Dix Jay. Color atlas of forensic pathology

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FIGURE 15.15 The baby, with umbilical cord still attached,

looked much different when cleaned. See next photo.

FIGURE 15.16 There were numerous small (less than one

inch in length) superficial cut marks over the entire body. See

next photo.

FIGURE 15.17 The large defect extending across the back was

caused by the dog. The other cut marks can also be seen. See next

photo.

FIGURE 15.18 There was a contusion on the thumb. See next

photo.

FIGURE 15.19 An incised wound on the chest was initially

thought to be a stab wound, but the external chest wall

revealed no cutting injury over this wound. See next photo.

FIGURE 15.20 There was a laceration of the liver (arrow). See

next photo.

FIGURE 15.21 Two areas of subscalpular hemorrhage were

evident. See next photo.

FIGURE 15.22 The umbilical cord had been cut. Two incised

wounds can also be seen. The 17-year-old mother admitted

having the baby over the toilet in the bathroom of her house.

She thought the baby moved briefly. The boyfriend placed the

baby in a bag and dropped it over a barbed-wire fence. The cut

wounds were from barbed wire and thorns on nearby bushes.

The mother and boyfriend were convicted of killing the baby.

FIGURE 15.23 This two-year-old was brought to the ER in a

moribund state. He lived for only a few hours. Neither the

mother nor her boyfriend could explain his injuries or death.

The child had abdominal surgery nine weeks prior to death.

The surgeon was suspicious of abuse at that time because

there was a contusion on his arm and some of his head hair

appeared to have been pulled out. See next photo.

FIGURE 15.24 There were numerous superficial abrasions of

the face which looked like rug burns. The lips are dried. X-rays

revealed healing fractures of a posterior rib and a clavicle. See

next photo.

FIGURE 15.25 Some of his hair had been pulled out. See next

photo.

FIGURE 15.26 The back of the left hand was recently con-

tused. See next photo.

FIGURE 15.27 There were focal soft tissue hemorrhages of

the buttocks, lower back, and upper legs from blunt trauma.

See next photo.

FIGURE 15.28 His abdomen was markedly protruberant. See

next photo.

FIGURE 15.31 There was fibrin over all the internal abdomi-

nal structures and organs, suggesting peritonitis. The small

bowel was completely ruptured near the site of the previous

surgery. The final ruling was he died from a blow to the

abdomen resulting in a rupture of the small bowel with com-

plicating infection.

FIGURE 15.30 There was at least 3/4 of a liter of fluid in his

belly. See next photo.

FIGURE 15.29 Pink tan fluid exuded from the peritoneal cav-

ity (arrow) when the abdomen was opened. This fluid, called

chylous ascites, was present at the surgery weeks before. See

next photo.