CIA Copy of Autopsy Report: Manadel Al Jamadi, Abu Ghraib Prison, Iraq (Homicide)

' (APPROVED FOR RELEASE DATE: 06~Sep-2013
ARMED FORCES INSTITUTE OF PATHOLOGY
Office of the A-rmed Forces Medical Examiner
1413 Research Blvd., Bldg. 102
Rockville, MD 20850
1-800-944-7912
FINAL :MJTOPSY REPORT
Name: Al-Jamadi, Manadel
SSAN: NIA
Date of Birth: Unk
Date Found: 04 NOV 2003
Date of Autopsy: 09 NOV 2003
Date of Report: 09 JAN 2004
Autopsy No.: ME 03-504
AFIP No.: 2903283
Rank: CN, Iraqi National
Place of Death: near Baghdad, Iraq
Place of Autopsy: Mortuary
Affairs, Camp Sayther, Baghdad
International Airport
Circumstances of Death: This Iraqi National male was captured by Navy Seal Team #7
and died while detained at Abu Ghraib Prison in Iraq.
Auth01:ization for Autopsy: Office of the Armed Forces Medical Examiner, IA W 10
usc 1471
Identification: Visual Identification as per Investigating Agency
CAUSE OF DEATH: Blunt Force Injuries Complicated by Compromised ·
Respiration
MANNER OF DEATH: Homicide
..
I
I •
D (b)(3)
(b)(6)
2903283
FINAL AUTOPSY DIAGNOSES:
I. Blunt Forces Injuries:
A. Head:
i. Right periorbital contusion and subjunctival hemorrhage
ii. Contusions ofthe right side ofthe face and riose
iii. Parietal subgaleal and temporalis muscle contusions
iv. Lower lip and buccal mucosa contusions
B. Torso:
i. Multiple cutaneous contusions and abrasions
ii. Anterior and posterior chest wall contusions
iii. Sternal contusion
iv. Fractures of right anterior ribs 5&6 and left anterior ribs
3-6 . .
v .. Left lung contusion
C. Extremities:
. i. Multiple cutaneous abrasions and contusions
II. Ligature marks of the wrists and ankles ·
III. Remote Gunshot Wound of Torso (projectile removed from spleen)
IV. No significant natural diseases identified, within limitations of
examination
V. Toxicology: negative
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EXTERNAL EXAMINATION
The body is that of a well-developed, well-nourished 5ft I O"inch tall, I 65-pound
(estimated) Caucasian male. Lividity is fixed on the posterior aspect of the body. Rigor
is present and symmetric on all extremities. The temperature is cold, that of the
refrigeration unit.
The scalp is covered with brown hair with temporal graying and frontal balding. Facial
_hair consists of a close trimmed brown and grey beard and mustache. The irides are
brown and the pupils are round and equal in diameter. Petechial hemorrhages of the
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sclera are not present. The external auditory canals are free of secretions and blood. The
ears are unremarkable. The nares are patent. Injuries to the face will be described below ...
in the "evidence of injury section". The nose and maxillae are palpably stable. The .
teeth are natural. Petechiae of the buccal mucosa are not present.
The neck is straight, and the trachea is midline and mobile. The chest is symmetric. The
abdomen is flat. There is a well-healed 2 x ~-inch oblique scar on the left lower .
quadrant of the abdomen. There is a jagged irregular well-healed 6 x 2-inch horizontal
scar extending from the lower left quadrant of the abdomen across the anterior lateral
aspect of the I eft thigh. 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. Ana-genital
trauma is not present and the buttocks artd anus are otherwise unremarkable
On the posterior torso there is a well-healed vertical 3 x ~-inch scar in the midline over
the thoracic spine. There is a 3 x 2-inch vertical scar in the midline of the lumbar spine.
A well-healed 3-x ~-inch irregularly shaped scar is on the left lower back. A vertical % x
~-inch scar is on the upper aspect of the right buttock. A 1 x ~-inch vertical scar is
present on the left buttock. There is an oblique 3 X ~-inch scar on the lower aspect of the
left buttock. Injuries to the torso will be described below in the "evidence of injuries"
section.
The upper and lower extremities are symmetric without clubbing or edema. Injuries to the
palms of the hands and soles of the feet are not noted. There is a vertical6 x ~-inch scar
. on the medial aspect of the distal-left thigh, which extends to the upper left leg .. On the
dorsum of the right foot is a lx Y:z-inch scar. On the dorsal aspect of the left foot is a lx
Y:z-inch scar. Injuries to the extremities will be described below in the "evidence of
injury section".
CLOTHING AND PERSONAL EFFECTS
The deceased in unclad and personal effects are not present with body at the time of
autopsy.
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MEDICAL INTERVENTION
None.
RADIOGRAPHS
Postmortem radiographs are obtained and support the clinical diagno.ses.
EVIDENCE OF INJURY
I. BLUNT FORCE INJURIES:
A. Head and Neck:
Externally, a circumferential periorbital contusion surrounds the right eye with associated
subconjunctival hemorrhage of the eyeball. A I \14 x ¥.-inch contusion is on the right side
of the face, lateral to right eye. There is a :Y. x \1.1-inch contusion on the left si,Ie of the
· nose, immediately adjacent to the left medial canthus. A \14 x Y.-inch round contusion is
on the right lower lip. There is a I x \1,-inch con.tusion on the buccal mucosa of the lower
lip. Reflection of the scalp reveals bilateral sub galea! hemorrhages of the parietal scalp
with contusions of the right and left temporalis muscles. Injury to the skull is not
identified. The brain and spinal cord are without injury. Incision and layerwise
dissection of the anterior and.posterior neck demonstrates no injury of the anterior neck
and deep paracervical muscular tissues and no cervical spine fractures.
B. Torso:
On the upper lateral aspect of the left side of the chest is a 5 x 2-inch contusion. On the
upper quadrant of the left side of the abdomen is an oblique 5 x l-inch contusion. Just
inferior to this contusion is an oval3 x 2-inch contusion. On the posterior lateral aspect
of the left buttock is a 3 x l-inch linear contusion. On the mid aspect of the left buttock
is an oval3 x 2-inch contusion.
Internally, there are contusions of the muscles of the upper right and left chest walls.
Posteriorly, there are muscle contusions of the right upper back. There are fractures of
left anterior ribs three through six and right anterior ri.bs five and six. There are
contusions over the mid aspect of the sternum. The left lung is involved by a 5 x 3-cm
contusion of the anterior aspect of the upper lobe of the left lung.
C.Extremities:
On the posterior aspect of the right forearm is a linear ·6 x 2-inch contusion with a 3 x Y.inch
abrasion in its center. On the dorsum of the right hand is a 3 x z,iflch contusion and
smaller contusions overlay the dorsal aspect of the second and third right digits. On the
anterior aspect of the left upper arm is a o/.o x %-inch contusjon. This contusion is
continuous With the previously described injury on the lateral aspect of the upper left
chest. There is a 2 x l-inch contusion on the medial aspect of the left elbow. On the
posterior aspect of the left elbow is a 2 x 2-inch contusion. There are contusions
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overlying the dorsum of the left hand centered over the fourth and fifth metacarpal joints.
On the anterior aspect of the right thigh are three linear horizontal contusions. The most
proximal contusion measures 3 x \!,-inches. !immediately inferior to this is a 2 Y, x \!,inch
contusion and the most inferior contusion, located at the mid anterior thigh,
. measures 4 x \!,-inches. A vertical 6 x 3-inch contusion is located on the anterior-lateral
aspect of the mid right thigh. A 4 x 3-inch contused-abrasion overlies the anterior aspect
of the right knee. On the anterior mid left thigh is a I Y, x l-inch contusion. The left knee
is covered by a 3 x l-inch vertical contused-abrasion. On the anterior aspect of the left·
leg is a 7 x 2 \!,-inch irregularly shaped cont11sion. On the posterior aspect ofthe.distal
. left thigh, in the midline, is a 2 x 2-inch oval contusion. On the dorsal aspect of the left
foot are \!,-inch oval contusions overlying the second, third, fourth, and fifth
metacarpelphalangeal joints.
II. LIGATUREINJURIES:
The wrists and ankles show evidence of binding ligature injuries. On the anterior aspect
ofthe right wrist is a 2 x \1.1-inch linear horizontal contusion and on the back ofthe right
wrist is 2 x Y.-inch linear horizontal· contusion. Cut sections into these wounds show.
hemorrhage into the superficial subcutaneous tissue. On the front of the left wrist on the
lateral aspect is a I x :Y.-inch contusion, extending to the left thumb. On the back of the
left wrist is a 2 Y. x \!,-inch contusion, which extends across the diameter of the wrist.
Cut sections into these wrist wounds show hemorrhage into the superficial aspects of the
subcutaneous tissue. On the lateral aspect of the anterior right ankle is a 3 x 3-inch ·
contused-abrasion and on the posterior-lateral aspect of the right ankle is a 2 x l-inch
contused-abrasion. On the anterior aspect of the left ankle is 3 Yz x l-inch linear
contusion extending from the lateral to mid aspect of the left ankle. Incision ·into these
ankle wounds show hemorrhage into the superficial subcutaneous tissue.
III. REMOTE GUNSHOT WOUND OF THE TORSO:
Dissection of the spleen reveals a minimally deformed medium caliber jacketed projectile
within the splenic parenchyma. The projectile is surrounded by dense fibrous tissue.
INTERNAL EXAMINATION
HEAD:
Injuries to the subgaleal soft tissues of the scalp have been described. The remainder of
the galea! and sub galea! soft tissues 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 of
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Al-Jamadi, Manadel
2903283
injury or other abnormalities. There are no skull fractures. The atlali.to-occipital jointis
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
whitemucosa. The thyroid is symmetric and red-brown, without cystic or nodular
change. The tongue is free of bite marks, hemorrhage, or other injuries.
BODY CAVITIES:
Injuries to the chest have been described. The vertebral bodies are visibly and palpably
.intact. No excess fluid is in the pleural, pericardia], or peritoneal cavities. The organs .
. occupy their usual anatomic positions.
RESPIRATORY SYSTEM:
Injury to the left lung has been described. The right and left lungs weigh 650 and 485
gms, respectively .. The uninjured 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
CARDIOVASCULAR SYSTEM:
The 425 gm heart is contained in an intact pericardia! 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 no
significant atherosclerosis. There is 30% stenosis of the proximal left anterior descending
coronary artery. Otherwise, the remaining coronary arterles are widely patent. The
myocardium is homogenous, red-brown, and firm. The valve leaflets are thin and
mobile. The walls of the left and right ventricles are 1.4 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 and mesenteric vessels are unremarkable.
·LIVER & BILIARY SYSTEM:
The 1500 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 I 0 cc of green-black
bile and no stones. The mucosal surface is green and velvety. The extrahepatic biliary
tree is patent.
SPLEEN:
Recovery of a remote projectile has been discussed. The 130 gm spleen has a smooth,
intact, red-purple capsule. The parenchyma is maroon and congested, with distinct
Malpighian corpuscles.
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. 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 yellow cortices and grey medullae.
No masses or areas of hemorrhage are identified.
GENITOURINARY SYSTEM:
The right and left kidneys weigh 115 and 120 gms, respectively. The external surfaces
are intact and smooth. The cut surfaces are red-tan and congested, with uniformly 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 300 cc of yellow urine. The prostate is normal
in size, with lobular, yellow-tan parenchym!l. The seminal vesicles.are unremarkable.
The testes are free of mass lesions, contusions, or ot)ler abnormalities.
GASTROINTESTINAL TRACT:
The esophagus is intact imd lined by smooth, grey-white mucosa. The stomach contains
approximately 200 cc of dark brown partially digested food. The gastric wall is intact.
The duodenum, loops of small bowel, and colon are unremarkable. The appendix is
present.
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ADDITIONAL PROCEDURES
Documentary photographs are taken by Sgt,j I
Attending the autopsy is Special Agen~ I
Specimens retained for toxicologic testing and/or DNA identification are:
· vitreous, blood, urine, spleen, liver, lung, brain, bile, gastric, and psoas muscle
The dissected organs are forwarded with body
MICROSCOPIC EXAMINATION
Selected portions of organs are retained in formalin, without preparation of histologic
slides.
TOXICOLOGY
AFIP Accession# 035228, dated 24 Nov 2003
Volatiles: Blood-negative for ethanol
Cyanide: Blood- negative
Drugs of abuse: Blood-negative
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OPINION
Manacle! AI-Jamadi, an Iraqi National, died while detained at the Abu Ghraib prison
where he was held for interrogations by government agencies. According to an
investigative report, Mr. AI-Jarnadi was captured by Navy Seal team #7 and resisted
apprehension. External injuries are consistent with injuries sustained during
apprehension. Ligature injuries are present on the wrists and ankles. Fractures of the ribs
and a contusion of the left lung imply significant blunt force injuries of the thorax and
likely resulted in impaired respiration. According to investigating agents, interviews
taken from individuals present at the prison during the interrogation indicate that a hood
made of synthetic material was placed over the head and neck of the detainee. This likely
resulted in further compromise of effective respiration. Mr. Al-Jarnadi was not under the
influence of drugs of abuse or ethanol at the time of death. The cause of death is blunt
force injuries of the torso complicated by comprom.i sed respiration. The man. ner of death
is homicide.
CDR MC USN (FS)
Deputy Armed Forces
'Medical Examiner