Drug-related deaths with evidence of intracorporeal drug concealment at autopsy: five case reports

Intracorporeal concealment of illicit drugs is a rare observation at coronial autopsy examinations. The article reports 5 cases of accidental drug overdoses at the Westmead Coronial Morgue, Sydney New South Wales, over a 6-year period with evidence of intracorporeal drug concealment known as body packing or body stuffing. Three different forms of anatomic concealment of drugs are illustrated, Case 2 involving therapeutic medication in the form of glass ampoules for parenteral injection not previously reported. Three deaths were the result of acute toxicity due to polydrug abuse rather than as a consequence of the body packing behavior and rupture of the drug packaging, with the intracorporeal drug concealments an adjunct finding at the autopsy examinations. The cause of death in Case 3 was the direct result of acute cocaine intoxication due to rupture of drug packages in the rectum and mucosal absorption. The article details forensic sociological aspects of drug concealment and subcultural group human behavior that can assist in providing information for the initiation of investigations.     

The use of thoracolumbar and hip joint dysmorphism in identification

A case of roentgenographic identification of a deceased person is presented. Comparison of antemortem and postmortem radiographs of the vertebral column and hip joint, for the purpose of identification, was based on the deceased medical history, and the fact the deceased was endentulous, and fingerprint comparison was not feasible. Evaluation of anatomical variants, due to the effects of degenerative disease, provided positive identification in a visually unidentifiable deceased person.