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01.09.2013 | Case Report

The risk of misinterpreting genital signs of sexual abuse in cadavers: a case report

verfasst von: F. Ambrosetti, E. Palazzo, D. Gibelli, S. Andreola, A. Di Giancamillo, C. Domeneghini, L. Spagnoli, C. Cattaneo

Erschienen in: International Journal of Legal Medicine | Ausgabe 5/2013

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Abstract

The significance of genital findings in a case of suspected child sexual abuse has been widely debated in the past decades, as shown by the different classifications available in literature. In the case of postmortem examination, the search for signs of sexual abuse is considerably more difficult because of the superimposition of postmortem modifications, which may determine tissue modifications that can be mistaken for traumatic lesions. This study aims at reporting a case where presumed findings of the first autopsy were denied by histological analysis; in detail, what looked like a possible bruise of the hymen was correctly recognized as hypostasis (livor) of the hymenal tissue by histological analysis. This case report suggests caution in the analysis and discussion of genital lesions found during postmortem examination since the superimposition of cadaveric modifications may radically modify the morphology of soft tissues.

Hobbs CJ (2012) Physical evidence of child sexual abuse. Eur J Pediatr 171(5):751–755PubMedCrossRef

Adams JA (2008) Guidelines for medical care of children evaluated for suspected sexual abuse: an update for 2008. Curr Opin Obstet Gynaecol 20:435–441CrossRef

Adams JA (2011) Medical evaluation of suspected child sexual abuse: 2011 update. J Child Sex Abus 20:588–605PubMedCrossRef

Royal College of Physicians (1997) Physical signs of sexual abuse in children, 2nd edn. Royal College of Physicians of London, London

Adams JA, Harper K, Knudson S, Revilla J (1994) Examination findings in legally confirmed child sexual abuse: it’s normal to be normal. Pediatrics 94:310–317PubMed

Elder DE (2007) Interpretation of anogenital findings in the living child: implications for the paediatric forensic autopsy. J Forensic Legal Med 14:482–488CrossRef

Taborelli A, Andreola S, Di Giancamillo A, Gentile G, Domeneghini C, Grandi M, Cattaneo C (2011) The use of the anti-Glycophorin A antibody in the detection of red blood cell residues in human soft tissue lesions decomposed in air and water: a pilot study. Med Sci Law 51(Suppl 1):S16–S19PubMedCrossRef

Kibayashi K, Hamada K, Honjyo K, Tsunenari S (1993) Differentiation between bruises and putrefactive discolorations of the skin by immunological analysis of glycophorin A. Forensic Sci Int 61:111–117PubMedCrossRef

Tabata N, Morita M (1997) Immunohistochemical demonstration of bleeding in decomposed bodies by using anti-glycophorin A monoclonal antibody. Forensic Sci Int 87:1–8PubMedCrossRef

10.

Wheater P, Burkitt G, Stevens A, Lowe J (1996) Wheater’s basic histopathology: a colour atlas and text, 3rd edn. Pearson Professional Limited, London

11.

Khasnis A, Gokula RM (2002) Spider nevus. J Postgrad Med 48(4):307–309PubMed

12.

Finn SM, Rowland M, Lawlor F, Kinsella W et al (2006) The significance of cutaneous spider naevi in children. Arch Dis Child 91(7):604–605PubMedCrossRef

13.

Requena L, Sangueza OP (1997) Cutaneous vascular anomalies. Part I. Hamartomas, malformations and dilation of pre-existing vessels. J Am Acad Dermatol 37(4):523–549PubMedCrossRef

14.

Cotran RS, Kumar V, Collins T (1999) Pathological bases of disease, 6th edn. W. B. Saunders Company, Philadelphia

15.

Spitz WU (2006) Medico-legal investigation of death, 4th edn. Charles C Thomas, Springfield

16.

Saukko P, Knight B (2006) Forensic pathology, 3rd edn. Arnold Ed, London

17.

Pollanen MS (2012) Forensic pathology and the miscarriage of justice. Forensic Sci Med Pathol 8:285–289PubMedCrossRef

18.

McCann J, Reay D, Siebert J, Stephens BG, Wirtz S (1996) Postmortem perianal findings in children. Am J Forensic Med Pathol 17:289–298PubMedCrossRef

19.

Anderst J, Kellogg N, Jung I (2009) Reports of repetitive penile–genital penetration often have no definitive evidence of penetration. Pediatrics 124:e403–e409PubMedCrossRef

20.

Kellogg ND, Parra JM, Menard S (1998) Children with anogenital symptoms and signs referred for sexual abuse evaluations. Arch Pediatr Adolesc Med 152:634–641PubMedCrossRef

21.

Lawson Z, Nuttall D, Young S, Evans S, Maguire S, Dunstan F, Kemp AM (2011) Which is the preferred image modality for paediatricians when assessing photographs of bruises in children? Int J Legal Med 125:825–830PubMedCrossRef

22.

Fracasso T, Pfeiffer H, Sauerland C, Schmeling A (2011) Morphological identification of right ventricular failure in cases of fatal pulmonary thromboembolism. Int J Legal Med 125:45–50PubMedCrossRef

Titel: The risk of misinterpreting genital signs of sexual abuse in cadavers: a case report
verfasst von: F. Ambrosetti
E. Palazzo
D. Gibelli
S. Andreola
A. Di Giancamillo
C. Domeneghini
L. Spagnoli
C. Cattaneo
Publikationsdatum: 01.09.2013
Verlag: Springer Berlin Heidelberg
Erschienen in: International Journal of Legal Medicine / Ausgabe 5/2013
Print ISSN: 0937-9827
Elektronische ISSN: 1437-1596
DOI: https://doi.org/10.1007/s00414-013-0891-y

Springer Medizin

The risk of misinterpreting genital signs of sexual abuse in cadavers: a case report

Abstract

Neu im Fachgebiet Rechtsmedizin

Molekularpathologische Untersuchungen im Wandel der Zeit

Vergleichende Pathologie in der onkologischen Forschung

Gastrointestinale Stromatumoren

Personalisierte Medizin in der Onkologie

Springer Medizin

Abstract

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