和甲虫物种的昆虫学分析主要用于估计死后间隔时间。外部检查证实尸体已处于晚期死后分解状态。基于X光片和对选定骨骼的分析得出的人类学发现证实了生前发生的多处骨折以及涉及肋骨、肱骨远端、鼻骨以及上颌骨和下颌骨前部的创伤后变化。此外，右胫骨远端干骺端生长停滞（哈里斯）线的非特异性发现表明生长发育迟缓，总体而言存在儿童忽视情况。尸检结果证实硬膜下有血凝块，其中一部分形成了一个明显塑形的石膏样肿块，并原本附着在颅顶直至内板。这些发现表明创伤后状况是该儿童死亡的根本原因。跨学科法医分析证实该儿童在其一生中多次遭受暴力袭击。
如果发现未成年木乃伊化遗体伴有部分骨骼化，需要法医专家之间的合作
在这个案例中，干燥的硬膜下血凝块表明存在创伤后非自发性硬膜下出血
面部骨骼和肱骨远端出现的骨膜反应是一个可疑发现
基于跨学科方法对未成年女性遗体的分析揭示了虐待和忽视儿童的综合征。
