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Forum URL: http://www.webbsleuths.com/cgi-bin/dcf/dcboard.cgi
Forum Name: more and more JBR
Topic ID: 2105
Message ID: 1
#1, RE: No recent or remote ... trauma
Posted by jameson on Jan-27-04 at 04:47 PM
In response to message #0
On the anterior aspect of the perineum, along the edges of closure of the labia majora, is a small amount of dried blood. A similar small amount of dried and semi fluid blood is present in the skin of the fourchette and the vestibule. Inside the vestibule of the vagina and along the distal vaginal wall is reddish hyperemia. This hyperemia is circumferential and perhaps more noticeable on the right side and posteriorly. The hyperemia also appears to extend just inside the vaginal orifice. A1 cm red-purple area of abrasion is located on the right posterolateral area of the 1 X 1 cm hymeneal orifice. The hymen itself is represented by a rim of mucosal tissue extending clockwise between the 2 and 10:00 positions. The area of abrasion is present at approximately the 7:00 position and appears to involve the hymen and distal right lateral vaginal wall and possibly the area anterior to the hymen. On the right labia majora is a very faint area of violet discoloration measuring approximately one inch by three eighths of an inch. Incision into the underlying subcutaneous tissue discloses no hemorrhage. A minimal amount of semi liquid thin watery red fluid is present in the vaginal vault. No recent or remote anal or other perineal trauma is identified.

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I see nothing about old bruises or scars or injuries.

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Genitalia: The upper portions of the vaginal vault contain no abnormalities. The prepubescent uterus measures 3 X 1 X 0.8 cm and is unremarkable. The cervical os contains no abnormalities. Both fallopian tubes and ovaries are prepubescent and unremarkable by gross examination.

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Nothing here either - the size is not problematic - there is no evidence of prior abuse here. Nothing.

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Vaginal Mucosa: All of the sections contain vascular congestion and focal interstitial chronic inflammation. The smallest piece of tissue, from the 7:00 position of the vaginal wall/hymen, contains epithelial erosion with underlying capillary congestion. A small number of red blood cells is present on the eroded surface, as is birefringent foreign material. Acute inflammatory infiltrate is not seen.

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the "chronic inflammation" has been described as an irritation consistant with a little girl not wiping herself properly - - - a vast number of little girls have redness and irritation in that area because of that.

There was NOTHING in the autopsy that described a child who had been sexually abused before the night of her murder.