Autopsy Report: Hassan Ekab Ahmed, Tikrit, Iraq (Natural) (0025-04-CID469-79635) (Death Certificate Included)

Error message

  • Deprecated function: Return type of DBObject::current() should either be compatible with Iterator::current(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 7 of /usr/home/documentafterliv/public_html/sites/all/modules/contrib/eck/eck.classes.inc).
  • Deprecated function: Return type of DBObject::next() should either be compatible with Iterator::next(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 7 of /usr/home/documentafterliv/public_html/sites/all/modules/contrib/eck/eck.classes.inc).
  • Deprecated function: Return type of DBObject::key() should either be compatible with Iterator::key(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 7 of /usr/home/documentafterliv/public_html/sites/all/modules/contrib/eck/eck.classes.inc).
  • Deprecated function: Return type of DBObject::valid() should either be compatible with Iterator::valid(): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 7 of /usr/home/documentafterliv/public_html/sites/all/modules/contrib/eck/eck.classes.inc).
  • Deprecated function: Return type of DBObject::rewind() should either be compatible with Iterator::rewind(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 7 of /usr/home/documentafterliv/public_html/sites/all/modules/contrib/eck/eck.classes.inc).

Autopsy Report of Hassan Ekab Ahmed, 61 years old. Died February 8, 2004, Tikrit, Iraq. Mr. Ahmed was discovered deceased in his bed when he failed to report to the morning head count procedure. The decedent reported a medical history of diabetes and renal
disease at the time of his capture. CAUSE OF DEATH: Atherosclerotic Cardiovascular Disease; MANNER OF DEATH: Natural.

Doc_type: 
Medical
Doc_date: 
Saturday, February 28, 2004
Doc_rel_date: 
Sunday, April 17, 2005
Doc_text: 

4.) ARMED FORCES INSTITUTE OF PATHOLOGY Office of the Armed Forces Medical Examiner 1413 Research Blvd., Bldg. 102 Rockville, MD 20850 1-800-944-7912 PRELIMINARY AUTOPSY REPORT b)(6)4 Name: Autopsy No.: ME 04-100 SSAN: N/A AFIP No.: PendingDate of Birth: BTB 1943 Rank: Iraqi Civilian Date of Death: 8 FEB 2004 Place of Death: Tikrit, IraqDate of Autopsy: 28 FEB 2004 Place of Autopsy: BIAP MortuaryDate of Report: 28 FEB 2004 Baghdad Airport, Iraq Circumstances of Death: This believed to be 61 year old male Iraqi civilian was a detainee of the U.S. Armed Forces at the Detention Central Collection Facility, Tikrit, Iraq when he was discovered deceased in his bed when he failed to report to the morning head count procedure. The decedent reported a medical history of diabetes and renal disease at the time of his capture. Authorization for Autopsy: Office of the Armed Forces Medical Examiner, TAW 10 USC 1471. Identification: Identification is established by visual examination by CID agents. CAUSE OF DEATH: Atherosclerotic Cardiovascular Disease MANNER OF DEATH: Natural PRELIMINARY AUTOPSY DIAGNOSES: I..Atherosclerotic Cardiovascular Disease 1. Moderate calcified atherosclerosis of the right coronary artery (50% stenosis), the left circumflex (50% stenosis) and left anterior descending branches of the left coronary artery (50­75% stenosis). 2. Moderate aortic atherosclerosis with bilateral renal artery take­off stenosis. 3. Bilateral renal atrophy with intraparenchymal arteriole atherosclerosis and marked arterionephrosclerosis and cortical cysts. 4. Cranial artery atherosclerosis of the vertebral, basilar, posterior communicating and middle cerebral arteries. These findings are preliminary, and subject to modification pending further investigation and laboratory testing. TOR OFRCIM. USE ONLY MEDCOM - 596 FOR OFFICIAL USE ONLY 25.C1D469_ 79635 Law Enforcement Sensitive ARMED FORCES INSTITUTE OF PATHOLOGY Office of the Armed Forces Medical Examiner 1413 Research Blvd., Bldg. 102 Rockville, MD 20850 1-800-944-7912 FINAL AUTOPSY EXAMINATION REPORT (b)(6)-2 Name: Autopsy No.: ME 04-100 SSAN. N/A AFIP No.: 2917546 Date of Birth: BTB 1943 Rank: Iraqi Civilian Date of Death: 8 FEB 2004 Place of Death: Tikrit, Iraq Date of Autopsy: 28 FEB 2004 Place of Autopsy: BIAP Mortuary Date of Report: 29 JUN 2004 Baghdad Airport, Iraq Circumstances of Death: This believed to be 61 year old male Iraqi civilian was a detainee of the U.S. Armed Forces at the Detention Central Collection Facility, Tikrit, Iraq when he was discovered deceased in his bed when he failed to report to the morning head count procedure. The decedent reported a medical history of diabetes and renal disease at the time of his capture. Authorization for Autopsy: Office of the Armed Forces Medical Examiner, IAW 10 USC 1471. Identification: Identification is established by visual examination by CID agents. DNA testing was performed and is on file for comparison should exemplars become available. CAUSE OF DEATH: Atherosclerotic Cardiovascular Disease MANNER OF DEATH: Natural FOR OFFICIAL USE ONLY Cl Law Enforcement Sensitive Ad 4 EXHIBIT FOR OFFICIAL USE ONLY Law Enforcement Sensitive LK) 25 04 -CI D4 69-7963 ITTOPSY REPORT MF,04-100 (6)-4 FINAL AUTOPSY DIAGNOSES: I..Atherosclerotic Cardiovascular Disease 1. Moderate calcified atherosclerosis of the right coronary artery (50% stenosis), the left circumflex (50% stenosis) and left anterior descending branches of the left coronary artery (50­75% stenosis). 2. Moderate aortic atherosclerosis with bilateral renal artery take­off stenosis. 3. Bilateral renal atrophy with intraparenchymal arteriole atherosclerosis and marked arterionephrosclerosis and cortical cysts. 4. Cranial artery atherosclerosis of the vertebral, basilar, posterior communicating and middle cerebral arteries. II..Mild to moderate decomposition. Toxicology is positive for ethanol, acetone, 1-propanol and acetaldehyde (urine only) in the blood and urine. Drugs of abuse were not detected. FOR OFFICIAL USE ONLY Law Enforcement Sensitive EXHIBIT FOR OFFICIAL USE ONLY Law Enforcement Sensitive AUTOPSY REPORT ME04-100 0025 -04 -C I 04 6 9 -79635 3 EXTERNAL EXAMINATION The body is that of a tachetic male Iraqi national. The body weighs approximately 130 pounds, is 69 1/2 inches in length and appears the reported age of 61. years. The body temperature is ambient. Rigor is present to an equal degree in all extremities. Lividity is difficult to assess because of dark skin pigmentation but is present and fixed on the posterior surface of the body, except in areas exposed to pressure. There is mild to moderate decomposition of the body with areas of skin slippage on the posterior scalp, the right wrist and anterior right lower leg and marbling of the skin of the back, buttocks, posterior surface of the arms and legs, palms of the hands and the abdomen. The scalp hair is black and gray and the decedent has frontal baldness. Facial hair consists of a full gray and black beard and mustache. The irides are brown. The corneae are slightly cloudy. The conjunctivae are free of injuries and hemorrhages. The sclerae are free of hemorrhages. The external auditory canals, external nares and oral cavity are free of foreign material and abnormal secretions. The nasal septum and skeleton is palpably intact. The lips are without evident injury. The teeth are natural and poor condition with multiple unrepaired caries. Examination of the neck reveals no evidence of injury. The hyoid bone and thyroid cartilage are intact. The chest is free of injuries and deformities. A 3.3 x 1.2 cm oval scar is on the anterior left costal margin and a 3.2 x 2.3 cm oval scar is in the left upper quadrant of the abdomen. No injury of the ribs or sternum is evident externally. The abdomen is flat and free of palpable masses. The external genitalia are those of a normal circumcised adult male with bilateral dended testes. The testes are free of palpable masses. The buttocks and anus are unremarkable. The extremities show injuries that will be described below. The fingernails are intact. An 11.5 x 4.5 cm area and an area of 7.0 x 3.0 cm of non-descript black ink writing is on the medial surface and lateral surface of the left knee, respectively. There is a paper identification tag affixed to the right wrist and right second toe. The back has a 2.5 x 2.0 cm scar immediately right of midline in the thoracic region and a 2.5 x 2.0 cm oval scar immediately below the scar just described. CLOTHING AND PERSONAL EFFECTS The following clothing items and personal effects are present on the body at the time of autopsy: A blue shirt, a green sweater, a white linen undergarment, and two white socks. MEDICAL INTERVENTION There is no medical intervention. RADIOGRAPHS Full body postmortem radiographs are obtained and demonstrates the following: 1. No long bone fractures 2. No foreign bodies FOR OFFICIAL USE ONLY Law Enforcement Sensitive EXHIBIT c/ t FOR OFFICIAL USE ONLY Law Enforcement Sensitive 0025 - 04-C I D 46 AUTOPSY REPORT ME04-100 9 -79635 4 !b)(6)-4 EVIDENCE OF INJURY The ordering of the following injuries is for descriptive purposes only, and is not intended to imply order of infliction or relative severity. All wound pathways are given relative to standard anatomic position. A 2.4 x 1.4 cm crusted abrasion and a 1.5 x 1.4 cm crusted abrasion are on the forehead. A 1.0 x 0.5 cm abrasion is on the nose. On the volar surface of the right forearm are multiple oval purple contusions that average 1.0 cm in diameter. A 1.5 x 0.4 cm crusted abrasion and a 1.2 x 1.2 cm crusted abrasion are on the medial and the lateral surface of the left forearm, respectively. On the posterior surface of the left hand are a 2.5 x 1.5 cm purple contusion and a 1.5 x 1.0 cm purple contusion. There is a 1.8 x 1.7 cm crusted abrasion with surrounding contusion on the lateral surface of the left knee and a 1.5 x 1.0 cm crusted abrasion immediately below the left patella. Over the spinous processes of the lumbar spine is a 1.8 x 1.1 cm contusion. INTERNAL EXAMINATION HEAD: The galeal and subgaleal soft tissues of the scalp are free of injury. The calvarium is intact, as is the dura mater beneath it. There is congestion and pooling of blood over the posterior aspect of the brain from livor mortis. Clear cerebrospinal fluid surrounds the 1325 gm brain, which has unremarkable gyri and sulci. The brain parenchyma- is soft —and pink/red from refrigeration. Coronal scctiuns 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 of injury or other abnormalities. There are no skull fractures. The atlanto-occipital joint is stable. There is atherosclerosis of the vertebral, basilar and middle cerebral arteries. NECK: The anterior strap muscles of the neck are homogenous and red-brown, without hemorrhage. The thyroid cartilage and hyoid bone are intact. The larynx is lined by intact gray/white mucosa. The thyroid gland is symmetric and red-brown, without cystic or nodular change. The tongue is free of bite marks, hemorrhage, or other injuries. BODY CAVITIES: The ribs, sternum, and vertebral bodies are visibly and palpably intact. 50 ml of serosanguineous fluid are in each hemithorax. No excess fluid is in the pericardial or peritoneal cavities. The organs occupy their usual anatomic positions. RESPIRATORY SYSTEM: The right and left lungs weigh 750 and 725 gm, respectively. The external surfaces are smooth and deep red-purple. The pulmonary parenchyma is diffusely congested and edematous. No mass lesions or areas of consolidation are present. FOR OFFICIAL USE ONLY Law Enforcement Sensitive 3 2 EXHIBIT Law Enforcement Sensitive 00 25 0 4 - C I D 409 - 7 9635 AUTOPSY REPORT ME04-100 5 b)(6)-4 CARDIOVASCULAR SYSTEM: The 390 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 normal distribution, with a right-dominant pattern. Cross sections of the vessels show moderate calcified atherosclerosis of the right coronary artery (50% stenosis), the left circumflex (50% stenosis) and left anterior descending branch of the left coronary artery (50-75% stenosis). The myocardium is homogenous, red-brown, and firm. The valve leaflets are thin and mobile. The walls of the left and right ventricles are 1.3 and 0.4 cm thick, respectively. The endocardium is smooth and glistening. The aorta gives rise to three intact and patent arch vessels. The renal arteries have moderate stenosis of their origins at the aorta from aortic atherosclerosis. The mesenteric vessels are unremarkable. LIVER & BILIARY SYSTEM: The 1125 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 about 4 ml of green- black bile and no stones. The gallbladder mucosal surface is green and velvety. The extrahepatic biliary tree is patent. SPLEEN: The 80 gm spleen has a smooth, intact, red-purple capsule. The parenchyma is maroon and congested, with distinct Malpighian corpuscles. PANCREAS: The pancreas is soft 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 of hemorrhage are identified. GENITOURINARY SYS "I E,M: The right and left kidneys weigh 55 and 60 gm, respectively. The external surfaces are coarsely granular with multiple renal cortical cysts, ranging from 0.3 —1.0 cm in diameter. The cut surfaces are dark red-tan and congested, with uniformly thick cortices and sharp corticomedullary junctions. There is marked intra-renal atherosclerosis of the arterioles of the renal parenchyma. 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 100 ml of cloudy yellow urine. The prostate is normal in size, with lobular, yellow-tan parenchyma. 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 500 ml of brown fluid and rare food particles. The gastric wall is intact. FOR OFFICIAL USE ONLY Law Enforcement Sensitive EXHIBIT FOR OFFICIAL USE ONLY Law Enforcement Sensitive AUTOPSY REPORT ME04-100 0025 — 4 — C I 4 6 9 — 7 9635 The greater curve of the stomach is densely adherent to the duodenum. The duodenum, loops of small bowel, and colon are otherwise unremarkable. The appendix is present. ADDITIONAL PROCEDURES • Documentary photographs are taken by OAFME photographer. • Specimens retained for toxicologic testing and/or DNA identification are: blood, urine, spleen, liver, lung, kidney, brain, bile, gastric contents, and psoas muscle. • The dissected organs are forwarded with body. • Personal effects are released to the appropriate mortuary operations representatives. MICROSCOPIC EXAMINATION Selected portions of organs are retained in formalin, without preparation of histologic slides. FOR OFFICIAL USE ONLY Pmfnrrp.mont SpnRitivp EXHIBIT, FOR OFFICIAL USE ONLY Law Enforcement Sensitive 0025 -04-C I D469 -­ 79635 AUTOPSY REPORT ME04-100 b)(6)-4 OPINION This believed to be 61 year old Iraqi male died from atherosclerotic cardiovascular disease. The mechanism of death is often cardiac arrhythmia secondary to the diseased myocardium and conduction system. The presence of systemic atherosclerosis and the marked renal changes, including renal atrophy, is suggestive of the decedent having diabetes mellitus. The manner of death is natural. MAJ MC USA Deputy Medical Examiner FOR OFFICIAL USE ONLY Law Enforcement Sensitive EXHIBIT Law Enforcement Sensitive 0025 -0.+ -CI 0469 -79635 DEPARTMENT OF DEFENSE ARMED FORCES INSTITUTE OF PATHOLOGY WASHINGTON, DC 20306-6000 REPLY TO ATTENTION OF AFIP-CME-T PATIENT IDENTIFICATION AFIP Accessions Number.Sequence TO:. 2917546. 00 Name (b)(8)-4 OFFICE OF THE ARMED FORCES MEDICAL EXAMINER ARMED FORCES INSTITUTE OF PATHOLOGY SSAN:. Autopsy: ME04-100WASHINGTON, DC 20306-6000 Toxicology Accession #: 041072 Report Date: MARCH 15, 2004 CONSULTATION REPORT ON CONTRIBUTOR MATERIAL AFIP DIAGNOSIS.REPORT OF TOXICOLOGICAL EXAMINATION Condition of Specimens: GOOD Date of Incident:.Date Received: 3/3/2004 CYANIDE: There was no cyanide detected in the chest blood. The limit of quantitation for cyanide is 0.25 mg/L. Normal blood cyanide concentrations are less than 0.15 mg/L. Lethal concentrations of cyanide are greater than 3_rag/L. VOLATILES: The BLOOD AND URINE were examined for the presence of ethanol (cutoff of 20 mg/dL), acetaldehyde, acetone, 2-propanol, 1-propanol, t-butanol, 2-butanol, iso­butanol and 1-butanol by headspace gas chromatography. The following volatiles were detected: (concentration(s) in mg/dL) Acetaldehyde Ethanol Acetone .1-Propanol BLOOD. 69.Trace.Trace URINE. Trace.31.Trace.6 Trace = value greater than or equal to 1 mg/dL, but less than 5 mg/dL DRUGS: The BLOOD was screened for amphetamine, antidepressants, antihistamines,barbiturates, benzodiazepines, cannabinoids, cocaine, dextromethorphan, lidocaine, narcotic analgesics, opiates, phencyclidine, phenothiazines, sympathomimetic amines and verapamil bygas chromatography, color test or immunoassay. The following drugs were detected: None were found. b)(8)-2 1b)(8)-2 6)(6)-2 , PhD ; PhD, DABFT Certifying Scientist(b)(3)-1 Director, Forensic b)(3)-1 Office of the•Armee. Forces Medical Examiner Office of the Armed Forces Medical Examiner EX !BIT FOR OFFICIAL USE ONLY Law Enforcement Sttil 5 _ COD 6 9 — 7 9 6 3 5 CERTIFICATE OF DEATH (OVERSEAS) Acte de daces (IYOutre-Mer) — NAMF OF DECEASED (Last, First. Middle) Worn du decide (Morn at prdnoms) GRADE.Grade BRANCH OF SERVICE SOCIAL SECURITY NUMBER b)(6)-4 Puma Numere de !Assurance Sociale Iraqi Civilian ORGANIZATION.Organisation NATION (e g., United Stales) DATE OF BIRTH SEX Sexe Detainee in Iraq Pays Dale de natssance Iraq 121;MALE Masculin IN.FEMALE Feronin RACE Race MARITAL STATUS.Elat Civil RELIGION.Guile PROTESTANT OTHER (Specify)X CAUCASOID.Caucasique SINGLE.Celibataire DIVORCED Protestant Nitre.(Specifier) Divorce CATHOLICNEGROID.Negrlode MARRIED.Marie Calholique SEPARATED OTHER (Specify) WIDOWED.Veul Separe JEWISH.Jun hulls (Specifier) ._ NAME OF NEXT OF KIN.Nom du plus proche parent RELATIONSHIP TO DECEASED.Parente du decade avec le sushi STREET ADDRESS Dornicile a (Rue) CITY OR TOWN AND STATE (Include ZIP Code) Villa (Code postal commis) ME DICAL STATEMENT Declaration medicale INTERVAL BETWEEN ONSET AND DEATH Cause du daces. iquer qu'une cause per tigne) CAUSE OF DEATH (Enter only once cause per tine) Intervene entre renegue et le deices Atherosclerotic Cardiovascular Disease DISEASE OR CONDITION pIRECTLY LEADING TO OEATHf Maladie ou condition dirertemenl responsablede la modL! MORBID CONDITION, IF ANY, LEADING TO PRIMARY CAUSE ANTECEDENT CAUSES Condition morbide, s'i y a lieu. menant Ala cause primaire UNDERLYING CAUSE, IF ANY. SymptOmes GIVING RISE TO PRIMARY CAUSE precurseurs de la mod. Ralson iondamentala. 01 y a lieu, ayant suscile la cause primaire OTHER SIGNIFICANT CONDITIONS 2 AUTOPSY PERFORMED Autopsie elfecturre.plYES.Oui.riN0;Non MODE OF DEATH CIRCUMSTANCES SURROUNDING DEATH DUE TO EXTERNAL CAUSES Clrconstances de la morl susdleas par des causes exteneures Condition de dares MAJOR FINDINGS OF AUTOPSY Conclusions principal es de F NATURAL Mort naturelle ACCIDENT Mort accidenlelle NAirF OF Paninit riniqT.Nom du pathologisto SUICIDE Suicide ( A_ A HOMICIDE DATE.Date AVIATION ACCIDENT.AocIdent a Avion Homicide 6,14 Ityo,..1.----. 28 Feb 2004 • YES Dui. Ei NO Non GATE OF DEATH (Hour Dale de dbcbs (!'flew, 18 Jour. la moil, ranee) 08 Feb 2004 OF DEATH.Lieu de dices Tikrit, Iraq I HAVE VIEWED THE REMAINS OF THE DECEASE D AND DEATH OCCURRED AT THE TIME INDICATED AND FROM THE CAUSES AS STATED ABOVE. J'ul examine les testes rlsodels du df looter je condos qua le discos es' survenu a l'heure indiquee et is, la suite des causes enumerees ci-clessus. AlAkAF rIF AAFIlfrAl nrcirrR ;Nom du m&iidn miilairc ou d u medidn sanitaire TITLE OR DEGREEETice ou diplerne Deputy Medical Examiner LaHAUt;trrade INSTALLATION OR ADDR ESS.Inslallation ou adresse MAJ Dover AFB, DE 19902 DATE.Dale 7) ll M ill . e,4 c-,;pH 41 7-: v.,,,,_,__ Itart failure, atm Slate conditions contributing to the death, 40 not related to the disease or condition causing death. f Pricker le nature de le melodic, de le Pleasure ou de la complication qui a contribue A is mod, mats non la maniere de mount. tone qu 'en arrat Our come. etc2 Preciser la condition qui a oontnbue Ala mort, main n'ayant attain rapped avec la (naiads out Ala corn:Rion qui a pmvoque la mod. ¦.. ¦,.._.... ... ....._. . REPLACFS DA FORM 3S65, I JAN 72 AND DA FORM 3565-R(PAS), 26 SEP 75, WHICH ARE OBSOLETE. t APR 77 FOR OFFICIAL USE ONLY Law Enforcement Sensitive MEDCOM - 606 DOD 003669

Doc_nid: 
3337
Doc_type_num: 
72