Background: Sudden unexplained deaths in consequence of cerebral causes in adults are a critical section of the medicolegal practice. Berry aneurysms are eminent entities that cause a serious medical condition, like a haemorrhagic stroke, which leads to brain damage and may account for a quarter of cerebrovascular deaths. These aneurysms arise no symptoms for a protracted period or could rupture and bring out intracranial haemorrhage and sudden natural death, thus arousing suspicion. Aim of the study: This case highlights one of the causes of sudden natural death due to cranial haemorrhage. Methods: Our case was male 40 years old was found dead on the floor of the bathroom in his home. He has no history of smoking or medical record with an average body built, no risk factors were found. The prosecution report stated that the manner of death was unexplained. The case had undergone full external examination and X-ray for the whole body then medicolegal autopsy. Laboratory investigations were done to show if there was any drug was taken to assist or cause death. We had reviewed the literature concerning the case and attempted to confirm the legal scenario. Results: On external examination, abrasion was found on the nose and knee. The xray didn’t demonstrate any fractures or foreign body. Urine drug screen revealed negative results for the drug of abuse. The autopsy showed rupture of berry aneurysm at the circle of Willis which and subarachnoid haemorrhage in addition to intraventricular and pontine haemorrhages. Conclusions: Meticulous examination of such cases could lead to a more precise task of the reason for death, which may have significant implications for surviving family members, and could initiate a better comprehension of the natural history of these intracranial lesions. Keywords: Aneurysm; Circle of wills; Intracranial haemorrhage; Sudden death; Hypertension.
Sexual assault is a complex situation with medical, psychological, and legal aspects. Victims should be examined by a specially trained medico-legal examiner to collect evidence and avoid multiple examinations. The use of colposcopy in child and adult sexual assault cases is becoming increasingly more widespread however; it is still not a routine aspect of all examinations in most countries. The present study aimed to evaluate the importance of using the colposcope in the examination of the sexual assault cases admitted to the violence against women and child clinic in the Forensic Medicine Authority in Egypt. The study included (150) cases, divided into two groups according to age: Group A (1 to 18 years) (124) male and female children and Group B (19-40 years) (26) females. -General, then local examination with the naked eye and colposcopy had been performed. Internal genitalia was examined by using disposable plastic Casco in adult non-virgin victims only. -Vaginal and anal swabs were collected for the detection of seminal stains. The results of the colposcopic examination revealed a significant difference in both negative and positive results when compared to the other methods of examination (naked eye, swabs, and clothes examination). Colposcopic magnification power with high resolution and illumination light permits to discover microtrauma which may not be discovered with a normal examination by naked eyes. Colposcope seems to be an important noninvasive tool for the examination of children and adults when sexual abuse is suspected. Its documentation could allow for supervision, teaching, and second opinions in an ethically difficult setting. The colposcopic examination should be introduced to all forensic departments in Egypt to be used as a routine aspect of all sexual assault examinations. Future studies are recommended to be conducted on a national scale. Keywords: Sexual assault; Colposcope; Toluidine blue dye; Examination
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