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Updated: Jul 25, 2026

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Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
A rare case of evisceration
1Department of Forensic Medicine, 3rd Faculty of Medicine, Charles University, Prague, Czech Republic.
International Journal of Legal Medicine
|March 31, 2000
Summary
A homicide case involved a decomposed body with missing organs, not from natural decay. Forensic analysis revealed the small intestine was intentionally tied with braided hair, suggesting a staged crime scene.
Area of Science:
- Forensic Pathology
- Forensic Science
- Criminalistics
Background:
- A homicide investigation was initiated following the discovery of a young woman's body in an advanced state of decomposition.
- The discovery occurred in a rural setting, necessitating a thorough forensic examination.
Observation:
- The autopsy revealed significant postmortem changes, including the absence of most internal organs.
- Crucially, the organ loss was inconsistent with natural decomposition processes.
- The thoracic cavity exhibited signs of deliberate manipulation, consistent with professional autopsy procedures.
Findings:
- The small intestine remnants were found intentionally ligated using a cord fashioned from braided human hair.
- This finding strongly indicates postmortem mutilation and staging of the crime scene.
Implications:
- The deliberate manipulation of the body suggests a perpetrator attempting to conceal the cause of death or mislead investigators.
- This case highlights the importance of meticulous forensic examination in distinguishing between natural decomposition and postmortem alterations.
- The unique method of ligation provides potential forensic evidence for identifying the perpetrator.
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