“Surgically created” excision of the back mimicking homicide: report of an unusual case
Fatalities due to sharp force trauma, with respect to manner of death, may be homicidal, self-inflicted, or accidental in nature. This article presents a case of an unusual sharp force injury inflicted under very specific and seemingly obscured circumstances, initially suggestive of homicidal origin...
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doaj-5680ca6629f64f29863f62a5dfca75a72020-11-24T21:00:37ZengTermedia Publishing HouseArchives of Forensic Medicine and Criminology0324-82671689-17162015-05-01651475410.5114/amsik.2015.5160625130“Surgically created” excision of the back mimicking homicide: report of an unusual caseMartin JaníkFrantišek NovomeskýĽubomír StrakaJozef KrajčovičPetr HejnaFatalities due to sharp force trauma, with respect to manner of death, may be homicidal, self-inflicted, or accidental in nature. This article presents a case of an unusual sharp force injury inflicted under very specific and seemingly obscured circumstances, initially suggestive of homicidal origin. A 69-year-old, socially isolated male was found dead with a strange, heavily blood-stained excision-like lesion on the right subscapular area. The autopsy confirmed that the wound led to fatal external blood loss. Toxicological analysis of the blood and urine revealed severe alcohol intoxication. The police investigation turned up that the man had suffered from a painful skin furuncle of the right upper back. As he was worried about receiving medical treatment, he voluntarily asked his two acquaintances for “surgical” assistance to remove the skin affection. Based on the circumstances surrounding death and findings at autopsy, it was concluded that the injury was inflicted without the intent to harm or cause death, as a result of simple negligence. Consequently, the manner of death was ultimately certified as an involuntary manslaughter. Our case has clearly illustrated that even highly suspicious and atypically shaped wounds created by sharp-edged instruments with localization in non-accessible body areas does not exclusively indicate homicidal activity, hence, the accidental, suicidal or even iatrogenic origin of the wounding mechanism must be taken into consideration.http://www.termedia.pl/-Surgically-created-excision-of-the-back-mimicking-homicide-report-of-an-unusual-case,82,25130,1,1.htmlsharp injury manner of death excision autopsy homicide |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Martin Janík František Novomeský Ľubomír Straka Jozef Krajčovič Petr Hejna |
spellingShingle |
Martin Janík František Novomeský Ľubomír Straka Jozef Krajčovič Petr Hejna “Surgically created” excision of the back mimicking homicide: report of an unusual case Archives of Forensic Medicine and Criminology sharp injury manner of death excision autopsy homicide |
author_facet |
Martin Janík František Novomeský Ľubomír Straka Jozef Krajčovič Petr Hejna |
author_sort |
Martin Janík |
title |
“Surgically created” excision of the back mimicking homicide: report of an unusual case |
title_short |
“Surgically created” excision of the back mimicking homicide: report of an unusual case |
title_full |
“Surgically created” excision of the back mimicking homicide: report of an unusual case |
title_fullStr |
“Surgically created” excision of the back mimicking homicide: report of an unusual case |
title_full_unstemmed |
“Surgically created” excision of the back mimicking homicide: report of an unusual case |
title_sort |
“surgically created” excision of the back mimicking homicide: report of an unusual case |
publisher |
Termedia Publishing House |
series |
Archives of Forensic Medicine and Criminology |
issn |
0324-8267 1689-1716 |
publishDate |
2015-05-01 |
description |
Fatalities due to sharp force trauma, with respect to manner of death, may be homicidal, self-inflicted, or accidental in nature. This article presents a case of an unusual sharp force injury inflicted under very specific and seemingly obscured circumstances, initially suggestive of homicidal origin. A 69-year-old, socially isolated male was found dead with a strange, heavily blood-stained excision-like lesion on the right subscapular area. The autopsy confirmed that the wound led to fatal external blood loss. Toxicological analysis of the blood and urine revealed severe alcohol intoxication. The police investigation turned up that the man had suffered from a painful skin furuncle of the right upper back. As he was worried about receiving medical treatment, he voluntarily asked his two acquaintances for “surgical” assistance to remove the skin affection. Based on the circumstances surrounding death and findings at autopsy, it was concluded that the injury was inflicted without the intent to harm or cause death, as a result of simple negligence. Consequently, the manner of death was ultimately certified as an involuntary manslaughter. Our case has clearly illustrated that even highly suspicious and atypically shaped wounds created by sharp-edged instruments with localization in non-accessible body areas does not exclusively indicate homicidal activity, hence, the accidental, suicidal or even iatrogenic origin of the wounding mechanism must be taken into consideration. |
topic |
sharp injury manner of death excision autopsy homicide |
url |
http://www.termedia.pl/-Surgically-created-excision-of-the-back-mimicking-homicide-report-of-an-unusual-case,82,25130,1,1.html |
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