Questions of forensic science and radiology on live births and stillbirths: cases from expert practice

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Abstract

Background: The article discusses the criteria, forensic and radiological “life tests,” difficulties in assessing the results of live births and stillbirths. It also dives into the history of the development of X-ray, including pre-sectional examination of newborn corpses. Two cases of newborn corpses that were subjected to pre-sectional computed tomography (CT) are presented. Case presentation: Case no. 1: Examination of a newborn corpse found in a cardboard box on the unheated terrace of a private house after a secret self-birth. Case no. 2: Examination of the corpse of an infant with massive injuries and the division of the body into two fragments, found on a sorting tape in the premises of a waste sorting shop. Conclusion: Postmortem CT of newborn corpses was an evidence-based and visual addition to the traditional forensic medical study. This helped determine the maturity of fetuses even at the pre-dissection stage to identify injuries and anatomical variants of the structure, to refute the presence of congenital deformities, and to establish and record evidence-based CT signs of live birth and stillbirth.

About the authors

Vladimir A. Klevno

Moscow Regional Research and Clinical Institute

Email: vladimir.klevno@yandex.ru
ORCID iD: 0000-0001-5693-4054
SPIN-code: 2015-6548

Dr. Sci. (Med.), Professor

Russian Federation, 61/2, Shepkina street, Moscow, 129110

Yulia V. Chumakova

Moscow Regional Research and Clinical Institute; Forensic Medical Examination Bureau

Author for correspondence.
Email: chumakova@sudmedmo.ru
ORCID iD: 0000-0002-9738-8288
SPIN-code: 9415-3226

MD, Research Postgraduate, Department of Forensic Medicine

Russian Federation, 61/2, Shepkina street, Moscow, 129110; Moscow

Sofia E. Dubrova

Moscow Regional Research and Clinical Institute

Email: dubrova.sofya@gmail.com
ORCID iD: 0000-0001-8809-1629
SPIN-code: 5012-9847

MD, PhD, Research Postgraduate, Department of Forensic Medicine

Russian Federation, 61/2, Shepkina street, Moscow, 129110

Natalia S. Muranova

Forensic Medical Examination Bureau

Email: muranova@sudmedmo.ru

MD

Russian Federation, Moscow

Olga M. Popova

Forensic Medical Examination Bureau

Email: vodyasova@sudmedmo.ru

MD

Russian Federation, Moscow

References

  1. Kolkutin VV, Kira EF, Barinov EKh., et al. Examination of fetal and newborn corpses: Methodological recommendations. Moscow: Russian Center of Forensic Medical Expertise; 2002. (In Russ).
  2. Chopеn IV, Bezborodov AV, Tishchenko OV. Forensic medical examination of fetuses and newborns. Educational and methodological recommendations for students of the Faculty of Pediatrics, interns, residents. Stavropol: Stavropol State Medical University; 2010. 44 p. (In Russ).
  3. You will be healthy — you will get everything [internet resource]. X-ray examination in forensic medical practice. (In Russ). Available from: https://ja-zdorov.at.ua/publ/rentgenologicheskoe_issledovanie_novorozhdennykh/rentgenologicheskoe_issledovanie_v_sudebno_medicinskoj_praktike/79-1-0-1042
  4. Rukont: national digital resource. Tumanova, Shchegolev AI. Postmortem magnetic resonance imaging of fetuses and newborns. Medical visualization. 2015. N. 5. Р. 127–135. (In Russ). Available from: https://rucont.ru/efd/502572
  5. Tumanova UN, Fedoseeva VK, Lyapin VM, et al. Identification of gas accumulations in the bodies of fetuses, still-borns and dead newborns at postmortem computed tomography study. Consilium Medicum. 2016;18(13):26–33. (In Russ).
  6. Rusakova TV, Kislov MA, Lysenko OV, Dubrova SE. Virtual autopsy as valuable assistance in building the algorithm of study the children corpses. Russian Journal of Forensic Medicine. 2019;5(1s):57. (In Russ).
  7. Klevno VA, Chumakova YuV. Virtopsia — a new research method in the practice of domestic forensic medicine. Russian Journal of Forensic Medicine. 2019;5(2):27–31. (In Russ). doi: 10.19048/2411-8729-2019-5-2-27-31
  8. Klevno VA, Chumakova YuV, Korotenko OA, et al. Virtopsia in the case of sudden death of a teenager. Russian Journal of Forensic Medicine. 2020;6(1):41–45. (In Russ). doi: 10.19048/2411-8729-2020-6-1-41-45

Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. The corpse of a child: а — appearance; b — 3D image.

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3. Fig. 2. Computed tomography scan of the brain: The 5th ventricular cavity — variant anatomy.

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4. Fig. 3. Computed tomography, 3D-reconstruction: dislocation of the left humerus.

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5. Fig. 4. Computed tomography scan, frontal reconstruction, pulmonary window: the lungs are straightened, widely adjacent to the chest wall; gas in the jejunal loop.

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6. Fig. 5. Computed tomography, frontal reconstruction, soft-tissue window: contents in the small and large intestine.

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7. Fig. 6. Computed tomography, sagittal reconstruction, bone window: kernel of ossification in the sternum.

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8. Fig. 7. Appearance of the corpse of the child: а — upon detection; b — 3D image.

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9. Fig. 8. Computed tomography: multiple fractures of the skull bones; decomposition of the brain.

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10. Fig. 9. Computed tomography, 3D reconstruction: complete separation of the spinal column at the midpoint of the Th11 vertebral body; multiple fractures of most of the ribs.

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11. Fig. 10. Computed tomography findings: the lungs are located outside the chest cavity, totally compacted, not straightened.

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Copyright (c) 2021 Klevno V.A., Chumakova Y.V., Dubrova S.E., Muranova N.S., Popova O.M.

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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