Autopsy Report: Hamza Hassad Tawfeek Nahm Byaty, Diwania, Iraq (Natural Death) (0167-04-CID899-81717) (Death Certificate Included)

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Autopsy No: ME 03 -385; enemy prisoner of war detainee at Baghdad International Airport prison (BIAP) who was being transported in a bus when he became short of breath, hypotensive and tachycardic. A medic administered an IV bolus, which briefly improved his symptoms but he soon arrested. Cause of Death: Undetermined atraumatic nontoxic cause; Manner of Death: Natural.

Doc_type: 
Medical
Doc_date: 
Monday, September 29, 2003
Doc_rel_date: 
Sunday, April 17, 2005
Doc_text: 

ARMED FORCES INSTITUTE OF PATHOLOGY
Office of tbe Armed Forces Medical Examiner
1413 Research Blvd., Bldg. 102
Rockville, MD 20850

..~
1-800-944-7912
FINAL AUTOPSY REPORT

Nrune:tL~(_6~____________________________________________~1
Autopsy No: ME 03-385

SSANr6j4----------· J
AFIP No.: 2892215 Date of Birth: Unknown, appears middle aged Rank: nla Date of Death: 7 August 2003 ± 1915 hrs Place of Death: Diwania, Iraq Date of Autopsy: 24 August 2003 Place ofAutopsy: 54th QM CO, Date ofreport: 29 September 2003 Baghdad IntI. Airport, Iraq
Circumstances of Death: The decedent was an enemy prisoner of war detainee at the Biap prison who was being transported in a bus when he becrune short of breath, hypotensive and tachycardic. A medic with the 115th MP Battalion administered an IV bolus, which briefly improved his symptoms and signs, but he soon arrested. When examined later in the day by a physician, rigor and lividity were established, but "no visible markings, wounds, lesions, deformity" were seen. No body temperature was recorded in the records available for review.
Authorization for Autopsy: Office of the Armed Forces Medical Examiner, lAW 10 US Code
1471
Identification: Positive identification is not established because of a lack of antemortem exemplars. Postmortem dental exam and x-rays, DNA specimen and fingerprints are obtained for possible future reference.
CAUSE OF DEATH: Undetermined atraumatic cause
MANNER OF DEATH: Natural
FINAL AUTOPSY DIAGNOSES:
I. No evidence of significant natural disease, within the limitations ofthis autopsy.
II. No evidence of trauma
III. Toxicological examination

Blood and urine were negative for ethanol


Blood was negative for prescription and illicit drugs

EXTERNAL EXAMINATION
""'..~..;l The body is that of a well-developed, well-nourished appearing 72 inch tall, 210 pounds (estimated), middle eastern male who appears middle aged. (Date ofbirth is unknown.). Lividity is inapparent due to postmortem changes. Rigor is passed, and the temperature is cold.
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The scalp is covered with black, straight, long hair in a normal distribution and there is a full beard and mustache. The irides are difficult to determine due to cloudy cornea, but appear brown, and the pupils are round and equal in diameter. The external auditory canals are free ofblood and unusual secretions. The ears are unremarkable. The nares are patent and the lips are atraumatic. The nose and maxillae are palpably stable. The teeth appear natural and in fair repair.
The neck is straight, and the trachea is midline and mobile. The chest is symmetric. The abdomen is flat. The genitalia are those of a normal adult male. The testes are descended and free of masses. Pubic hair is present in a normal distribution. The buttocks and anus are unremarkable.
The upper and lower extremities are symmetric and without clubbing or edema.
CLOTHING AND PERSONAL EFFECTS The following clothing items and personal effects are present on the body at the time ofautopsy:

Green knee-length shirt


Buff colored boxer shorts

MEDICAL INTERVENTION

A 500 mL bag oflactated Ringer's solution connected to an IV cannula that apparently fell out ofthe right antecubital fossa.

RADIOGRAPHS Radiographs are unavailable at this location.
EVIDENCE OF INJURY There is no evidence ofinjury following a complete postmortem examination.
Decompositional changes consist of skin slippage, marbling, foul odor and a green color to the anterior thorax and abdomen.
INTERNAL EXAMINATION
HEAD:
The galeal and subgaleal soft tissues ofthe scalp are free of injury. The calvarium is intact, as is the
dura mater beneath it. Clear cerebrospinal fluid surrounds the 1400 gm brain, which has
unremarkable gyri and sulci. Coronal sections demonstrate sharp demarcation between white and
grey matter, without hemorrhage or contusive injury. The ventricles are of normal size. The basal
ganglia, brainstem, cerebellum, and arterial systems are free ofinjury or other abnormalities. There
are no skull fractures. The atlanto-occipital joint is stable.

NECK:
The anterior strap muscles of the neck are homogenous and red-brown, without hemorrhage. The
thyroid cartilage and hyoid are intact. The larynx is lined by intact white mucosa. The thyroid is
symmetric and red-brown, without cystic or nodular change. The tongue is free of bite marks,
hemorrhage, or other injuries. There is no soot staining ofthe larynx or the trachea.

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Incision and dissection ofthe posterior neck demonstrates no deep paracervical muscular injury and
no cervical spine fractures.

BODYCA~TffiS: .
The ribs, sternum, and vertebral bodies are visibly and palpably intact. No excess fluid is in the
right pleural, pericardial, or peritoneal cavities, although there is scant decomposition fluid. The
organs occupy their usual anatomic positions.

RESPIRATORY SYSTEM:
The right and left lungs weigh 950 gm and 1050 gm, respectively. The external surfaces are smooth
and deep red-purple. The pulmonary parenchyma is diffusely congested and edematous. No mass
lesions or areas ofconsolidation are present.

CARDIOVASCULAR SYSTEM:
The 270 gm heart is contained in an intact pericardial sac. The epicardial surface is smooth, with
minimal fat investment. The coronary arteries are present in a nonnal distribution, with a right­
dominant pattern. Cross sections of the vessels show no significant atherosclerotic cardiovascular
disease. The myocardium is homogenous, red-brown, and firm. The valve leaflets are thin and
mobile. The endocardium is smooth and glistening. The aorta gives rise to three intact and patent
arch vessels. The renal and mesenteric vessels are unremarkable.

LIVER & BILIARY SYSTEM:
The 1250 gm liver has an intact, smooth capsule and a sharp anterior border. The parenchyma is
tan-brown and congested, with the usual lobular architecture. No mass lesions or other
abnormalities are seen. The gallbladder contains 15 mL of green-black bile and no stones. The
mucosal surface is green and velvety. The extrahepatic biliary tree is patent.

SPLEEN:
The 260 gm spleen has a smooth, intact, red-purple capsule. The parenchyma is maroon and
diffluent, with indistinct Malpighian corpuscles.

PANCREAS:
The pancreas is finn and yellow-tan, with the usual lobular architecture. No mass lesions or other
abnormalities are seen.

ADRENALS:
The right and left adrenal glands are symmetric, with bright yellow cortices and grey medullae. No
masses or areas ofhemorrhage are identified.

GENITOURINARY SYSTEM:
The right and left kidneys weigh 75 gm and 75 gm, respectively. The external surfaces are intact

and smooth. The cut surfaces are red-tan and congested, with unifonnly thick cortices and sharp
corticomedullary junctions. The pelves are unremarkable and the ureters are normal in course and
caliber. White bladder mucosa overlies an intact bladder wall. The bladder contains approximately
170 mL of hazy, pink urine. The prostate is normal in size, with nodular, yellow-tan parenchyma.

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The seminal vesicles are unremarkable. The testes are free of mass lesions, contusions, or other
abnormalities.

GASTROINTESTINAL TRACT:
The esophagus is intact and lined by smooth, grey-white mucosa. The stomach contains
approximately 100 mL of grey, pasty, partially digested, unrecognizable food. The gastric wall is
intact. The duodenum, loops of small bowel, and colon are unremarkable. The appendix is present.

ADDITIONAL PROCEDURES
• Documentary photographs are taken by OAFME photographer MSgt r,---bX_6~2
__-...J

No trace evidence is collected.


Specimens retained for toxicologic testing and/or DNA identification are: cavity blood, liver, spleen, urine, gastric contents, brain, bile, and psoas muscles.


The dissected organs are forwarded with the body.

MICROSCOPIC EXAMINATION
Selected portions oforgans are retained in fonnalin, without preparation of histo logic slides.

OPINION
This Middle Eastern male,rbX6 )-4 --_ ------~------=--_-~]died as
a result ofan unknown non-traumatic and nontoxic cause. The manner ofdeath is natural.
rbl(6~2
I
Colonel, Medical Corps, US Army
Regional Medical Examiner
Anned Forces Medical Examiner System

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REPLACES DA FORM 3565, I JAN 11 AND DA IlORM 3565,R(PAS), 2~ SEP 75, ,WHICH ARE; OBSOLE;TE,
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Doc_nid: 
3287
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72