Gisbert ME, Alcalá EE

Language: Spanish
References: 13
Page: 169-181
PDF size: 520.70 Kb.

ABSTRACT

In the judicial morgue there were rare cases, but of remarkable complexity because it is genital aggression where the crime can leave little obvious marks on the corpse and that are decisive when it comes to proving the commission of the crime, the cause of death and the alleged aggressor; for its clarification it is necessary to carry out special autopsy techniques aimed at the dissection and examination of the perineum, the floor and the pelvic cavity, which allows the legal medical approach, the obtaining of its samples and that in turn makes it possible to highlight the damage, the cause and effect and other elements that can be taken as objective evidence to the trial. The procedure that we recommend in this paper is the technique of pelvic emptying that consists of a methodical tanatological protocol with its steps ranging from cadaveric preparation, the examination of its three compartments and the dissection of the internal organs, in turn the anatomical reference points for the extraction of the pelvis that leads to the realization of this technique that is complementary to the autopsy.
The use of this technique was effective in five cases where this procedure was carried out, facilitating the examination of the area, the demonstration of the insult and the obtaining of forensic samples, of which four had identification through genetics of the aggressor.

REFERENCES

1. E. Gisbert Monzón, S. Pantoja Vacaflor Estudio forense de la vía respiratoria en cadáveres carbonizados. Revista Mexicana de Medicina forense y ciencias de la salud, vol 1, Nro1, 2016. 05-11

2. E Alcalá-Espinoza, Análisis de DNA en restos óseos antiguo. Revista Mexicana de Medicina forense y ciencias de la salud, 2016, 1(1): 12-17

3. G.F. Giannakopoulos, T.P. Saltzherr, L.F. Beenen, J.B. Reitsma, F.W. Bloemers, J.C. Goslings, for the REACT Study Group, et al. Missed injuries during the initial assessment in a cohort of 1124 level-1 trauma patients. Injury, 43 (2012), pp. 1517-1521

4. JA. Gisbert Calabuig, E. Villanueva: Medicina Legal y Toxicología. 6ª edición. Editorial Massón. Barcelona, 2004. A. Persson, C. Jackowski. Advances of dual source, dual-energy imaging in postmortem CT. EJR 2008; 68: 446-55.

5. S. Paydar, F. Ghaffarpasand, M. Foroughi, A. Saberi, M. Dehghankhalili, H. Abbasi, et al. Role of routine pelvic radiography in initial evaluation of stable, high-energy, blunt trauma patients. Emerg Med J, 30 (2013), pp. 724-727

6. R. Van Vugt, D.R. Kool, S.F. Lubeek, H.M. Dekker, M. Brink, J. Deunk, et al. An evidence based blunt trauma protocol. Emerg Med J, 30 (2013), pp. e23

7. IE. Gibb. Computed tomography of projectile injuries. Commentary. Clinical Radiology 2008; 63: 1167-8.

8. Scott J et al. Danforth's Manual de Obstetricia y Ginecología. 1ra ed. Mcgraw Hill, México. Williams & Wilkins. 2001.

9. Jones, H. et al. Tratado de Ginecología de Novak. 12a ed. México D.F. lnteramericana. 1996.

10. Geetha Ann Natarajan, MD. Et al, Check Sample. American Sodety of Clinical Pathologists, 1997. Explorar más allá de la nariz: el alzamiento facial, una técnica ilustrada de disección facial.

11. August Gast Galvis M. D. et al. Anatomo Patólogo del Instituto Radium, Técnicas para autopsia, Revista médica Hondureña, Nro 6, Paj 859 – 867

12. K. G. Shojania y E. C. Burton, The vanishing nonforensic autopsy. New England Journal of Medicine, vol. 358, págs. 873-875, 2008

13. Arvieux C, Thony F, Broux C, Ageron F, Rancurel E, Abba J, et al. Current management of severe pelvic and perineal trauma. J Visc Surg. 2012;149:e227-38.