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Related Experiment Video

Updated: Mar 15, 2026

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Vascular lesions simulating bruising.

Roger W Byard1,2, Maria Bellis2, Neil Ei Langlois1,2

  • 11 School of Medicine, The University of Adelaide, Australia.

Medicine, Science, and the Law
|September 12, 2016
PubMed
Summary

Benign vascular lesions can mimic bruises during forensic autopsies. Microscopic examination is crucial to distinguish these from actual traumatic injuries, preventing misinterpretation of inflicted trauma.

Keywords:
Bruisearteriovenous malformationhaemangiomahomicideinflicted injurymimic

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Area of Science:

  • Forensic pathology
  • Dermatology
  • Vascular biology

Background:

  • Skin and soft tissue examination is vital in forensic autopsies.
  • Identifying traumatic lesions is a routine procedure.
  • Distinguishing between genuine trauma and other conditions is critical.

Purpose of the Study:

  • To report cases where benign vascular lesions were mistaken for bruises.
  • To highlight the importance of histological examination in forensic cases.
  • To emphasize the potential for misinterpretation of inflicted trauma.

Main Methods:

  • Case series reporting three instances of misdiagnosed lesions.
  • Detailed gross examination of skin and soft tissues.
  • Histological analysis to confirm the nature of the lesions.

Main Results:

  • Three cases presented with lesions resembling bruises.
  • Histology revealed benign vascular lesions in all cases.
  • Without microscopy, these could have been misidentified as traumatic injuries.

Conclusions:

  • Benign vascular lesions can be mistaken for bruises in forensic autopsies.
  • Microscopic examination is essential to accurately characterize such lesions.
  • Failure to perform histology may lead to incorrect conclusions about inflicted trauma.