ARMED FORCES INSTlnrTE OF PATHOLOGY
0I!ke oftll' Armed Forca MediClI E:IlIIIIIII~

1413

R~h

Blvd.• Bld&. 102

Roc:kvilte. MD 2OBSO
1·301·319-0000

'INAL AUTOPSY REPORT
Name; Abdulbrim. MohlllJlfDed AIlWI!'
ISN: (b)(6)

-

Otic OfBlrth.:%)fJ) -1976

Dlte or Dc.th:

2007

DaleofA~y:

3 Mliy 2007@12oo
Dale of Report: 23 May 2001

AUlopsyNo.: 1(b)(6) ~
AFIP No.t~(§)

---.J

Rank: Detainee
Place of Death: Irllll
Place of Autopsy: PO" Mol1\lar}'
Dover AFB. DE

CiralllUta!lca o(Dat,,: This 30 )Ur-old lraqi detainee was reportedly disc:oveml by
odJcrddlinea: unraponsive and suITerinB from multiple sharp and blunl fon:e injuries
Alltboriuoflo., (Dr Alltopi)': Office ohhe Anned Fon:es Medical Exarniner, lAW 10
USC 1471

Ideatillc:alioll: Presumptive identif~ is established by internmenl serial n\llllber.
Post-mortem fiJ!3erprinU and a spec:illle.llUilable for DNA analysis -e obLlined.

CAUSE OF DEATH:
MANNER OF DEATH:

MEDCOM 0895

ACLU Detainee DeathII ARMY MEDCOM 895

AI1rQPSV REPORT (b)(6)
AbdllllairilD, Mob.mmed AD".r
FINAL AUTOPSY DIAGNOSES:

I.

Sh."
A.

2

,

.ad Billal Forft lajllrle.:
lad.ed "ouad or the left dlUI
I.
Wouad ch....cterlsdell: % K 1l8-iacb leaatb, ODe
.ad ooc
blunt edle, "ltIl ....ppro.lm.Ce deptb 01 Jtraetndoaal
Y.-iGeb
2.
laju..,. Co: Skia .1)CI.ubnltueo.. tlilue
3.
DlrecdOll: Froolco back, "ltbolll.lpiftc:lloClcftlripC or
upldoWft dcv"tloo
<t.
A....oc.. lcd laJuritl: HeDlorrtl..le .10111 the "ou"" p.tb

.1Ia"

B.

St.b "ollad oflhe Itft ebelt:
I.
Wouod ebaracterblla: 11JlxlJ8.lacb lea(l'" OIle
.ad
ooe blont edp:, "ICb.1I .pprodm.te depch olpeoetnltioa ors
*-Iaeha
1.
lajury 10: SkiD, 'UbcaIallCOWi duue, left .aCeriar]'" unereDlll.1
sp.ce, perlcllrdllllD.left """,cride (3-lnu derect), periclrdluDl,
left lowfit' lobe ortbe Iuol (lwo ddeeb, clcb I '1..1neh), kft
pottcrillr -r' Iotm:o.tal.p.cc
l.
Dlreetloo: Frolic 10 back lod downw.rd, wltbolll aip.IIkInt
rllhllleft dcvlltloa
<t.
Auod.Ccd lajurle.: Ltft heDloUioru (500 1Il1), IIIceralioo 01 lIIe
dbtllltft IOlerior dClaDCU.. coron• ..,. .rt«y

C.

Stab wOllad o!tlle left Ch"l:
Wouod ch....cCCI'lItkt: Z ~ x IJI..lnch Jclllfb, oae .b." ...d
oae blual celie. wilh.a .pproxlm.Ce deplb orpeaeCralioll 016Inches
Z.
laJury to: Ski.., ..bcUC,"eolU tlsaae,lcfl .nlerior]'" Ialc:reOltai
.puc, pe..x.rdillm, left "tIItrlde (I 1I4-laeh defect),
peTlcardiUDl, left hemldllophrap' (l-llleh ctclecC), left lobe orlbe
liver (1 ¥--'ach derccl), .tom.c' (Ia-Iocb derect), left poIlenor
SUO Lalc:rrottll.pace
J.
D1rectloa: Froat to b.ck .ad dowaw.rd, wlCbou' .lplflelaC
ripllld'l deviation
4.
As$ocl.lceI laJurla: Left helllolborax (500 .. I), "ccralloa ollbe
dbtilieft .nCerior d_diol conm.ry .rtery

.ha"

1.

D.

SI.b wound orcbe rip! apper qll.dl'1lllC of the .bdomttl:
I.
WOIIQd t:b.ruterbcla: I ~ K1J1..lncb lea&tb, one .harp IOd
one bluaC edit:, wllb III .pprolim.le depth orpeoetnttoa or I
In:-tacbet
2.
1-.llIryCo; Skia nd .llbcatlllCOUl tiIIue
3.
Direclloa: FroalCo back. wlcboul.lpfieaoC JcftIripc or
apldowD deviation
<t.
......odllCed Injuria: HeDlorrtl..ge .Ioallh~ wOllad p.lh
MEDCOM 0896

ACLU Detainee DeathII ARMY MEDCOM 896

AUTOPSY JlEPORT (b)(6)
A.b6IIlkartlDl, MolI....ed AJl.ar

E.

511b _,Id ofUle len IIpper qlladn.' oflb lbelOIDeIl:
1.
WOIl.' tb.t1lderiltia: I Yo II: 1.JI..u.e~ kqtJl, Mle IUrp and
ODC blaal edCt, wllb I' IpproJ:bBlte depl!l ofpeattnliotl of4'-dlell
1.
IIJury 10: 51tln , luballl_llIlluue, olleulalll, ptIDU"CU (I \0\latb tkfctl), II_'e"., dell I~ IliaC tololl
3.
Dlrtd!oll; '1'01I110 buk, wkbolll Ilplficllll IdlIript or
lip/dow. 'e'rUItion
...
Auotlaced luillriel: HemorrblCC Iiollc,lle wOlllld patll

F.

81ul1 force I.JaM oflb.Ile••:
I.
Lac..... tIo. riC'u "Rbe", I I4x \4-I.eh, wllb HfTIIUlldlaC
Ibruloll, I Yo II: Yo-Iutb, III' toutlllloD,'. I Yo".II:lIel1
:t.
Lat.nticNl riC1l1 lIppereyeUd , Ixl18·lacll
3.
PttKlllaillemomacc. ripl eye
4.
COllllllloa rlpl preauricular lrea, 1 Yo. 1.lutb, wllb
ulld.rfyla11 II: I \4-Iadl defect oftbe "lIporal.kull wilb
fracture of lite lipllcJlpotlll baale
5.
Stellale lateratioaleft parietlllt.mponlltlllp," I: up to 3lutbn, .itb uud.r1yluC3 x 1-ludl d.fect of Itr.e tcmpof1ll. Ikull
wltb mulliple tbdurea If lb. left lemporal bOil.
6.
CODtullOD left Itmpo...IKIIlp , 3x :t·ladlct
1.
Abrallolll.ftear,II%·llltb
8.
"lace fracluru (2) ofUIe a.lerior Illd middle craalal fonae
,.
Mailipl. fradura oftb••pbeaokl boH
10.
Frac:Cu" of IIII richc Z)'lOm.. rich' orbit, lad liplDI..1boae
II.
Fradu" of III. kft zypIlll and left muml". .fa...
11.
Dltr\u••ub....tboold be1norrllqe

II.

Addllklalilajuriea
A.
COIlhl.Io., left .pper alnJlky,' ""lacbes
B.
Abrallo, alld tolllllJiou, Jen lower IlI:lnmlt)'. nllpac from II ~
iDell I.... 1 'h-tucbes

111.

No .lplnealla.hanl.beda Id.adrlcd wilbia tile IImllltiou of tills .ulol")'

V.

I'eadl'yluc .Im.r 1I1t_:
A.
Scan 01 Ibc ripl.lde II.Ild .!.dlme offbe llIdomlD, riabll... I l l ' Idt
..rictll.Cllp
B.
Tlltoc(b)(6)

MEOCOM 0897

3

ACLU Detainee DeathII ARMY MEDCOM 897

(b)(6)

•

AUTOPSY REPORT
AW.allut. . Moballl.~ Aa"lr

VI.

TOllko)oc (AFIp):
A.
Volltilet: No dUDOI ill ddedlNl Ia. th_ blood lad Yl,reou fluid
B.
Dnlp: No tel"«Dcd dnap of.b_ OT IIIlN1latiou." fOQad IQ tile

....,

C.

ea.... M_dde: 11Ie cal'bollyllellloaJObla ..hlntioa la tbe Wood

O.

.1%
eylalde: No C)'IDIH" ddcdcd III tile blood
EUEBNAL EXAMINATION

The body b thol or. well-de.....:loped, well-nourished Ippeuina. 67·i/lch till. 19S·pound
Middle Eutem mole whose Ippeonnce is consistent with the reported lie or30 yean..
Lividil)' is on the posterior 10rso and fixed. Ripis JlUSina. and the ter1lpel'It\n illhII
ohlle refriserotion unlt.
The ICI.Ip is covered with 2·ineh lona straiiht brown hlir in a nonnoI distribution. There
is a I·iach sear on the left parietll SClip. F-=ili hair COlISists ora mollS!lChc lind beard.
The irides 11K brown, the comcae 11K cloudy, the rilhl OOnjuncUVi ' - peteehili
hemonbage. the left coqjWK:liVi is pile, the Kienle 11K while IIld the pupil' are roWld
and equal in diameter. There is blood in tile left exlcmll auditory canol. Th, ri&ht
CXIeTtIII.uditory CIIIIi iI cl..... The earl are not pim:ecl. The IIIIU Ire pllent. The nose
and ITIIXiIlIlC are ~pably stable. The teeth appear J\lltun.lllld In r.ir condition. with

some IIIO~ lIliss.illlThe ned: is straight, and the trachea is midline and mobile. The ehcst Is symmetric. The
.bdomcn is soft. and slighdy protubefant. 'fbc:ft Ire two ~ineh scars on the risht side of
the abdomen and. 9loS-ineh __ on the midline of the llbdomen.. The lenltsJllln:! tI'IMc
of.llOmlI1ldult male. Pubic t-ir is pracnlln • nonnaI distribution. The bunocks IIld
MlI! are W'U'CI'lWbble.
The~.and lower ClItremities are mnmetrie and witbout elubbina orcdc:ma. There is
a tanoo (b)(6)
Plcue refer to the
evidence of injury section for inj\ll'}" 10 the Iadllld 1onO.

CLOTHINC AND PERSONAL EFfECTS

The (oIJowina clodlina ilems and pa1OI'lIl dfeds are pment on the body II the time of
IUtopsy:

•

None
MEDICAL ImRVEl'I"IJON

•

None

RADIOGRAPHS
A oomplCle tel of postmortem

•

mioJlWPhs is oblIincd and dcmonmates the followilll:

Skeletal trIWN IS described bcJow
MEDCOM 0896

ACLU Detainee DeathII ARMY MEDCOM 898

•

l

EVlpENCE or 1NlURY
I.

Sharp and Blunt Foree Jnjuriel:
A.
Incised Wowxl of the Left Chest:
On the left chest, Ioeated IS-inches below the lopofthe he.<! and cenlcnld 2.
inchelleft of tile Ulterior midline, is an incised wound wbidJ measwa 'I. II IIIinch after re-Ipprollinwion. This WOUIld is horizontaIlyorienled. The medial end
II blunt and the I.ten! end is sJwp. The incised wound pc:netl'Il.CS wnw
subculll'lC<lll5 lissue. The wound pllh is direeted frontlo t.ek, wilhoul aianifltlllt
left/riiht or up/down deviation, with an Ipproximate depth of pc:nctntioft of ¥tinch. AaIocialed with the incited wound is hell10tl boIgc alo", the wound palh.
8.
Slab Wound of the Left CheSl:
On the left thc!t.loeated 16 \4-inchcs below tbe lOp ofihe bead and centeml)·
indies left of the antmor midline, i$ a stab WOUlld which ITItUIIrQ: 2 III. 111illCh after ~Ipproximalion. This wound is obliquely oriented llona the 2
o'clock axis. The. o'clock end i. blunt and the 2 o'cloek end II sharp. The II.Ib

to'

wound penetralCs skin, subcutaneous tissue, \he anterior left 3" intCl'OOSlal.pIC:e,
pericaRli~.lcft

ventriele oflhe hwt (J-inch def«l). pericanllwn, lower lobeof
the left IUIIj (two defects, eac:!l 1 y..inch), and the posterior left .,. intefCOSlfll
spIK:e. The woond palb is di~ front to t.:1r. and downward, without
significanllcftlrig,hl dcv;lItion, with an lpprOJtimate depth of penetl'1Ilion of .s ~
iaches. As:Iociatcd with tIx: stab wound is left hemolhorax (.500 m1), tralUeClion or
the disW left ~lCriordeseendina corollll)' ltlcry, and hemorrl1aJe alona the

..........
C.

Stab Wound orthe Left Ches!;

On the left cbest,locatm I?-Inches lielow the lop or\he head and centerod ) %inches left orthe ~terior midline, is a JIab wound which measures 2 V. x III-inch
after re-ilpproximation. This WUIIIld is horizontally oriented. The medial end I.
blunt atId the Iala-al end Is sharp. The Slab WOUlld penell'llles skin, I\lbc~
tiuue,!he anlerior left)" inten:osW spece, pericardium,left ventricle orlile bean
(l 114·inch deJed), perieardium, left hemidiaphtqln, left Iolie or!he Iiver(2 Yo.
inch dcrcet), IlOn'\lll:h (l12«reec). and the posteriM left lOll inl:m:osIa1 spKe- The
wound path is dim:led fronlto blcll and downwwd. withoulliardflellll Jd\friaht
deviation, with an approximate deplh or penetration or 6-inebel. Associated with
!he slab wound is left hernothoru (500 m1), tnnIoction orlbe distal left ~terior
deseendins COI'Onary Il1ery, and lIallOlThale a1oo& the wound pmh..

D.
Stab Wound orthe Abdomen:
On the riihl upper qWldrant orllle: abdomen, located 2-4-inchcs below the top or
the held and centered 2·inchcsright orthe ~lCrior midline, is. JIab wound
which mC6l\ll'el I Yo x III-inch after rc-approximatiOll. This wound is obliquely
orienled aIonl the 2 10 I o'clock axis. The 8 0' clock end is b1unl and the 2 0'
clock end issl\arp. The mb wolUld penetrates tllbl and subculaneOUS lissuc:. The
wound p8th Is dltKtcd frantlo bKk withoulsipUfican! upldown or Ieftlriahl

MEDCOM 0899

ACLU Detainee DeathII ARMY MEDCOM 899

•

A.UTOPSY RUORT (b)(6)
A.bdlllkllri., Moba• • ~ AaWIIr
d~iation, with IItl llppIOXilMlc deplh of penell'lltkm of I ~inches. Associllted
with the stab wound is hetnort!Iqe: ilion, the wound path.

E.
5ab Wound of the AbQr)mcl1:
On the ~ft upper qulldrant ofthe Ilbdomen, IoeIItcd 24-incbc$ below the IOpofthe
belld lind eent~ 2-inch" lell. of the anterior midlinc,1s a,..b wound which
measures I % x III·inch after re-apprmilMlion. This wound it obliquely oriented
along the 210 a o'dock. Dis. The. 0' clock. end is bl\lllt and the 2 0' clotk end is
JIwp. The sIIIb wound penctntes skin. SUbeutllllCOllS tissue omentum, fIIIll=85 (I
Yrinch defe~t). mesenlCfy anddcscmding colon. The wolllld path is direeted front
10 bKk without signlf)Callt upldown or Ieftlrighl deviation, with an IJIIlfO'ldmIIIe
deplh of penetration of 4-inl:hes. Associated with the Slab wound is hell1Of'ttlale
llIona the wOUZId pa\h.
F.
BIIlI'lI Foree Injuries of the Head lind Extremities:
The:re I, alacen.tion ofthc right ,ilk of the forellClld, I Yo x %-inch, with a
surroundln, c:onl\lSion, 2 x I Yrinche:s, and abruion. I K x Yrinch. Then: i, a
laccntion of the upper righl eyelid, I x III-inch. The:re is a contusion of the risht
pm.uriculll' aru, I K x l·indl, with 11II underlyina2 II I V.-incl\ defeet of the
tempotal bone with fnlctwe of the tempon.l bone. There is a stellate t.omtionof
the lett pariel.lL'lemporaillCll1p," x up 10 ]·incbes, with 11II underlyi.. 3 x 2·
irdle:sdefccl of tile temporal bone with multiple n.ctures of tile lemp<n/ bone.
Then: is a contusion of the left temponl Jt&1p,] x 2-inchc:s. There is 11II abraion
of the left car, I II '/..indl. ~ are binae rr.ctW'Cs of the anterior lind middle
ClaIIW fossae. Then: ~ mllltipJe hctures of tile sphenoid bone. nen: we
multiple billllenll facial fnetures. llsere i. difMe sublll8ClInoid hemonhlge.
There is a conlllSion oflbe left ann, 6 II 4-inches. 'There is an abrasion. ] x I-inch,
lind conlllSions, ranaina fi"om I x Yz.lnc:b to" x 2 Yrinchcs. of the left lea.
ImBNAL EXAMINATION

HEAl>

See "Evidence oflnjwy". The 1330 gm brain has unremarbblc gyri lind sulci Coronal
lCCIionsdemonslnle slllIlJI demuulion between white and grey maner. The ventricles
.e of nonnaIlizc. The buII1 aan&lt.. brlinstem, cerebellllJrl, and llI1erial systems ~
fm: ofinjwy or other non-lrallllllltic abnonnalities.

lfW"

The thyroid eartilqe and hyoid bone ere IIl\KL ne larynx i, lined by inlaCl white
mllCOA. The thyroid aIand II; symmetric and rcd-brown. without cystic or nodular
change. The toniue i. fTec of bite rrwb, hen.... ,I..e, or other Injuries.

BOOr CAyITIES:
See -Evidera::e of Injul)'~. The ribs, stmlllln, and vertebn.J bodies IIl'C visibly and
paI... bly inllCL No excess nuid is In the peric:.dial or peritoneal c:lvities. 1be oraOCCI.lpy their \lIlIoIII .....tomic positiolll.

MEOCOM 0900

ACLU Detainee DeathII ARMY MEDCOM 900

AUTOPSY RUORT (b}(6)

7

Abd.11wia, Mou• • cd ADlnlr

RfJiPIRAIOR'f SYSTEM:
Sec .. EYkb..... ofllVury". The riiht aad left IUlIiS weijh 410 and 240 am, rcsptetiVilly.
The llllinjuml extmll! .wfeca are IIDOOlIlIllld deep red.purple. The uninjured
pull11OMl)' pII'endlyma i. modenltclYeonaesUd and edemalOUS. No areas of
COnIIllidatIon are fJRSCl'It.
CARQIOyASCULA8. SYSTEM;
Sec "Evidence of1rliUl')'~. The heal1 weiJhs 320 am. The unil\iuml epicardial SU1face is
ImOOIh, with minimal fat investmenL The uniDjuml COfOn&f)' II'leries are present in a
nonnaI distribution, with a riatu-domillllU penem. Cross sections of !he vesseb show 110
I\heroJCI~i •. The uninjured myocardium II homogenous., red-brown, and finn. The
valYe leat1ecs are thin and mobile. The uninjlRd endocardiwn issmooth and alislenini.
The.ma aiYd rUe to three iruact and pllent areh vessels. The n:naI and ~
v_I. are Illvemarbble.
LIVER I: BIUARY SYSTEM;

See MEvidenceofInjUl')'''. The 1900 am liver has a smooIh eap$U1e and a shup &ntt:rioI"
bonier. The parenc:hym.a is t&n-brown llIld cons: lted, with the lISUal lobular an:hitecbn.
No ~ lesions or other l\On·lrlumatie abnormaiitiClIn: seen. The pUbladdet conlliN
S ml ofareen-black bile and 110 stones. The mucosal surface is areen and vdVdy. The
extrahepatic biliuy uee is patml
SPLEEN:
The 190 am spleen Iw. smoolh, inlxt, rcd-purple <:lpSUIe. The pwendlyma is l11lI'OOll
and eongested, with distinct Mllpighion 0DrpllX1es.

PANCREAS:
Sec MEvidence of Injury". The uninjured plIlttellS is linn llId yel1ow.1&Il, with the lIJUlI
lobular orchitectwe. No m,," lesions or other non-lJ1wnotie abnormalities are ,wen.

ADRENAl S:
The right and left adrenalillands: ore 1)1M1etri<:, with briallt yellow cortices IlId Irq
mcdulroe. No muses or areas ofllemontlage lie identified.
GENITOURINARY SYSlEM:
The riaht lI'ld left kidney, weish \\0 llId \20 gm, respectively. The extemllllW'fllCes of
the kidneys are intad IlId smooth. The cut turfa<:et are rtd·llII and conJeSled, with
unifonnly thkk cortices and sharp eortk.omedullary jW1<:lions. The pelo,a are
unmnarbbIe and the utelel'S are normoI in course and caliber. Grey_pink bladder .
I1UICDIM overlies on. \nIll:t blodder _II. The bll4lkr contolns 100 ml of clell' ~llow
urine. The prostate i' nonnaIln s1Je. with lobu", yellow-ton pImldlyma. 'The sc:minol
wsicles.e WRnWl<oble. The lestes are flft ofmus lesions, contusions. or other

abnonnllli1ies
GASTROINTESTINAL TRACT:
See "Evideneeoflnjwy". The esophqus is intoe:t ond lined by smooth, grey-white

m\,ll;lO$L The $iOmKh eontolns lppfOllimIlely 100 ml ofduit &reen materiaL The

MEOCOM 0901

ACLU Detainee DeathII ARMY MEDCOM 901

AUTOpsy REf'ORTL(b){6}
~
AbdlllkllrU:l, Mohmmed AD....,

•

,....•.

duodenum, loops ofsma!1 bowel and uninj~ toIon are wuerrwbble. The IIppendill is

MUSCULOSKELETAL SYSTEM:
See "Evidence oflnjury". There are no non·traumatic bone or joint a'ooonnalities.
Skeleu.l muscle development is 1IOmIaI.
ADDITIONAL PROCEDURES

•
•

Documentary photographs are wen by OAFME stafl'photographen
Full body radiographs are obtained
• Specimens retained for toxicologkalleSling and/or DNA identification are:
spleen, liver. blood, !min, bile. urine. gastric contents, vilrCo\lS. psoas m1lSlCle,
adipose tissue, luna and kidney
• The dissecld orpns are forwarded with body.
• Seleeted portions oforgans are retained in fonnaJin, without prepaRtion of
histolosicaJ slidn
• PetmIUIl effects are released to the appropriate mortuary operations
tq)l'CSmtllives
OPINION

This 30 year-old mal,(b}(6)
ldied ofslwp and blWl\ force
injuries. Slab wounds of the left ches1 (8) and (C) Injumt the hean and Ie!\ lung.
resultina in massive bleedinl into the left chest cavit)" and also injured the liver and
stomach. StabwoWld (E) oflhc left upper quadrant oflhc abdomen injured the omentum,
mcsemery. pancreas and large bowel An incised wound (A) of the left chestand stab
wound (0) of the nshl upper quadrant of the abdomen did nOl injllre vital stnICtures but
contributed 10 ovel'llll blood loss. Blunt force iJliuries of the head resulted in dilTux
bleeding on the surface of the min and multiple skul1llld facial fractures. including two
hinge li'actures. Toxicological testinl for ethanol, drugs and cyanide was neptive. The
CIllboxyhemoglobin $lIturation was I%. The manner ofdeath is homicide.
(b)(6)
(b)(6)

(b)(6)

Medical Examiner

~(bij)(~6~)=:JIJ««edlcaf£iim"-iner=--

MEDCOM 0902

ACLU Detainee DeathII ARMY MEDCOM 902

•

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,

eo-~ DIllOw_DE

(b}(S)

~ _.-. _.

-.-

I

~

.

_...

MEDCOM 0903

ACLU Detainee DeathII ARMY MEDCOM 903

.

.~

..

ARMED FORCES INSTITUTE OF PATHOLOGV
omee ortlae. Arllled FolUll Medle.1 EII..lan
1413 Resean:h Blvd., BId,. 102
Rockville, MO 201SO
1·301·319-0000

PINAL AUTOPSY REPORT
Name: BIB Mmlld, KIII'WM MuhImmId AJi
ISN:.lb~(6)
I
l {b)(6) '1980

Autopsy
No.:"",,'"'"__,
APIP No.: (bl(S)

DllcofDcathlib)(6) 2007
o-c of AlI1opsy: 13 Apr 2007@ 1200

Place of Death: Inq
P1ac:c of Autopsy: POI1 Motn.-.y

Dale ofRepon: 19 June 2007

Dover AFB, DE

o.tc ofOirth

Rank: Detainee

Ct~III1lII.aees

of Dhltll: Thil 26 )Ur-old Il'Ilqi 6elainee was rowd WII'CSpOIISivc by
other detaiDtel mld subsequently ~moved from Iife-suppon4 days \&tu after rnedk:aI

inten'elliion.
Aulboriudo. f.r Autopt)':
USC 1471

orrlOC: oflbc: ~ ForteS Mcdieal Examiner, lAW 10

--

IdeotU1CllIioIl: Presumptive identification is CSlIbIiJhed by I wrist identifJqltion bMd.
Poll·morltm Iinaerprin~, dall&! QAlllination. and. 5fXCimen suillble for DNA analysis

CAUSEOPDEATH:

Ldt Yhltrkular Hypert~pbywith Foul
S.budocardlal h,lenttttal.ad Rqll.eaaall
J1b,....

MANNER OF DEATH:

MEDCOM 0904

ACLU Detainee DeathII ARMY MEDCOM 904

::==J

AUTOPSY REPORT (b)(6)
Mahlllud, KarwaD Muhammad All

2

FINAL AUTOPSY DIAGNOSES:
I.

No evldm« of .Igolficut receot Injury

II.

E"icIeo« or Datunlll disease:
/It..
Diffule ueuronal hypoUdilehemlc: challl" illihe ctrebrlllll ....d
«rebdilim
B.
C.rdiolDtpl)', 440 l"JDf
C
Subeodoeardlal coaplatWt necroai. alld nauldlocal.iQPt cdI
cODlnlletloa band lI«redI,IeR "colride
D.
Len ..mlrkullt bypertrophy wlt1l (ocal.ubtndocardlal ialtnUti.1
and replacemenl fibrOIn
Eo
BroDcbopaeullloola wllh bilaleral puln101ll1')' tolllfttloQ (1010 cram.
ri&ht,8JO cram. len)
F.
BU.tenl pleunll etrulioD (100.1 rI&ht, 50 ..I let!:)
G.
Perlcardial effu.ioa (SO ml)
H.
Peritonc.1 elJullon (SO ml)

III.

E..ldmce or medical internntloa:
Nal(Jpltrk: lube, oropllrie: t1Ibe, mdotrubeal t1Ibe,lll"le-bore
lalnnnoul ulhetft' len Deck. Foley calbeter, multiple oeedle
pllDclllre .lIn upper aad lolrertJltRmlliel wllh aUOt:laled conlu.lons,
EKG leadJ (3) DO lono, denbriUalor 1*1 oud" (1) OD diCit, ad
two Itpaf1lle b.p orlDln"enOllJ fiulda (OYle of.o......1Jlllnt .....d one
conlllolDI morphiDt .utr.te)

/It..

IV.

Ideotll'yiDlmarks or IIrtool: Seal'll oCtbe r1lht h.nd, rl&ht COrti...., 'Dd r!&ht
r~,

v.

TomolOl)' (AFIP):
/It..
Volatlln: No ttullolli dttco:ted 10 the blood .nd "Itreou. nuld
B.
Drall: LoJ'llRpalll and t-HydroJyllldlZllblm are delUted In the
ariDe bUI Dot 10 the blood. Morphllle" detected iD the urlae aDd
quandt.ted In the Ilver.t O..o .. ~
c.
Carbon MODO:dde: Tlte earboxybellloalobin IAntralloD I. tbe blood Is

' "1.
ey.alde; No c:yalllde it detected IA die blood
1

D.

I CartloxylIcmOJlobln

AtunlIonI 0(0-)%.,. c:lJIKIed (or .................
MEDCOM 0905

ACLU Detainee DeathII ARMY MEDCOM 905

1
AUTOPSY REPORT (b)(6)

J

M.bmud, K.rw•• Mah.mmlld All

EXTERNAL EXAMINATION
The body is lhal of a well-developed, well-llO\lrished appearing, 66 inch tall, 140 poUlld
Middle Eastern male whose appearance is consistCIII with the reponed age of26 ~
Lividity is 011 the posterior cvs RDd nc<:~ posterior torso and posterior lower exlmnitics
and fixed. Rigor is passiJ1&, and the tcmpcm~ is that of the refriaenuion unit.
The scalp is covered with 2-inch long 5\nIialu bl-=k llair in. IlOnnaI distribulion. F-=ial
IWrconsislS of. JOlIl« and mousachc. The irides are brown, the wmcae are cloudy, lhe
conjunclivae are pille, the sclene are while and !he pupils are round and equal in
diameter. The exlemalaudilory eanals arc clcar. The cvs are nCM pim:ed. The lIIIleS are
plltent. The nose and maxillae are peJpably slable. The teeth .ppear nalullIllIlld in aood
condition. There is. 0.5 cm .bl1l5iOll on the lower ainaival.
The nc<:k is straiah" and the trachea is midline and mobile. The chesl is syrnmetrlc. The
abdomen is soft and n.t. The genitalia are lhose ora normal adult male. Pubic hair is
present in. normal distribution. The buttocks and anus are unremarbble.

The upper extremities arc diffusely edemalous. The fllli<'mai1s are in1&Cl. The lower
cxtmnities are symmetric and without clubbing or edema.

CLOTHING AND PERSONAL EFFECTS
The followina clothina itcrDll and pmonaI efTcttswxompllSlY the body at the time of

au\op!Iy:
•
•
•
•

•
•

Blue long-slcevc T·shin
While T-shirt
Black SweatpllSllS
Grecn scNb panlS
While sods (2)
Grecn towel

MEDICAL INTERyEl'fflON
•
•
•
•
•
•
•
•
•
•

NllSOpstriC tube
Orogastric tube
ElllklltlChcaltubc
Laric-bore intfavCl!Ous c.thcter left neck with auociatc<l underlying soft
tissue bc:mcm hagc
Foley catheter
Multiple l'ICIcdlc puncrure sites upper and lower cxllemitics with assx:iated
conttlllions
EKG leads (3) on torso
Defibrillator pad outlines (2) on chest
One bag of intnlVCflO\lS normal saline
One bag of inuavCllOUS nuid with morphine sulrale
MEDCOM 0906

ACLU Detainee DeathII ARMY MEDCOM 906

AlTT'OPSY RtPORT (b}(6)

Mablll.d, Kanraa Malaul.ad AU

•

MDIOGMPUS
A eompkte set of poI(mOf1em radiopp/lJ ill obcained and demonltrateS no hctum and
no intemll metal fraamenls

INTERNAL EXAMINATION
HEAD:
The calvarium is inlKl, as is the durll maier beneath iL Clear cereblOspinal n!lid
IUrIOllI'lds tIM: 13SO I'" brain (fresh weighl). Please see Neuropltholoty Addendum.
There are no skull fnclWa.

mtK'

l.Iya-wise diuoc:tion of the Ulterior aod posterior ned slruCt\lJes I'eVelIls no injury. The
lbyroid eartilqe and hyoid bone ate ilIlllel. The larynx Is lined by InlaCl while ml.lCOa.
The lbyroid gland Is symmetric and red-brown, without cystic or nodular clwlge. The
lon8ue i. fi'ee of bile marks, helllOlTha&e, or other Injuria.
BODY CAyITIES:
The ribs, slemum. UlcI verlebral bodies ate visibly and palpably inlaCt. The~ ate bit_len!

pIeunIl effusiOnJ (JOO rnl rlihl. SO mlleft). There is. perlurdial effusion (50 ml). There
is l pcritonell effilslon (50 ml). The orpns occupy their lISUl1 ans;lomic positions.

RESPIRATORY SYSTEM:
The rightllnd left lungs weigh 1010 and 830 am. respectively. The exlemallurflCCS ate
smooth and deep red.purple. The pulTrlOlW)' parenchyma is severely COIIiesled and
edem.stous. FOClllJeU ofcon.solidltion Ire prtxnl.

CMDIOYASCULAR Sl'STEM:
The 4-40 am heart is conlained in aD lnlact perlCll'dial AC. Ple&X; see Criovascular

PatholOJ)' Addendum. The 10",- lives r;'e 10 thtee intlCl snd pttentll'Ch vessel•. TIle
renal and mesenteric vessels Ire UJIl'eITISlbble.
UYER A BILIARy SYSTEM:
The 1800 am liver he an inlKl, smooth c.psule and a stwp antmor border. The
pamlCh)'llll is Iln-brown ltId congeaed, with the IIIIII! lobular archllClC'luR. No nw:s
lesions or other aMormtIilies ate seen. The galJ~ conllins 20 rnl o(gIftlI·blac:k
b1lesnd l'lO scones. The mUC06l1 sud.ce Is sr- and velvety. The e~p.lic biliary
lJee

is pl1C!tt.

SPLEEN;
The 360 am spleeu he _ smooth, inllCt, red-purple Clpsillc. The pImlChyrna Is nwoon

and conaestal, with distinct Mllpiahisn corpuscles.
PANCREAS;

The pIl1CRSlS is firm and yellow..un, with the USIIl.llobular archilCCI\Ire. No mass 1esi0tlJ
Of otber IbQormaIlties

arc seen.
MEDCOM 0907

ACLU Detainee DeathII ARMY MEDCOM 907

AUTOPSY REPORT(b)(6)
Mlhanld, KII'WID MuulII..ld All

s

APRENAl,S'
The right and left IdreDai glands ale symmetric, with bright yellow cortices and gray
medullae. No II1ISKS or 8relIS of hcmoll'bage ale ideruified.

GENITOURINARY SYSTEM:
The righl and left kidneys weigh 140 and 170 am, respectively. The elttemal surfaces of
the Irldneys are intact and smooth. The CUt surfxes are red-W1 and congested, with
unifonnly thick cortices and shaJp cotticomedullary junctions. The pelves ale
wvanarkabk: and !he ureters are normal in course and caliber. Gray-pink bladder mlllml
overlies lIIl lntlet bladder WIlli. The bladder conllins 100 ml of yellow urine. The: prosIllle
is I10mIII in size, with lobular, yeltow-1Ill parencbyme. The seminal vesicles are
unmJIIllklbie. The testes are me of mass lesions, contusinns. or nther Ibnormlllities

GASIRQINIESTINAL TRACT:
Thc~phqus is intact and lined by smooth, gray-....nile mllC05l. The stomlCh contains
apJIIOltimarely 5 ml of brown liquid. The gISIlie wall is intact. The dl,llldenwn, loops of
small bo_l and colon are llRl'elt\&fkIbie. The Ippelldix is present.
MU$CULOS"f! £TAL SYS1EM:
~ are no bone Dr joint abnormalities. Skeletal m\ISICle developmenl is normal. Cut
downs of the upper and lower eltlmnities and back are WllelT\Arl(able.
MICROSCOPIC EXAMINATION
•
•
•

Lung: One section oflu.ng demonstrates bronchopoewnonia; another seetlon of
lungdemonstl'lles pulmonary edema
Liver. No lIignifiCllllt mieroscopic abnormaIilies
Kidney: No lignifiCllllI microscopic abnormalities

ADpITIONAL PB0Ct:.DUBM
• Documentary photographs are taken by OAFME staffpholographen
• Full body radiographs are obtained
• Specimens retained for toxicological testing aDlUor DNA identification are:
spleen, liver. blood. bite, urine. gastric conlenu, vitreous fluid, p$OllS muscle,
Ildipose Iiuue, lung and kidney
• The diasected organs are forwamed with body.
• Selected portions oforpns are retained in formalin, with preparalion of
histological slides: of the lungs. liver and kidney
• PCfSOlIIJ effects are released 10 ~ appropril1e mortuary opa1loons
.epresentatives
• The heart and bnin ~ submined for l'urtherexaminlltion by eardiovllSCular
paIhology and neuropathoJogy, ~vcly
• Re-llSIOCi.lion of the beIn (Dover 119450) and the braiD (Dover /I 945 I)

MEDCOM 090Il

ACLU Detainee DeathII ARMY MEDCOM 908

AlfTOPSY REPORT(b)(6)

,

]

MalI.vd, Karwan M..bllDm.d All

OPINION
This 26 year-old I~i dellinc<: died oflcR ventricular hypertrophy with focal
subendocardial inlcmitlal and replacc:mcnl fibrosis. ~ WllS no cyidcnee of recent
significant injury or broising on the held. Per inYeSligalive reports, thc1'e we~ oontlieling
~pons ofpos.sible head Inlwna when the lIeccascd was examined at two diffcrent
mcdlcallreatment facilities in Iraq. A head CT sun. one facility reportedly
dcmorull'lltcd "seycrc anoxic lnin injlJf)' with hernialion, cephalohcmatoma in scalp
riihl Ol:tipital and Icft. parietal". Hypoxic thangcs in the brain can mull in herniation,
howeYcr thc~ wu no cyidcncc of blunt force lnul/nli or herniation at the time ohutopsy.
The heart demonstrated cnIargmlml of the left. ymtritlc, which has been usociatcd with
fatal anbylhmias. The brain demonstrated changes consistent with a decrease in blood
flow, which could occur as a result ofa cardiac anhythmi.. Micn:lscopic sections ofone
oflhe lunas demOnsttllled focal bronchopneumonia, which most likely developed while
the deceASed WllS hospitalized for 4 days. Sections of tile liVCT and kidncy were
unrcmarbble. ToxicologicallCSting was llCiative for ethanol and cyanide. The
carboxybcmoSklbin saturation in the blood was 1%. Two d!\liS associated with
rcsuscitation,loruepam. and I·Hydroxymidmllam, were detecled in the urine. A third
drug associated with resuscitation, molJlhinc, wu detected In the urine and quantitated in
the liver all concentration consistent with therapeutic dosing. Tbe manner of death is

M""'.

(b)(6)

1

MEDCOM 0909

ACLU Detainee DeathII ARMY MEDCOM 909

=-

AUTOPSY REPOR1~b){6)

7

Mlh..ud, Xarwau Muhammad All
NEURQPATHOLOGY ADDENDUM
l(b){6)

BRAIN, AtrrQPSY: DIFFUSE HYPOXIc/ISCHEMIC CHANGES

We en:mined the .ppromnmly 138().gJllIII fonnalin-fiud brain submitted in I'llference to IhilI
~

The dura is IIl'Itelll8J'kBbJe without hemorrbagell or masses. The leptomeninges lICe lrall$Iucenl
without hemonhages. The ceRbral hcJniJphercs are ll)'IIllIletrical. The gyn.I pauem is nonnaI.
The til'llle ofWiI1is has. normal-.dult conliguntion without lIMm)'IIII$, significllIlt
atherosclerosis, or Siles of occlusion. The cranial nerves, ccrebellum, and brainstem ate
unremarkable. The optic chium is py and soft. There is no evi.deaoeofUl'lCaI, tonsillar, or
subfllcine Ilemi.tion. Serial <;orona! se<:tiOIlJ of the <:enbrvm show a corticIl ribbon of normal
thickness, well demarcated from JubjllCellt while maner. Myelination ill nonnaI. The ventricular
system is of ncrmal size &lid shape. The basal gangli•• hippocampi. thalmni, llId hypothalamus
lRO lIlIJemarbblc. Serial sectioningoflhe cerd>elhlln shows some dllllky discolontiolL The left
c:erdldlar tonail is more prominenllhan the right. The brainstem is unremarkable. The
substantia nigra and loeus ceNlcus are nomtally pigmmted fer .ge. The M(UCduct is patent The
spinal cord is not submitted, bUI the uppmnoJl cervical e:orl! and cervioomedullvy juI'letion are
unmnarlcable.
Summary ofmicroscopic $eCtions: I. left middle li'ootaJ gyrus. 2. left cingulate IP'fU'. J. left
ruperiorlmiddle temporal gyri. 4. mamilhuy bodies. S. left buill ganglia. 6. optic chiasm. 7.
right thalamus. 8. left pariaallobulc. 9. left hi~pus. 10. Yamis. II. right hippocampu.l. 12.
left cerebellar dentale nuelC\1S.13. left c:ercbdlu ton!i1.14. rilhl cerebellar tonsil. IS. dusky ri&ht
cerebellum 16. dusky left cerebellum. 17. occipital lobe. 18. S\lbstanli. nilP'. 19. pons. 20.

medulla.

The tissIIe was procesvrl ill pnffin;. section ~ from each pmllffin block was stained
with H&E. Additional sections pI'qlIJ'Cd from selected blocks were stained with OMS and PAS.
Mia'OSCOpic soctions demollllttale diffuse neuron.! hypo,;icliiIChcmic changes in lite cerebrum
lIlld c=bcIlwn. PurlOnje centoll is noted with developed BerplIIIII gliosis. Neutrophils Ilnl
present in the optic chiasm. The tell; thaJ8mUS bas foeaI intnlYllSCUlar bl'llOC!ting SIJ\Icttlla WI
Ilnl PAS positiw: and OMS neptiYe. This may represenl fibrin. The Wldertyiog C&IISC oflhe
diffuse bypo,;iclisehcmic changes is undetc:rmined.

l(b)(6)

MEDCOM 0910

ACLU Detainee DeathII ARMY MEDCOM 910

•

AUTOPSY REPORT(b)(6)

M"Ql_d, ~rwa_ Ma1I.........d All
CARDIOVASCULAR PATHOLOGy ADDENDUM

FINAL DIAGNOSIS
DIAGNOSIS: (b)(6)
. .."'tfye HerOsls aod ••ldfOCllls"aSl ce" a»atrurio. bud .1C1W... 1eft
I. Su.'-d"_;o;"",,,:OI~_;o;.;;:o

ve.lride

2. Left vlIIlTlculllr lIypertropby .llb focalsu.bftldOCllrdi.llLatentlri.I ••d rqllau.nu Rbr'Ollu

History: 26 ye.z old I~l detainee found W1I'tSpOIUi\'C by other del.linea,
from life suppon

~l.Ited and

laW' ~moved

Heart: 440 ar-ns. pC:r<:onuibutor, nonnal epicardial

r.t: plObe ~tenl fOflllMn o\'llle; concentric left
ventricular Il}\IQllOphy: left venlricular I:lIvit}' diameter 10 rnm, left ventricwar he wall tbiclcnets 11
nun, vauricular septum lhicknes.s 18 mm; rishl venlriculardilawion: nabl ventricle Ihicknett j nun,
withoul ifOSS SClU'S or abnormal fit intiltmes: iJOssly UlIlmlarUble valves and endoc.ardlum:
subelldoc:ardialllemon'tlage, ventricular septum and poslCfOlnedial papillary musc:le: histoloJic sections
show left vmlricular myocyle hypertmphy wilh focaIlRlbendocardiai intemitial and Roplacemenl fibrosi..
posterior and septal left ventricle; coaaulatlve necrosi.. postel'Oll'lCdlll papillar)' musele and posterior
septum; multifocalsiJl&le cell cotllrKlion blind neaosis (brain dealh lesions)
Coronary arteries: Normal oltia, nabl dominance; no iJOSS IthelWClerosis
Comment: The subendocan1ial necl'OJis and mullifoeal sinale cell oontraetion band IlCcrosis Ilre se<:cM\daly
to MO)lic nil injwy and ClItecholaminc ~Iease followina: a period ofhypopertu.ion. The ClllI$I of the
inilial cardiac a=st is uncerU.in, but mlY be due 10 arrh)'lhmia associtted wilh left ventricular
hypertrophy and subendoeanllaJ fibrosis.

(b)(6)

Cardiovascular Pttholoaisl

MEDCOM 091 \

ACLU Detainee DeathII ARMY MEDCOM 911

_. __.-

--._- -

..
_
._._-- ....

C£RflfICATE ~ lIl!A11i IOllERSEAiI)
Ac.. clII_

_

_OF..w.sm

_-

-

Mahmud. BTB Karwan. MlJhammad All

IraqiO'.....

-

(b)(6)

Civilian

,."."..... '"

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.........""" OIl..,.,.....

Dover AFA3l<>VAr_OF

_

I

.. _..... . _.. . .. _.-,_._.._.._w.
. __._._._.. . _._..
l(b}(6)
•

6121/2007

•
0
._--~

DD'~" 2064

,

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MEDCOM 0912

~

ACLU Detainee DeathII ARMY MEDCOM 912

(REMOVE REVERSE AND RE-INSERT CARBONS BEFORE COMPLETING THIS SIDE)

OISPOSrTON OF REMAINS

I '''"~,

U~"

INSTALLJ<TION

~

M

RADDRE

>0,,,"

V'"=

SJGNATURE

Y R CREMA.TORY

LOCATION OF CEMETERY OR ( REMATORY

DATE OF DISPOSTlOf<l

·1:;I'Ol;TION

REGlSTRAl"ION OF \IlTAl STA.TlSTICS
RE 1ST Y

own.OO

oonrty)

DATE REGISTERED

FILE NUMBER

",m

NAME OF FUNERAl DIRECTOR

OTllER

ADORESS

SIGNATURE OF AUTHORIZED tlDI'IlOUAL

DD FORM 2064, APR 19n (BACK)

USAPA VI.GO

MEDCOM 0913

ACLU Detainee DeathII ARMY MEDCOM 913

ARMED FORCES ''''STITUTE OF PATHOLOGY
Offic£ oflh" Armal for~" Medical Euminer
141J Research Blvd" Bldg. 102
Rockville, MD 20850
)-)01·) 19-0000
FINAL AUTOPSY REPORT

=

Name: Nassir Jabrin, Umar Sa'ad
ISN;[jpl®
Date of Birth; (BTBJ l b}(6) 1985
DateofDeal!{f b){6) 2007
Date of AUIOPSY; 9 Apr 2oo7@ 1300
Date of Repon; II May 2007
Ci",umtlllnC~t

Autopsy Noll b)(6}
AFIP No.j(b)(6)
Rank; Detainee
PlaceofDcath; Iraq
Plac.e of Autopsy; Pon Monuary
Dover AFB. DE

of Death: This 22 YCll1-oid Saudi delainee

WlIS

found deceased in a

garbage dumpster.

AUlhoriutlon for
USC 1471

AUIO~;

Office of the Armed Forces Medical Examiner, lAW 10

hlentillcalio." Presumptive identification is established by a ....Tisl idelllification ball'!.
Post-mortem fingerprints, dental e"amination. IIDd a specimen suitable for DNA llnal}'$is
are obtained.

CAUSE OF DEATH:

~hlliple Blunl force Injuries Complicatnl by
tl-bnllal St."ngulallon lind Chellf Conlpreulon

MANNER OF DEATH:

Homicide

MEDCOM 0914

ACLU Detainee DeathII ARMY MEDCOM 914

AUTOPSY REPORT (b)(6)

2

Nus'r Jabrin, Urnar Sa'ad
FINAL AUTOPSY DIAGNOSES:

I.

MuUiple 8lunt Foru Injurin:
A.
Head and Neck:
I.
DiffuJe bilateral scleral hemorrhage
2.
Abruioll of Ihe forehead, %" \"i-inch
3.
8ilaleral periorbital conlusioDS
4.
Contusions oflh upper and 10"'er lips and 01'1l1 mucosa
S.
Abl'1lsion oflhe left lide of Ihe DOle, 'I...lnch
6.
Abl'1l.llions (If Ihe right side oflhe ra«. I-inch, ...d right lide of
rhe neck, 2.inches
7.
Conlusion of the righl side of the neek, t ,,\"i·inc"
8.
Abrasion of the left lide of the neck, Jll.inch
9.
Contusion of the posterior nec:k, 2 • I-Inch
10.
Diffuse lubgaltal hemorrhage
II.
Hemorrhage in both lempol'1llis muscltll
8.

Torso:
I.
ContllSion of the itA side of the cbtlll aDd abdomen, 9 .. I.inch
2.
Abl'1l.lllon or Ihe )eft lide of the Chtsl, I.inch
J.
Pat1crnrd contusioG orlhe left lower quadl'1lnl of the abdomen
and leA hip,) 13-inehes
4.
Paltemed abl'1lslon of the right lower quadl'1lnt of the abdomen,
Hnch
2
S.
Conlusion of the opper richt back, I %. ¥... inch
6.
PaJtellltd contusion oflbe upper right back,)" 2·lnchtll
7.
Contusion oflbe lo..-tr mid back, %. ~.jnch
8.
Rigbl hemolhorax, 200 ral
9.
Fracturtll or Ihe anterior Ioeft ribs, 2-_9'~
10.
FI'1ltlu res of 1M itft pubis and ischium
II.
Fl'1ltl"nl of the rillIt Ischium
12.
FI'1lClu rei of Ihl left lrallfl'ene pro«:uel ofthe 2'·-4'~ lumbn
vlrtebl'1l1 bodia
IJ.
Fraclure of ttlt righl sauolliar joint
14.
Rupture or Ihl left and right hemldlaphraSm with assoeialcd
displacemenl of abdominal conlcnls 'nlo the Ihorax
IS.
Ruplll.rt of Ibl,tomach with gUlrlc contenu In Ihlleft thorax
t6.
Mesenltrle hcmorrhage
17.
Laccl'1lllon of Ihc rl&hl adrenalsland, 0.5 cm
18.
RiSbl plriadrenal hemorrhage

y,,,

C.

[xlrerailil',:
I.
ConluslOll of Ihl rlShl dbow, I x ,.,.-Ioch
2.
Cooluslon ofthl Ilfl,boulder, 2 'I. x I %·Incbu
J.
Abrasion of Ihe left shoulder, % x Il8-lnch
4.
Contusion oflhe Idlann, 2 11. Y,·lneh
S.
Abrasion oftbe left ..lila, %. lIS-Inch
MEDCOM 0915

ACLU Detainee DeathII ARMY MEDCOM 915

AUTOPSY REPORT~(6)
Nallir Jabrin, Umar Sa'ad
6.
7.
8.
9,

)

Cunlu,iun urlhe IInter\(lr right Ihigh, 8:1 V,-inch
AbruiuD5 (2) uf the righlleg, Yo-inch lind lI8-incb
Conlusion ortbe left bUllock, 2 s: I_Inch
Conlu,ion. (2) of the anlerior lcft thigh, 3 J: 2-inches lind
4 J: I V,.inehc5

II.

Evidence of Manual Strangulatiun and Che5l Compreuion
A.
Neck:
1.
DiffuJt bilateral scleral hemorrhage (Set I. A. I.)
2.
NlimeroILJ bilater.l petechial hemorrhagu of the upper ebtlll
Diffun bilalertl hemorrhage of the anlcrior anti poslcrior
3.
neek mUljeulature
4.
DlfTuu hemorrhage or lbe thyroid
5.
Contusion olthe right side ortbe Deck, 1 s: '/,-inch (lte I.A.7.)
6.
Abrasion of the leflside ortbe neck, 318-11lch (su I.A.S.)
7,
Contusion orthe posterior neck, 2 J: I-inch ('ff tA.9.)
8.
Hyoid bunt .nd thyroid cartilage intacl

III.

E,'ldence or natural disease: !iff addendum ror canlin\'ll.JCular palbology

IV,

No evidence of me.liul Intervention

V.

Identifying marks ur taIlOO.: Vertical SCar on mid chtllt, g.lnch

VI.

Tos:icology (AFIP):
A.
Volall1u: No ethannl i. detecled in the blood or vitreous nuid
8.
Drugs: No .creened drugs of abuse or me.lication. an detecte.lln the

C.
D.

.,....

Carbon MonoJ:ide: The carbulQ'hemoglubin .aturalion in lhe blood Is
Its,thaoJ-;'"
Cyanide: No cyanide;s detected In the blood

MEDCOM 0916

ACLU Detainee DeathII ARMY MEDCOM 916

AUTOPSY REPORT I,"",,",,;") _ _~
Nauir Jab'in, Urna' Sa'ad

•

EXTERNAL EXAMINATION
The body is that ofa well-developed, well·nourished appearing, 65-ineh tall, IOJ pound
male whose appearance is consistem with the ll:poned age of22 years. Lividity is on the
posterior torso and posterior utremities and fixed. Rigor is passing, and the temperatull:
is 0001.
The se.alp is covered with I 1/2-inch long straight brown hair in a normal distribution.
Facial hair consists ofa moustache and beard. The irides are brown, the: comeac are
doudy. the conjunctivae are unn:marhble, the sclerae are diffusely hemorrhagic
bilaterally and tbe pupils arc round and equal in diameter. The externailluditory can.als
are dear. The ean IIle not piereed. The nares are patent with blood presenl bilalCJ1llly.
The nose and maxillae are palpably stable. The t«:lh appear IlIIturaJ.
The neck is straight, and the trachea is midline and mobile. The chest is symmetric, The
abdomen;s soft and flat. The genitalia are Ihose ofa normal adult male. Pubic hair is
present in a normal distribulion. The buttocks and anus all: unremarkable.
The upper and lower extremities are symmetric and without clubbing or edema. PICll.'Ie
refer to the evidetlce nfinjwy section for injury to the torso and extll:mities.
CLOTHING AND PRRSQNAL F.FFECTS

The following clothins items and personal effects an: present on the body at me time of
autopsy:
• Yellow pants
• Three video cameras
• Four cassette tapes
• One USB cable
• Two silver cases labeled "Mobile Disk &temaJ Data Storase"
• Two unknown sil""r electronic accessory items
MEDICAL INTERV£"''TION

•

No evidence of medical intervention
MDIOGRAPHS

A complete set ofpostmonem radiographs is obtained and demonstrates the fol1owins:
• Skeletal trauma to the tOfro lIS noted below

MEDCOM 0917

ACLU Detainee DeathII ARMY MEDCOM 917

,

AUTOPSY REPORT(b)(6)

NauiT Jabrin, Umar Sa'ad
EVIIlENCE Of INJURy
I.

Multiple Bl\IJ\t Foree Injuries:
A.
Head and Neck:
~re is an abrasion of the forehead, Yo ~ 'h·iroch. Thcre are bilate:ra1 periorbital
wntusions. Thel'l: is diff\lSe bilateral sdaal hemorrhalle. Tllere are contusions of
lite upper and lower lips and oral mucosa, 'I.·inch to 2 l( ~ineh. There is an
abrasion orthe left side oflhe nose. 'I.-inc:h. There is an abruion nfthe ri&.ht side
of Ihe face, l·iroch. IIId an abrasion of the righl side of Ihe neck, 2-inclles. There is
diffuse subgalealllemorrhage. There il hemorrhage in bolh temporali, muscles.

B.

Torso:
There is a contusion oflhe left side of the chw and abdomel1, 9 ~ I-inch. There is
abrasion of the len side of the chest, I·inch. There is a semi·cireular paltcmw
cOllIWlion of the leA lower quadl"llnl of lhe abdomen and ltft hip, 3 ~ 3-inches.
There is a contusion of the right upper bod:, I ¥. ~ 't.-incli. There is a semlcireulill" pauen,ed contusion oftllC righl upper bIlek. 3 JC 2-inclies. There is a
confWiion of the mid lower back. 't. ~ 'h-inch. There are fractures of tile IIIterior
2...·9'" leil ribs. There is a right hemothorDJC, 200 mi. There is rupture of the leil
and righl hcmidiaphragm with auocialCd di!Jllaeemcnt oftllc abdominal conte:nts
inlo llie thorDJC. There is rupture: of tlte stomach wilh gastric contents in the left
thorax. There is hemorrhaie of the: mesentery. There is a laceration of the right
adrenal gland, O.S em, IIId right periadrel1lllllemorrhage. There life fnlcturt5 of
dIe left pubis and iscllium, ri&ht ischium, and right sacroiliac join!. There are
fractures of the left transverse processes of the 2"0104'" lumbar ver1ehral bodie,.
C.
Extremities:
There is a wnlusion of the lell ,houlder, 2 Y. ~ I ·f.·inches, and an abrMion oftllC
left shoulder, 'I. x 118·incll. There is a conlusion of the righl ann, 2 'IS JC 'h.jnch.
There is a contusion oflhe right elbow, I x 't..inch. There is an .bl'llsion oflhc lell
Il)(i!la, 't. x liB-inch. There is a wntu,;on of the anlerior ri¥htlhigh, 8 x Yo.inch.
There are two (2) contusions oflllC anterior left thigh, 1 x 2-inches and 4 x I Yoinches. There is a contusion of the left bUllOCk, 2 x l·ineh. There are two (2)
abrasions oflhe right leg, Y.-inch and 118·lnch.
ll.

Evidence ofManuaJ Strangulation and Chest Compression:
Head and Neck:
There is difflJSe bilateral !ilCleral hemorrh'lle. There is a wntusion of lhe rigll1,ide
of the ncelt. I x \f,-inch. There is a wntusion of the !ell side of the ncek. llS·inch.
There i, a contusion of the posterior neck, 2)1 I.ineh. There i, dilTlISe bilateral
hemorrhage of the anlerior lIlld posierior noek musculature:. There is diffuse
bilateral hemonhage ofthe thyroid. The hyoid bone and thyroid cartilage are
intael.
A.

B.
Tol'$O:
There are nwnerous bilateral peteChial hemwmalles oflhe upper chest.

MEDCOM 0918

ACLU Detainee DeathII ARMY MEDCOM 918

AUTOPSY REPORT (b)(6)

6

N.ssi. J.brill, Umu S.'.d

Il'fTEBNc\L EXAMINATION
HEAD;

Sec "Evidence of fnjury~. The calvarium is intact, III is the dl.lJa mater beneath it. Clew
mebrospinallluid sumlunds t/lc 1550 gm Inin, which hu unrmIarbhle Iyri IU'Id sulei.
Corolllli sections demol\Jtnlte sharp demarcation bctwccn wlUle IU'Id grey m.Uer, "'itholrt
hemorrhage or conlUsive injury. The ventricles lU'C of llOml.lsiu. The basal sanalia,
bfainstem, cercbcllum, and arterial systems an: frtt of ill.iury or other .tlfIomtaiitiel.
~ lU'C no skull fr.ctures,

llliJ<'

Scparllte anterior and posterior neck dissections are pcrfonncd. ~ ~Evidencc oflnjury~.
The thyroid cartilage IU'Id hyoid bone arc intact. The larynlt is lined hy intaet while
mucosa. The thyroid gland is symmetric and hemorrhagic. without CY51ic or nodular
change. The longue is free ofbitc marks. hemolThagc, or other i'1iuries.

BODY CAVIIlES;

Sec "Evidencc of Injury". The stcmwn and vertebral bodies lItC visibly and palpably
int!lCt. No eltCCSS fluid is in the lell plcural and peritoneal cavities. The Of liaRS o«upy
their usual anatomic POSilions.

RESPIRATORY SYSTEM;
The right and lell lungs weigh 230 and 210 gnt, respcetively. TIll' l'Ktemal surfaces are
smooth and dcep red·purple. The pulmonary parenchyma is moderately conlll'5ted amI
edematous. No areas of collJ()lidation are present.
CARDIOVASCULAR SYSTEM:
The heart weighs 390 gm and is adhercntlO thl' chest wall. The hean is sent for
cardiovascular pathology l'valuation (5« addcndwn). The aorta giVCl$ rise to lhree intlet

and patall.arch "essels. The renal and mesenteric veuels are ulIJ'emarkable.
UVER & BILIARy SYSTEM;
The 1050 gm liver has an in\ll(;l, smooth cllpsull' and a sharp antcrior border. The
parenchyma is lan-brown and congested, with the usual 10bull1 lU'Chite<:turc. No mills
lesions or other aboolTllllJities l'Te seen. The gallbladder oonlains 10 ml of green-black
bile and 00 stOlleS. The mucosal surface is green and Vl:1\'C\y. The eKlrahepatic biliary
uee is patent.
SPLEEN;

The 70 am spll'cn has a smooth, intact, red_purple capsule. TIle parenchyma is maroon
and congestcd, with distinct Malpitltian tol]lU5Clu.

PANCREAS:
The pancreas is linn and yellow-WI, with t/lc llIUa.Ilobular ar<:hitee:~. No muslesions
or other aboonnalities arc seen.

MEOCOM 0919

ACLU Detainee DeathII ARMY MEDCOM 919

AlTfOPSY REPORT[{b}(6}
NallS;r Jabrin, Umar SC.".Cd; - - -

1

ADRENALS:
See "Evidence of Injury". The right Wid left adrenal glands have bright yellow corti~s
and grey medullae. No Iloll-lraumatic Icsioos are seen.
GENITOURINARY SYSTEM:
The righl .....d left kidneys ~igh 120 and 100 gm, respectively. The external SUffaces of
the kidneys are intacl and smoolll. The cut surfaces are pale lan. with uni fonnly thick
cortices lIlld sharp cortieomedullary jUIICtioll!l. The pelves are unrelll.llri.:able and the
ureters life normal in course and caliber. Grey-pink bladder muco~ overlies an intact
bladder wall. The bladder conwns 10 m1 of clear yellow urine. The prostate is oonnal in
sile, with lobular. yellow-tan parenchyma. The seminal vesicles are unremarkable. The
lesleS are free of mass lesions, contusions, or other abnormalities
GASTROINTESTINAl TRACT:
See "Evidence of Inju')·... The esophagus is intaetllJld lined by smooth, grey-while
mucosa. There are 100 ml ofl8ll semi-solid gastric conlents in the left thorax. The
duodenum. loops of small bowel and colon are unremarkable. The appendix is presa1t.

MUSCULOSKELETAL SYSTEM:
Dissection of the subcutaneous tissu<: oftb<: ba<:k and bolh upper and lower extremilies is
performed. Set: "Evidence of Injury". 1bere are no llOlI·U1lumalic bone or joinl
abnormalities. Skeletal muscle development is normal.

•
•
•

•

•
•
•

ADDITIONAL PROCEDURES
DocunleOtary phOIOllfllphs are taken by OAFME slaffphotollraphers
Full body radiographs are oblained
Specimens retained for toxieologicaltesting and/or DNA identification are: blood,
spleen, liver, brain, bile, urine. gastric contents, vilreous, psoas musele, adipose
tissue, lung and kidney
The dissected organs are forwarded with body
The heart is retained for consuhation
Selecled panions of organs are retained in formalin. without preparation of
hislological slides
Personal effecls are released to the appropriate mortuary operalions
representalives

MEDCOM 0920

ACLU Detainee DeathII ARMY MEDCOM 920

•

AUTOPSY REPORT [fb){6)
Nassir Jabrio, Umar Sa'ad

QPINION

This 22 ycar..:lld mll.lJ(b}(6}
Idied ofmultiple blum for<:e injuries
complicated by manual strangulation and chcsl compression. There wen: blunl force
injuries to tbc head, n~k, torso, and upper and lower extremities. There wen: injuries to
the head, neck and torso consisteDt with rrurnu.allitl"llllgUlatioD and chest comp~ssion.
Toxicological testing for ethanol, drugs of abuse, medications, and cyanide was negative.
The carboxyhemoglobin concentmtion was less lhan 1%. The manner of death is
homicide.
(b)(6)
(b)(G)

b)(G)

J

MEDCOM 0921

ACLU Detainee DeathII ARMY MEDCOM 921

AUTOPSY REPORT[lb)(6)

9

Nault Jabtln, Umar Sa'ad
ADDENDUM

DIAGNOSIS(bj(6j
:Coni:~nital h~art disease'
I. Pulmonic stenosis "'JllI sub~.I~ular fibrous band, status post ~aJvuloplnty
2. Bkllspid aortic vah'e
3. Patch repair of alrial septal dderl
History; 22
at autopsy

)"~arold

Iraqi detainee found in a garbage bag at

int~em

facility; lI0:rn0lomy SCll!" noted

Heart; 280 grams; diffuse fibrous pericardial adl\csioll!l and 2 ~ I cm hematoma on posterior $Ufface Qf
left ~entride at apex; patch repair ofamal septal ~f~: oormalleft ventricular chamber dimensions:
left ventricular ravity diameter 25 mm, left I'cntricular free wall thickness 13 nun, "enmcular septum
thickncss 15 nun; right ventricular hypertrophy; right velmicle thid:ness 7 mm; endocardial thickening,
right ventricle; puimonic steROsis: endocardia/fibrous band below pulmonic valve extending inferiorly
from commissures of anterior and right pulmoni~ cusps, absenllefi pulmonic cusp; thi~kened tricuspid
val\"e leaflets; bicuspid aortic vall'e; conjoined anlerior leaflet with midlillC raphe between left and right
corosmry cllSpS; Sulure material and fibrosis. ancerior right ventride; histologic .sections show mild
subendocardial interntitial fibrosis, posterior left "emride, otherwise unremarkable endocardium; fural
bune marrow embolus, epicardial coronary artery, anterior left ventricle
COTOIUll'}' arteries: Normal ostia; right dominancc: no gross lItherosckrosis
Cumment: The primary abnormality appears to be pulmonic stenosis, possibly arising in a bicuspid
pulmonic valve. However, because iller<: ha$ been prior valvuloplast}", the morphology of the pulmonic
valve has heen allered and the original pathologic condition cannot be detennined with CCrtWllly. Also.
thc wincideDce of bicuspid pulmonic and aortic val"es is extremely rare.

[~)(6)
Blo<k> mod., , ban
Shd~ mod.: S HollE

1

Cardiovaseu)ar Pathologist

MEDCOM 0922

ACLU Detainee DeathII ARMY MEDCOM 922

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MEDCOM 0923

~

ACLU Detainee DeathII ARMY MEDCOM 923

ARMED FORCES INSTITUTE OF PATHOLOGY

omce of the Anacd Forca Medical. ~baet
1413 Re:xarch Blvd., Bida- 102
Rockville, MD 20150
301·319.‫סס‬oo

FINAL AVTOPSY REPORT
AulOJlSY No.: (b)(6)

Nlltlc: MuhaInnuId. KhaYri N,aim

CIOIt: (b}(6) ~~J
Date of Birth:\b){6)
972
Datc ofne.th: i~)(6J
07 (Found)
DatclTimc of Autopsy: 06 MAR 2007@ \100
Dateof Repon: 06 JUL 2007

Iy

AFIP No.:(b)(6)
Rw.: CiviliUl,""o..""~ilM'#"­
Pl.ec of Death: rr.q
P1.ec of AulOpSy: Port Mortuu)',
Dover AFB, DovCf, DE

ClrcDlDlItllllcn of Dealb: 1'hilI34 yeu--old dviljan deIaincc was intcmed -' Compowxl
3-C. c.mp Rernem.1nnce II, Theater IntenIlDenI FItCiUIy, c:.mp Croppo:r, BaabW.I..-q
when, .., reported. he was folmd uruesponsive in I IaIrioe slIall with • pair of ycllow
Uousc... lied around IUs neck.

Aaltloriudoa for A.to~7: Office o(1tIc AImed Fcm:es Medical ExaminCf,lAW 10
USC 1471.
JdcadncatlOIl: Presumptive idcnlifiCllion by cumination o(papers in cue file. Post·
mortem ~illj(n ruitablc for DNA araI)"is itobtained.

CAVSE OF DEATH:

-uptlyxla ftc 10 IlnlllplalioD

MANNER 0' DEATH:

Honalclde

MEDCOM 0924

ACLU Detainee DeathII ARMY MEDCOM 924

FINAL AlITOPSY REPORT: (b)(6)
Mulwnll\8d, KNyri Naim

2

nNAL AVfQPSY DIAGNOSES

I.

Str"lu"doa:
A. A nearly c:ontipow: li~ mark i. around the neck
B. Petechiae ofCOIljllllttiVIC of the rilllt ItId left, upper and lower eyelids
and lhe mllOOSa of the upper lip
C. Hemonhage of the Idl: ~h)'Oid mUIC!e. I x 1f4 inch
O. HemGlIhlle of the .10ft tissue sunoundinllhe left 110111 of the hyoid bone.
1f4 x 1f4 inch
E. Hnnorrhage of the poslCrior spinous muscle beneath the IiptllR IIIIl'k, 112
x 112 inch
F. Additiolllll injuriet:
1. Abnsion of the left lide of the fa«1Ielld. 2·112 x I inch
2. Subplul hemorftIa&e, left pariellll.. 2 x I inth
3. Subpial hen'lOn'!lqe, occiput, 114 x 114 inch
4. Hemol'l'tlqe of tile left temporalis muscle, 3 x 21nc:bes
,. Abfuion of the lad of the left c"viele. 1/4 x 114 inc:h
6. AbBsiorl of the "&hl.ide of the che$t, 3/4 x 1/4 inch
7. Abrtalion of the left lideofthe 1 _ back. 1/4 x 1/4 inch
S. AnioN (3) of the 1etl: elbow, Bll&ina &om 112 inclt to 3/4 inch
in J!'CIlcst dilTlelWon
9. Contlllkwl oflhE.-erum. 2 x I inclt
10. Contusion of the left buttoc:k. 2 x I inch

II.

Olber nodiap:
A. EdemItous ItIftIS;
I. Riahlluna,

no IJ'IIIII (expecud 360-'70 J1WII5)
2. Left lun.. 710 lP"IlM (expoc:lCd 3U··tlO gramI)

V.

Po.t·.orUm dlaalet:
A. Uvidily it fixed on the posterior _flOe oflhe body except in the areas
exposed 10 pressure
B. Rip is resolYinl in 111
C. Cloud COmeK

fOW'extmni~

VI.

RecoYerm evldeace:
A. HMdbap
B. Nail clippinp and finJemaiJ elipper
C. White fillers from back of while I·min and red fiber from yellow lIhin

vu.

TO.lkelop (AFtP):

A. VOLATILES: No ethanol detected in the blood and vi!lllOlIS nuid

MEOCOM 0925

ACLU Detainee DeathII ARMY MEDCOM 925

FINAL AUTOPSY REPORT: 1(b)(6)

~

)

Muhammad, Khayri Naim
B. DRUGS: No acn:ened drugs ofabuselmediea1iolU dde<:led in !he urine
C. CARBON MONOXIDE: The carboxyhemoglobin satImIuon in !he blood
was 4% as dctennined by !pecbophotomelJy with a limit of quantitalion
of I%.'
D. CYANIDE: None drtected in !he blood
VIII. Microscopic uamillatloll: Lung, right 10VllCr lobe - focal infra-aiveolWl
edema and vascular congestion

, ClIbo><yl>em<l$lobln NlUnlioRl of0.3% .... upeclod

'Of lIOfI-omol.... ItId 3-10% 'Of l'Il'IOkmL

MEDCOM 0926

ACLU Detainee DeathII ARMY MEDCOM 926

nNAL AlJT()PSY REPORT: (bH6)

MuIwnJnad, Khayri Naim

•

EXTERNAL EXAMINATION
The body is thai ofl ~Il-devcloped,_II-nourished male. The body Is 61 inches
in length, weighs 120 pounds, tnd tppeII'I oompetible with the stated qe oD4 yetn old.
The body is cold. Uvidil)' is rlllcd on lbe po5(erior surfaee ofdle body except in the
areIS exposed to pR:ISIR. Rigor is resolvina in all four exlremities,.
InjLll')' to the head tnd neck are cb:ribed in "Evidente oflnjuty". The held is
~mll._~jiJaJi<:. The Jcalp lIlIir is grcy-bllCk and SnighL FlCial haireonsisu of. thin
mousllChe and IlUbble. The irides are brown. The comeae are cloudy. The eoq;unclivle
are eon~stcd with petechile of both upper IIld lowereyelidl. The stief*! are white.
The extem.lluditory ClMls contain dried blood. The oral Civil)' Itld llItes are !Tee of
foreign material or Ibnonnll secraions. The nuaI skeleton Is palpably in*!. The oral
mllCOSl of the upper lip has petechise. The teeth are IlIturaI and in poorcondilion. T'here

is. 1 x 118 inch sear on the bottom of the chin II the midline.
The cbest is symmetric. The gaUlIli. are those of an adult, ein:urncitcd rnale.
The upper and lower extremities are symmetric tnd without clubbillll or edCIltL The
fingernails are intact. Then: is. 2 x 1/4 inch scar onlbe posterior right arm. lllert is.
1-\12 x IIg inch ICaI" on the posterior right fOl'Clml. There is. 2 x 118 inch sear on the
posterior left wrill.. There is. I inch area ofhyperpil'flented skin on the anterior left. hip.
The~ iI. 1/4 inclt scar on the posterior left leg.
CLOTHING AND PERSONAL Em:OS

The body is clad. yellow shirt (with blood on the left shoulder), white t·shirt,
yellow tro\lSCt'l, llIld white WldctWCat. Brown paper evidence bags are SClCUnx:! over both
hands. On the yellow shirt is I reO fiber. On the white t-sltirt (between the t-shirt and
~Uow shirt) is. white fiber. On the left wrist is an [0 iii with the name (b)(6) =~-J

J

l(b}(6}

MEDICAL INTEBYEHTION

There is no evidence of medical intervmtion.
RADIOGRAPHS

A complete Jel of!lO't·mortcm rsdiographs iI obtained.

EVIDENCE OF INJURY
I.

Slrlll(UbtiOIl:

A nearl)' contiguous JiplLll'e lTII.rlt is around the neck COIIIistina primarily
of. nx:! abruion. AI the anterior midline, the IlptUre mark is 114 lnc:lt wide and
localed 10-112 incites below the top of the head. To the left of the anterior
midline. the Iigalure mark is dim:1ed upward III 10 de~ .:Jile. To the riabl of
the anterior midline, the IigatLll'e nwk i. din:eted upward III 10 degree ana1e.. At
the left CllT, the ligature nw:k is In inch wide llIld 10000ed 9-112 inches belowthe
top of the head. The ligature nwk continues ICI'OU the p:llterior neck. At the
!lO'terior midline, the ligatLll'e marir. is I inch wide and 9-114 incites below the top
of the head. At the right ear, the ligature nwk is 114 inch wide llIli 100000d 9-112
incites below lite top of the head.
Petechiae arc noted 00 theCOT!iunet;vae of the rijht and left, upper and
lower eyelids and the mlJCOSl of the ~ lip. Sel*'Ste anterior neck diueet;on

MEOCOM 0927

ACLU Detainee DeathII ARMY MEDCOM 927

FINAL AUTOPSY REPORT: (b)(6)
M~. Kbl,yri Naim

,

shows a I K1/4 ineh MrnorrlIa&e of the left ,temo-hyoid musele and a 1/4 K1/4
inch hnnol'l'tlaJe of the Klft «srue lIUITOUndil18 !he left born of 1M hyoid bone.
The hyoid bone and thyroid cartilllp are inlKL A sepafllle poslerior neck
diuection,oows a 1/2 x 1/2 inch hemo!rlIaae of the spinous muscle beneath the
Iipnue mark.

U.

Addll~ ..lllIJ.. ria:

Tbtre il a 2-112 x I indl abrasion ofthe left ,ide oflhe forehead. There i,
a 2 KI Inch IIlbplCllI hemorrbqe of the left parle"-l and a 114 K 114 inch
IIlbpleal hernorrtw&e of the occiput. There b a ) x 2 ineh heTnOlThage of the left
temporalil mUJ<:k..
On the head oflhe left elevicle i, a 1/4 x 114 inch Ilbnsion. There iI a)14
K 1/4 ineh abrasion of the riaht side oflbl: chest. There iI a 1/4 x 1/4 inch
abmion of the Io~r left btck.. On the left elbow are three (3) abruionllhat
ranp from 112 ineh 10 )14 inch in lI"eatesI dimension. Posterior superficial
incilionl reveal a 2 x 1ineh COIIIUSiOll of the IICNm and a 2 x Iinc:h contusion of
the left bulloCk.
INTERNAL EXAMINATION
HEAD: (CENTRAL NERVOUS SYSTEM)
See "Evidence of Injury". The -.lp il rclk:eled. The calvarium of the Kull i, removed.
Tbt dura mater and faiK ~bri are inllCl. The leplutllCllingeli are thin and dellcate. The
cerebnl hemispheres an: symmetrical. The strucIUres at the bue ofthc brmn arc intact.
Col'ONll seeDOrIJ through the eerebellwn and ll'aIlSVerJe seetions tIuough the braillltem
and cerebellum reveal no Ic:siorIJ. The brain weighs 1$20 pamI.

=,

See "Evidence of Injury~. The thyroid canila&e and hyoid are intact. The lhyroid b
,ymmenic and red·brown. wit!lOUl c)'llic or nodular Chanle. The \aryIIlI i, lined by inact
while mucosa.

BODY cAymES:
The ribll. sternum. and >'t'l1ebnl1 bodies are vWbly and Jl&lP-bly inlK1.. There b no
excess fluid in any of tile body cavitia. There are multiplc denIe Chelionl ofd\c riaha
lung. The organs otaIpy !heir umalanatomic posiliorllRESPIRATORY SYSTEM:
The lIJ'PCI" airwly i. clear ofdebri. and forelan material; the mucoallW"faoes are
1ll'IOOlh. yellow-un and unn:markable. There are multiple dense adhesions oflhe lobes
ofthc riallt 1Wli- The right and left lunp wellh 720 and 710 1f'lN. respecti>'t'ly
(eKpected, 360- $70 II"lIfTI rig.hllung and 325 - 410 lram left lung). The pulmorwy

.-mJChyma i. red·purple exudin, modentc amounll of blood. No mtSIlesionl."
present. The diaphraam is inlaCt. The pulmonary al1eries." normally developed Uld
patenl withoutthrombul or embolus.

MEOCOM 0928

ACLU Detainee DeathII ARMY MEDCOM 928

FINAL AUTOPSY REPORT:(b)(6)
Muhammad, Khayri Nairn

•

CARDIOVASCULAR SYSTEM:

'The bean weighs 390 pms (expmm 224 -446 g:ranu for body lenath). 'The paieardial
.wrfaces In.moodl, a1isleninl and II1ImrIIlbble. The periclJ"dial.sllC i. free of
Ilipificant fluid or Idbesiona. There ill illCRAXd epieardial fal. The con:lIIary arteries
follow lbeir uauaI COlllX and an: widely patent. The aria! and ventritular aeptum In
inUlCt. The valvea In llIlI'elllatbbIe. The left vmaicular .septUm rnetlallfa 1.3
cmtimelen and Ifle left ventricular free: wall rneuute:I 1.2 centimeters. The riglu
ventriclllar free wall is 0.3 ccntilTldera Ihick. The aona and illl major branches ube
normally and follow the IDU&I course. There it mild non-calcific aWroaclerotic diaease
oflhe 1011&. The vena cava and its maJortribut:aries return 10 tIw; heart in the usual
distribution and are free of thrombi.
yYER & BILIARY SYSTEM:

The 1530 &Jam liver IllS an inllCl, smooth capsule and a sharp anterior border. The
p&Jenchyma is modcnIlely congested and taD-brown with the uslla1lobular ud!i\CCtllf'e.
No mass IesKlns or other abnormalities arc: seen. The gallbladder contains 8 milliliters of
&JeelI bile. The Cll.~tic biliary troc it \*CftL
SPLEEN:
The 210 pam (cxpocted 150 - 200 pIN) spleen IllS a smooth, inlll:t, red-purple
capsulc. The pamlChyma ill maroon with unremartablc lymphoid follicles.

PANC8£AS:
The pancreas is firm and yeJlOWoWl, with the usual lobular It\':hiteeture. No mass lesiol\l

or ocher abnorma!ilia In seen.

ADRENAl S:
The n&ht and lel\ adrcnall1.allds are aynunetric. with briiht yellow cortices and redbrown medullK. No Il\UICS or Ireas of hemon'hqe '"' identified.

GENITOURINARY SYSTEM:
The n&hl and lel\ tidncyll weilh 120 and 1)0 am. rc:spectivcly. Thc clltemallUrfKet are
inlKt and smooth. The cut surfflCet 1ft rtd-tan. The pelves are Ill'lrtmatbble and the

are normal in course and calibt.-. White bladder mucosa overlies an inlKl b!adda"
wall. The b1.ddeTcontains 20 millililenofyellow wine. The proswc gland and testes
are wwemartable.
IftlCfS

Gh$TROINTESTINAl. IMeT:
The qophqus ill intact and lined by Il'IlOOIh, grey-while mucoea. The stomach contains
150 milliliters ofl*tially digested food panicles. The IIIOD\IICIl, colon, and appc:rwfuc aR
llllrClJIARable.

MU$CULOSlCfl EIALi
MllSCle development i. normll. No bone or joint abnormalities arc identified.

MEDeOM 0929

ACLU Detainee DeathII ARMY MEDCOM 929

FINAL AUTOI'SY Rr.rORT:~(6)
Mohammad. Klmyri N~im

7

~IIClmSCOI'IC t:XAMINATIO~

Lung. righl

I.

,

J.

4.

5.
6.

,.7.

IO,,"~'f

lulll.·

f'l<nl imr:l-31, ,·"Ius LxI~llla und ,'asculnr eOllj;eslion

AnrIITIO...."I.I'IUK]mllR.;S
arc IRk,'n hy 01'. FME ..lull' phnlocmph~r.;.
FILII bod) r~tli"gruphs arc obmin,'ll alltl d~l11o"~lrute lhe injuri~s liS d~scribed.
Srecil11~l1s l'\.'U1incd I"r tuxicoloJ:\}' (~.'I in!: llllll/or DN i\ ;denLilical;"," urc: Blood.
vilrcoll.< fluid. bile. 'Irill~.IiY''T.lung, ~itlney. spleen. hruin. psoas muscle. lKlipu:so:
tissuc Ilndj;ustric conl'·lll•.
rh~ d;;."-'Cl,·d urj;llns m~ I"rwmd...'ll "ilh III<: body.
Sd~CI,x1 l'ur1i,ms of flrj;)U), ~I'\.' r~lain,.J in rannulin.
l'crsonal ~nC~I_' arc rde"scd In lh~ lIppl'l',lprimc morluary opera-LiullS rcpr~scnluL;,"cS.
Rcc<we"..1 cyillcnce: 1\" Ik"S<.Tibctll.hove. rclcm'ed IU <..:10.
Superlici:ll incisions uf III\: pu.<I<:rior surface of Lhe hod}" Ilml cXlrcm;I;,,-s (St...:
E,-idcnce "rtnJury)
J)O<':ul1l~nl:lr)· phOlOj;r:,phs

()I!INUN

-I hi. H yeuf.()ltI mal~{6~
c:::::::~(J;ed or usphyxia Jut: 1(, slranguI01;on.
I'he lnxicoloj;)' screen ",as IICj;IHj"". Th.· ~anll'T of dClIIh is humicide.
(b)(6)

(b)(6)

(b)(6)

j

IOOic81 ESlIlllil\er

MEDCOM 0930

ACLU Detainee DeathII ARMY MEDCOM 930

_
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(b)(6)
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MEOCOM 0931

-

_--

ACLU Detainee DeathII ARMY MEDCOM 931

--_.

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•

MEOCOM 0932

ACLU Detainee DeathII ARMY MEDCOM 932

ARMED FORCES INSTITUTE OF PATHOLOGY
0fJIa oftbe.-4.rlMd Folftt Medal Eual.er
1413 Researeh Blvd., BI4 102
RoUville, MD 208S0

301-319-0000
FINAL AUTOPSY REPORT
Name:~RTR

Ahll.LAhnwl KMl8f:::J
SSAN:f[(b~){~6l~="""
_
Date of Birth: Jm(b1!.f:t )941
DateofDeath~(b)(6}

2007

Dalcmmc of Autopsy: 09 JAN 2oo7@0900
Dale of Rcpoc1: 06 APR 2007

Autopsy No.: j{b)(6)
Af1P No.: ~(b",){",6) _ _- ,
Rank: Civilicl
P~ofDea1h: ltIq
Place of Autopsy: Port Mortualy,
Dover AFB, DoVCT, DE

Cll'C1lmataaftS of Datb: This 59 year-old civilian was dcU.ined 81 Camp Ripper, AI
Asad, II1lCj when. u reported, he died during an interrogation with a human exploitation
team member. Per report, he .ppeared to have fainted thirty minules into the
inlemlgation and bcaune unresponsive,
Autborization for AUloP')': Office oftbe Am1cd forces McdiCll1 Examiner,lAW 10

USC 1471.
IdeatUleadoD: Presumptive IrIentirteaUon by eJWnination ofpapcn: in _
mortem fingerprinlS and specimen suitable fot DNA analysis are obtained.

file. Post·

CAUSE OF DEATH:

Atbervadel'Otic cudiovucu.lu d1Jeue
MltnJ ¥alva proa.pu widlaDDalar ealcilleatioa

MANNER OF DEATH:

Uadeurmlae'

MEDCOM 0933

ACLU Detainee DeathII ARMY MEDCOM 933

nNAL AUTOPSY REPORT: (b)(6)

2

BTB AbdaI, Ahmad Kha11lf'
FINAL At1IOPS)' DIAGNOSES

I.

"t~olo&k dlapOIa:

A. CWiOVUCIIW system;
I. Foeal heaIcd aubendocaldiaI infaret, IItefa1 tnd po5(Crior k:ft

ve:nlriele
2. Left vmtricu!lr hypertrophy with subelido_ldial and

perivueulu iMenllti.al fibrosis
3. Mil1ll valve JWOlapse wilh annular talcifiealion
4. Foe-) modente coronuy a1heroIclero.u
S. Cardiomegaly, SJO pm!
6. Mild .lberoIeIerolic diseue of the ION IIld If1erieI of the base
of!be braio
B. Respiratory l)'SIem:
I. Conaested lunas:
i.
RJpt IWJ&, 740 Jr&IM
ii.
Left luna. SOO pmlI
2. No evidence of pu1molWY thromboelnboUsm
It No "Ideate .faiplfkaal ~t Injury

111. Millor loJ.rla:
A. AtnJion o(!be posterior left fortlml, 1111 inch
B. Abtuion olthe posterioc left band. 1/8 inch

C. Healina abrasion oflhe forehead, 111 inch
IV. Evidllll:tl of _edlelolllltenllltiool
A. Inlrlveooua Cllhl:ltn In the nallt IlIld left Intecubital fosae
B. Defibrillator pel! mark/abrasion, left side of the ehest, 2 x 'h inch

V. 'ost·_onelll chlDla:
A. Lividity il fixed on the pot!erior surfoce of the body excepc in arelII
exposed to ptaJUIe
B. RJp II pISICd In III extmnities

C. Cloody comcIe
VI. TodCClJery (AFI'):
A. VOLATILES: No ethanol dI:IectaI in !he blood and YiInlOIII fluid
B. DRUOS: No ICftImed drup ofabllselmedk:aliOl1l detected in the urine

C. CARBON MONOXIDE: CarboJtybemoaJobin SlfUrltion in the blood was
ICIIlhan I"'·
D. CYANIDE: No cyanide detected in the blood

MEOCOM 09304

ACLU Detainee DeathII ARMY MEDCOM 934

FINAL AUTOPSY REPORT: l(b){6)
8TB Abdal, Ahmad Khalaf

3

EXTERNAL EXAMINATION
The:: body is thai ofa well-developed, well-nourished white male. The body is 66
inches in lcnath, weighs 17S pollllds, IIlld appears eompaliblc with the Slated age 0(59
years old. The body is cold. Lividity is fixed OR the posterior sunace of the body except
in Ihc area exposed to pres.rure. The head and neck are suffused. Rigor has pused in
both the upper and lower extremities.
The head is nonnoccphaIic. The scalp hair is areylblack with male ~ttem
beJdness. F.:ia1 hair col\$isu ofa grey moustacllc and beard. The irides are indistinct.
Theeorneae are cloudy. The COl\iunt\IVK are congested. The Sl:leJlle are while. The
extemalallditmy eIlllIs, nasal cavity, and orlI cavity are free of foreign matcrial and
.boomud 8llC",liora. The earlobes are not pien:cd.. The IIUllI skeleton is palplbly imacl
The lips are without evident iJUury. The teeth are natunI and in poorc:olldition. The
upper two in<:ison are absent with • denture in place. There are l'IO petechiae of the om
mucosa. ~ is. 1f4 x 111 skin tag ofthc right eyelid. The neck is stnlipt, and !he
rraellea is midline and mobile with no evicS-:e ofinjury. There. are multiple skin t.p of
the neck ranaing from Iii inch III 114 inch in peelest dimension.
The chesl is symmetric. TheJe are multiple 1/8 inch !kin ta&s in both axillae. The
abdomen is flat. The aenitalia are those oh IlOfll'Ill1llduh male with no c~i6ence of
injury. There are two. I inch, round scars on the bel:k.I~(b~)(~6)"",;o;-;,,
latlOO~)(6)_
_
'~~~I1bere is. 2 It 1 It 1 Ineh skin tqofthe natal
fold, The anus is unrenwbble:The ~ and lower extrem.iti=. are symmetric and without eIubbing or edema.
(bl(6)
(b)(6)
b)(6)
(b)(6)

::::It.tlOCls;(b}(6}
'tattoo[(b)(6)
tanodb)(6l

-

-

=~---~,:_:::;;:=::J!attoo
littOQltbl(6)

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~~~~~IiitlOOS~~:~(b~}(6

b}(6)
jb}(6)

[tartooIlb)(6}
ttallOlii'{b)(6l_
(b}(6)
b 6L
lattOC{b)J6LJhc:re is.1 ineb circular sear of the anterior right thigh.
There are two circular scar.J of the lateral rightles. ( iDch and 112 inch, rapeetiyely.
There is. U4 It 1111 inch skin 'j0fthe posteriO[ rigblleg. l{bK~
'1
laflOO,{bj(6)
__
There are two cireular.sean of the latenl1 left leg, 314
inch and 1-112 inch. respectiyely. The palms oflhc: hands and .ales of the feel are

callous.
CLOIlllNG AND PERSONAL ERECTS
The body is in an Onlllge shirt (cuI). wllite l-shirl (cu.l). onoge pMlS, and white
bolten. Brown plIpCl" evidence bap are seaued with evidence tape OYCl' both hands.

MEPICAL INIIIM'.NIJQN
InlnlYCflllus eatheleB are in the rightll11d left antecubital fossae. Theft! is • 2 x
112 inch abrasion of the lell. side of!he chC51 consistenl wilh defibrillator pad pillOCml:nL

BADlOGBAlIlS

A complete set ofpostmonem l'lIdioJraphs is obtained and do not demonstn.te
evidence ofjnjwy.

MEDCOM 0935

ACLU Detainee DeathII ARMY MEDCOM 935

"NAL AlrrOPSY REPORT 1l b)(6)
BTB Abdal, A.hm.t KN.lar

•

[VIDENCE QF INJURY
~ I•• III inch hctIlna Ibrasion orlhe bchetd. Then: I•• III Inch tbrIsion
of the poslerior left forearm. "'llleft iJ I 111 inch .bruion oCtile postaior left hand.

INTtBNAL EXAMINATION

HEAD: (CENTRAL NERVOUS SYSTEM)
The xtIp iJ nltlcctcd. The calvari11m orthe skull II l'CfIIOYed. The dun IlIIlcr IIld falx
cerebri are inlld. There i. no epidllrlll or Rlbdwal hanorTtIIae presenL The
\epIomeninaa are thin IIld 6elicale. The a:n:blll hemisphaa llel)"llUrlelrieal The
slnIctumI II the blIK or the Inin. includilll fnIliai Pel'YeS IIld blood vaJel. ate inlKt.
'There i. mild. non«x:lusive Ilherotclerotk dilate orllle 1lUries. CoronalIlCd.ions

Ihrou&b Ille cachill hemisplltta lind IJWISYmC sec:lions lhrouab the bl'linslem tnd
a:"bdllDlllln: UIIr'al\I.rUbIe. The brlin weiabs 1440 anms.
lI.El:K'

The IlIIelior IIld posterior IU'Ip mlDCles of the ncdr. ate homogenous IIld n:d-brown,
witboul helTlMhqe (sept.rale IlIterior tnd posterior neeIt diuec:tio",). The th)TOid
eartillae and hyoid ate inllel. The lIrynx i.lined by ina.:! white mueoa. The thyroid is
IyII1l'MtIic: tnd mt·brown. withoutl:)'Slic or noduilr ehtnge.
BODY CAvmES:
The ribs, Remum., Il'Id vertebrll bodies Ire visibly lind ptJptbJy inlle!. Then: i. 20
milliliten o(lCrosanauinous nuid In ete:h o(1he thor.:ic ""ilies. No excess n\lid II in
the periclrdlal or perilOflca1 ClY\lies. The orprtI occupy their UIIIlllllltoll'lic positions.

BESPlRATORY SySTEM:
The upper tifway it clw ofdebrit tnd ron:lgn ITIIlcrial; the mUC05ll surfaces_
smooth, yellow-tIn and unn:marbble. The n,hl and left lunp ~iah 140 aid 500
paml,le3pC'Ctively (expeelOd )6().510 aramstnd )2$.... 80 1fMIS). The exlemt! surfaces
Ire JmOOIb. alistenina tnd IlIlreIl\Ifbblc. The pulmonary parenth)'ml il n:d-purple
exuding .lia!ltto modcnlle amounlJ or blood. No mISS lesions or areas ofconsoIidll.ion
lie pRJCIIL The pulmonary arteries lie nonnaIly developed Illd pIlenl without thrombus
or embOlUI.
CARPIOVASCuv"R SYSTEM:
The 5)0 pm (expteled 26j-46Q rvams) hetrt is conlllned in III inllCt pericardia! laC.
The he.., was relllnecl and tent rorcan;llollUCultr pttholoay consultation (see
IlIt1endum). The IaOI1..I hu mild IlheroIclenxic diseue.
LIVER" BILIARy SYSJEM:
The \800 JRm liver hts III in\IICI. smOOlh caplulc and a slwp IlIler10r border. The
parene!lymlls moderIlely colJlested and tan·brown with the usllllllobllltr trdIllCdun:.
No mass 1esi0lll OT other IbnormaillieJ Me teen. The pllblldder conllln. 20 mlllililCl'1
of green bile. The Ulrahepatlc biliary tn:e i. palent.

MEDCOM 0936

ACLU Detainee DeathII ARMY MEDCOM 936

FINAL AUTOPSY REPORT~(b)(6)
BTBAbdaI,AhmadKhalaf L,- - - -

,

SPI Ern:
The 250 gram lipleen has a smooth, ill1lld, ted·purple ~u1e. The p&rCnchyma is
l1W'OQn with WIl'Cmarbble lymphoid follicles.

PANCREAS:
The pancrtU is finn and yellow·tan, with the usual lobu/lIT arcltitectun, and has lIUlo!ytk:

changes. No mass lesions or other abnomWities are ~n.

APRENALS:
The ript and left adrenal glands ate symmetric, with bripu yellow c:ortit;eS and Rd·

broWllmedull1lC. No masses Ol'lITC&! ofhcmorrhage arc identified.
GENITOURINARY SysttM:
The risht and left kidneys _iab 210 and 220 sm, respedively. The eltltmal surfaces arc
intact and smooth. The cut surfaces ate red-tan. The pelves lITC IIlU'UllaJltable and the
umclli arc nonna! in course and caliber. White bladder mucosa overlies llll inllCl bl.sder
wall. The bladder contains 120 millHilelli ofclCllT yellow urine. The prostate gland and
testes are UlIl'ClDarlcablc.
QASJROINIESIINAI. TRACT:
The esophagus is int81:tand lined by slllOOlb, grey·whlte mucosa. The stomach contains
less tIwl S rnillilite:rs of brown mucous. The stom.,h, duocknum, loops ofsmall bo_l,
and colon have diffuse mucosa bcn'lOfrllagcldccomposilion change. The appendix is
llJlmlWbble.
MUSCULOSKEI.EIAI,·

MlI$Cle development is noma!. No bone or joinl abnonnalilies are identified.
ADPWON..u. PROCf,D!!Bti§
I,

2.
3.
4.
S.
6.

OGcumentary p~oppbs are taken by OAFME staff pbolOpphcrs.
Specimens retainccl for IOxioology testinl1 ancIfOT DNA iclcntifieation ate: Blood,
vitreous fluid. bile, fivCt',IW'l& kiclncy, spleen, brain, mUICIc, urine, adipose tWue
and gastric contc.nts.
The c1i~ orpns arc forwarded with the body. The heart is maincd for

consUltation.
Sclceted pnrtions of orpns arc rctainecl in fonnalin.
Pcnonal effOClS arc released 10 the appropriate mortuary Operatiollll representatives.
Posterior inci!ions of the Kin and su~ !Oft liuue dcmonslnlle no eviclcnoc:

ofinjut)'.

MEDCOM 0937

ACLU Detainee DeathII ARMY MEDCOM 937

,

]

FJNAL AUTOPSY REPORT: (b)(6)
BTB Abdal. Ahmad Khalaf

OPINION

This S9 year-okl male, BTB1(~{6)
died ofathetoklerotic cardiovueulu
diseuc and mitral valve prolapse with MIlular calcitl",tion. Histologic sections of the
heart demonSU'ated a healed myocardial inCuction (heart altack). 'I'hef': was no evidellce
ofsianificant injury. The IOlicology screen was negative. At the time ofhiJ dealh, pet
report, he wu beinll intenopted by I human cKJlloitatlon team member. The
contribution of being intelTOlIIIled as I precipitating event leading to his death is
IIDCCI1ain. ThIlS, the manner of death is undetermined I
(b){6)'--------'

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MEDCOM 0938

ACLU Detainee DeathII ARMY MEDCOM 938

FINAL AUTOPSY REPORT: (b){6)
BTB AbdaI, ANn.d Khalaf

7

ADDENDUM

Csrdkwucalar 'adtololJ COlnllltatloa:

DIAGNOSIS: (bH6)
I. Foea.l moderate coronary atlleroKlerosis
2. Left ventricular h)jIClbOphy with subcndoc&rdial and perivascular interatitiaJ
fibfosia. and roeal healed IUbendoc:ardiai inrartt, lateral and posterior left
Yaltriele
.l. Mini vaI~ prolapse with IIIllIJIar eak:lfieItion
Heart: 515 IJ"lM (posl-ftxalion); nonnal epieardial &I, probe palcnt fofamen ovak:; left
vc:Nritular b}pabophy: left ventricuJ#e.vity dilU'Mla" 30 mm, left vemril:lJlar free wall
thIeknc:u 14 mm. Yelltrieuw JePlUlIl tItict- r 16nun; rigbl ventriele thieknesr Smm~
mitral valve prol8pse: thickened and redundan1 valve Iea1lets with boodina and annular
ealcifialioa of posterior 1eIlIel; other valva unrc:rrwbble~ mild mdocardial thiekenina
in left YaltriClJ1ar outflow trad; no aron myoeardial filnoJis or necrosb; histolosic
ICCtions rhow left YelIbielliar myocyte hWC1tr¥l) and 5I1bendoc8rdial and peOVQClJlar
intmtltiaJ fibrosir, Illd focal.rubmdocardiaJ ~I fibrosis in WeraJ and posterior
left walls (bea.led inflll'Cl)
Coronary arteries: Normal ostia; right domillInce; foea.I modenIle atheroxlerosis: 33%
Iwninal narrowint, of prollima1left anterior deIoend:ina anery by puboIosic intimal
thickening with inlimal foem cell infilll'aleS; 60% IlIfTOWina or proxillWJ left c~llnl11ex
arteIy hy fibroathcroma.tous and fibroealcifie pllquc with adventitial fibrosil and cIvonie
inflammation; 30% narrowina of proximal right torol'Wry arteIy by pathologic intimal
thicUnina with intimal foam cell infihmer

MEOCOM 0939

ACLU Detainee DeathII ARMY MEDCOM 939

___ -

CERTIfICATE OF DEAn! jO\'VlSEAS)

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MEDCOM 0940

ACLU Detainee DeathII ARMY MEDCOM 940

I

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MEDCOM 0941

ACLU Detainee DeathII ARMY MEDCOM 941

ARMED FORCES INSTITUTE OF PA THOLOGV
om~ o'lht Anu4 Fol'«I Medical Eumlou

1413 R.csearell Blvd., Bldg. 102

Roc:kYillt,!dO 20850
30\·319-‫סס‬oo

AlfJ'OPSV EXAMINATION REPORT
NIllle; Ibrahim, Sadir Ahmed

ISN; tbX61

DatcofBinh: unkMWII

Date of Death.: (b}(6) ,2008
DaWTime of A1IIOpsy: 20 FEB 2OOI@09OO
DfIIc ofRepon: 11 MAR 2008

AUlopsy Nt>. (b)(6)
AFIPNo.: (b}(6)
Rank: Detainee
PlaceofDealh: Iraq
Place of Alllop5Y: Port Mortuary,
Dover Air Foree 8Isc:, Dover, DE

0'

Clrt1IlDslaotft [kall!: This Ir.qi mak was beaten by olhtr Iraqi Nationals wlltn they
dilCOvuccl him attempting 10 planl an Improvised Explosiyc Device (lEO). American
forttS subJcquCtllly took eu.scody of tum and brought him fOf medical tmI1met11.
Initially, M was lIU1eO for vemricular fibrillation and hypothcrmiL Upon stabilization
M had JeYen.I complicalions including a6eaCllSUi mmtal stallQ, (Gl.,gow Coma Scale
3), renal f.illlR. gc:nmJittd.seizures, and &nISIfta. "Tllc:K conditions _~ eonsilkred
ilTC'ltfSible &1M! the deciJion was made to tre. forcomfon. Seven days &ftcr admission
he dc-velopc:d armytbmias, wllidl JIIOiP~ 10 lSy5lok:.

AUlhorkalioo ror Aulopsy: Amxd folnS Medical Examiner. per 10 U.S. Code 1411
IdlHllifkal_: Accompanying doamJr:nts eslablish prawnptiVii ldenlificalion; samples
from fingerprint,lknu.l, and DNA examllllUons obcained for posilive idtntiflCliiOll.

CAUSE OF DEATH:

Complaliolll of Bhlal Force I.juries

MANNER OF DEATH:

Homldde

MEDCOM 0942

ACLU Detainee DeathII ARMY MEDCOM 942

AUTOPSY REPORT (b)(6)
IBRAHIM,Sadb' AIllllcd

2

EXTERNAL EXAMINATION

The body is thaI of. wcll-developed, _ll·llOUrished Caucasoid male. The bod)' weip
170 pound5 and measures 6S inches in lenatli. Lividi!)' is lixed on the posterior surftces
oflhe body. Rigor is passing. The body tcmptnllun: is cold 101OUCh. Decomposition
cMJl&es consist ofskin slippage on the lower cxtremil~ and '*:11..
Injuries oftbc head ~ described below. The held is 1IOI1JlOCCphaJic. The 3CIIlp is
covcred with stralglu black hair of medium length in a IlOmIlII distribution; fKia! hair
consists ofa bcanllllld rnOU$UChe. The right iris is brown. the oomea is clear. the
conjlll"lCliva is cry!hematou£. and the sclera is yellOW; the left iris is Jny and sarrcd and
lhe left alobc is shrunkcn. A finn. movable nodule is palpable on the 'atcnJ aspect or the
letl orbit. The external auditory canaJs ~ clcar. "The I\IIU contain mucllS. The rIO$t
and nwlillae arc palpably stab~. The teeth arc nalunJ and in good condition. The neck
is Straight. and the lraclica is midline and mobi~.
Injuries of the IOrso arc desaibcd below. The ehcst issymmctl'k The abdomen is
mildly pmtllbcnnt. The 5:miIllHa.e those oIa nonnaI adult cirewnc:ised mak. There is
moderate .lI(:rotaJ edema. The testes are d~. Pubic: hair is ptcscm in a normal
distribution. The '*:11. is symmetric.

The upper and lower C'xuerniUcs arc S)'IIlll)C\ric: with mild 10 Il'IOdcme: edema oIthe dillal
ponlons. The fillim.ill are inl.ct, except for a chip ofthc nail ofthc left ril'li rlllgcr.

......

Identifyina marks COnliS1 oran imgular SCllI' (1I~" in diameter) of the do~um of the right
CLOTHING AND URSOlUL [(FErn

No clothina; ilCI\U or pe1Wl\Il efl"eas arc Jl'UCfIt on the body. the time of autopsy.
MEDICAL INTERVENTION

Medical inlCrVention prncnt on the body at the time of autopsy includes:
- Two fasc:lo'OIRy lnc:biol'lS p.)/4"1II'Id a·1I4i on the anteriol" and laleral surfllCeS or!he
rialitlea
• Blue ped wn.pped lI"Ound fuc:ioIom)' incisions
• Luge bon: lntrav.uc:ular c:athclCr. left subclavian
- N~le punctute maRs, bilateral anlC-elibillll fossae
• lnlravucullrl:lllhcter, left wrist
• Three incisions (1I4" 10 I" Iona), 1_\CBl left cl'lcst

MEDCOM 0943

ACLU Detainee DeathII ARMY MEDCOM 943

AUTOPSY REPORT (b}(6)

l

IBRAHIM, S.dlr Abmed

RADIOGRAPHS
A complete set of postmortem nuliogn.phs is oblained and demonstrates the following:
• Cone·shaped metal li'agnu:nt on literal aspect of the lell. orbit
- Fntelurc, lell. tnlIUverse pl'OCe$!l oflhe third lumbar vo::r1ebnr.
- Frachl~,llteraJ as~1 of the riiht sixth rib

EYIDENCE OF INJURY
The ordering of lhe following injuries is for descriptive purposes only, Md is not
inlended 10 imply order ofinOiction or relalivc severity. All wound pathways are given
relative to standard anatomic posilion.

l. Blunt force injuries
A. Head and neck
A cluster of helling IbruiOll5, lIS" to 1/4" in gn:llest dimension, covers M area
of 1-114" x I" on the lell. forehead. A I/S" healing .brasion is on the upper lip. A 112" It
liS" hellinS abrasion is on the left ev. A 0.5 em contusion is on the rishtlaleral aspec:l
of the tongue. A 1 em It 5 em subgaleal hemorrhage is on the right fronlalll5ptCtoftlte
skull. There is mild. but diffuse, subullcltnoid hemorrhage.
B. Tof$O
Two healing contusions, 1_1/4Mand 2" in greatest dimension, lie on the left side
oflhe chest. A 12" It 10Mcontusion ClItCllds OVCTthe left II~raItorso from the lower
c!lest 10 the pTOltimalleft thigh. A 2·112" It 2" contusion is on the right side of the back,
jll5t below the SClpulL Three heali"iMnsions, 112" to I" in greatest dimension, are on
the middle oflhe back. A 2S" X 13 Mcontusion with hemorrhage into the underlying soft
tissues involves the lower btlek and buttocks o:tendilll from lite lell. 5ClIpul.. around the
lateralupccts of the butloeks, and down to the proximal posterior lhigJu. A 112" It lIS"
healing abrasion is on the scrotum.
The lateral aspects of right ribs five and six are fractured. 11Ie left transverse
process oftlte third lumbar vertebra is f..eIUl'lld. Both testes have inttapartnchymal
helTlOfThl,ge.
C. Extren\ities
'Ihret eontusions, 112Mto 3" in greatest dimension IrC: on the anterior righl arm.
A 112" x 114" contlWon is on the posterior right shoulder. A I" x 114" healing abrasion is
on the poslerior right ann. A I" x I" conlusion is on the posterior riglt! forearm. A 2" x
IISM healing contusion with focal hemorrhage inlO the underlying soft tissues is on the
posterior right wrist.
AIM x lIS" healil18 contusion is on the anlerior left shoulder. A ChlSler of
contusions, 1/4" 10 I in greateSl dimension, coven 1/1 area on" x 1-112~ on lbe lIlIlerior
left ann. A 6-112" It 3" contusion is on the anterior Icll. upper extremity extending from
the distal lU1Tl 10 the mid forearm. A I" x lIS" healing contusion with focal hemorrhage
inlO lhe tmderlying soft t;55~ is on the pGSlerior left wrist.
ft

MEDCOM 0944

ACLU Detainee DeathII ARMY MEDCOM 944

AUTOPSY REFORT(b)(6)
IBRAHIM, Sadlr Abmril

4

On the Mtero-lateralllSpKi of the right thigh is an I 1-112" x 11-112" «lnTU5ion.
A 6-ln" x 2-ln" healing abrasion is on the anterior riglltleg. Two healing abrasions,
1/4" and In" in grealest dimension, ~ OfIlhe dorsum oflhe right fOOL A 3" x I"
wntusion with hemorrhage inlD lhe underlying soft tissues is on the right poplileal fossa.
A tlUS\er ofhealing abraslons and contusions with hcmOlTbage intO the WJdcrlyins soft
tiSSllC5, 112" 10 2" in grealeu dimension, WVe!S an area ofS" x.5" on the posterior righl

,''-

Two contusions. 2" and)" in greatest dimension. ~ on the 8l\terior lcft thigh. A
dustCl' of healing abrasions. lIB" to )f4" in sreate5t dimension, covers an area of \6" x 4"
on the anterior left lo_r extremity from the knee to the dorsum o(the foot. A 4" x 2_

In"l:OIItmion with hcmorrllage into the: underlying soft tissllCll is on the left poplitcal
fossa. A e\\l$I.erof,,",ing abrasions and conlusions with hcmorrllage mlO the. underlying
soft lissues, 1/4" to 2" in gTeIIlesl dimension, covcrs an area of)" x )" on the posterior
left Ics- Two contusions. In" and I-In" In greatest dimension, lR on the postero-lateral
left leg.
INTERNAL EXAMINATION
HEAp AND CENTRAl. NERVQUS SYSTEM:

(See Evidence oflnjtuy)
Jhe,e ~ no skull fractutes. The dW'll mater is inl&Ct with no evidcntt of hemorrhage.
The leptomeninges aR: lhin and delicate. The brain weigbs 1270 gm and has

unrernarkllble gyri and suld. The cerebBI hemispheres ftIC symmetrical and the
struclures at the base of the brain. including the crtU\iaf nerves are intact. The orn:bl"al
artcri.es ~ palen\. Coronal sections demolUlrlIle sharp tkmllJCation between wllite and
Sray matter. without hc:molThage orconluSive injury. The vel'urides are not enlqed.
The basal ganglia. brainstern. and cerebellum are free of injury or other abnol'llll!ilies.
The atlanto-oc:cipiLal joinl is stllble. A cone-shaped metal fragment recovered &om the
soft tissues of the left orbit.

(See Evidence oflnjwy)

uyer-by-laycl' dissection ofllle anlcrior slRp muscles of the ne<:k reveals homogenous
and red-brown soft tissue, withoul hemorrllage. The thyroid cartHage and lIyoid are
intact. The larynx is lined by in\aCtl'ritite mucosa. The thyroid gland il symmetric and
red-brown. without cystie or nodul/lr change. The puathyrtlid glands are not identified.
The lTIlljor vessels ofllle neck are inllCl-

MEDCOM 0945

ACLU Detainee DeathII ARMY MEDCOM 945

,

AUTOPSY REPORT (b}(6)

IBRAHIM, S.dlr Ahmed
BODY CAVII!ES:

Excess sero-s.anpineoU!l nllid is present wilhin cac:h body cavity: 350 ml in the risht
plelJflll, SO mI in the left pleural, 10 ml in the pericardial, and 50 ml in the peritooeal
cavities. The 0/'BIfIS OCCllpy their U!I\U.I anatomic positions. The lubclltancollS fatla)'CT
oflM abdominal wall is 3.5 an thick.
MUSCUl.OSKELETAL:
(Sec Evidence of InjW')')

No non-tnlwTUllic abnormalities orthe muscl~ or bona of tile appendiclllar and axial
skeletons are identified.
RESPIRATORY SYSTEM:
The ail'Wllys are clear of debris and forei8JI malerial and 1M mucosal surfaces m smooth,
yellow-!BIl, and unremarkable. The ri&hl and left lunSI wei&h 960 and 820 sm,
respectively. The external slifraccs arc smoolh and deep red-pwple. The pllimonary

parenchyma il difTlI~ly congested and cdcmaloUS. No mass l~ions orareu of
consolidalion are presenl. The pulmonary arteries arc normally dcw:loped and patent.
The dilpltragm is inlaCt.
CARPIOVASCULAR SYSTEM:
The 450 gm ~ is contained in an intacl pericardial sac. The epieardiallurflll:e is
smooth. with minimal fat investment. The coronary arteries arc unremarkable in

di$lribution, with a ri&ht-dominant panem. Cross sections of the v~ls show no luminal
JWrowing. The myocardium is homogmous, red-brown, and firm: the atrial and
venUiclllar septae are intacl. The valve leaflets arc thin and mobile. The walls ortlle left
ventricle, interventricular septllm, and right w:ntricle arc 1.4, 1.4, and 0.4-cm thick,
respectively. The endoardillm is smooth and glistening. The -.ort.I giv~ rise to three
intacl and pIltent a/Ch vessels; there are mlllti-fot:al thin yellow linear p1aq~ (filly
nreaking) orlM descendina 1IIOrta. The renal, mesenteri<:, and mac v~ls as well as the
venae: cavill: arc unmnarkable.
HEPAJQBILlARY SYSTEM:
The 1820 gm liver has an intllCl, smooth capsule and I sharp anterior border. The

parenehyma is !BIl-brown and congested, with wucmarbblc loblllar lIJ'Chitectwe. No
mass lesions or other non-laumatie abnotmaliti~ are seen. The gallbladder contains a
minute BmOllI1t oflfCCll·b1a<:k bile and no stones. lbe mucosal surface is green and
velvety.
LYMPHORETICULM SYSTEM:

The 250 gin 5jlleen hal a smcoth, in1llCl, red-purple capsule. The parenchyma is maroon
and congested, with distinct Malpigbian COI'JllLWI~. Lymph nod~ in the hilar, periaortic.
and ilia<: regions are ~markable.

MEDCOM 0946

ACLU Detainee DeathII ARMY MEDCOM 946

AUTOPSY REPORT (b)(6)
IBRAHIM, Sadlr Aa.mcel

,

•

ENDOCRINE SYSTEM;
The. pituitary ,land is unrenwbble wirhlnlhe seJII U,":iea. The th)'l'Oid a1and has bttn
dc:st;ribed<see NECK.. above). Thc. riaN and leR.dmIal slandl_symmetric. with
briabt yellow c.ortlUI and m1-brown medulllC. No m&SIeI or uas on~lIIOl'fN.acare
idenlified..
GENITOURINARY SySTEM;
(See Evidence of Injury)

The. righl and left kidneys weill! 21 0 and 170 IITI. fell)eCllvely. The txlemalsurl"aces are
in~ and ,mooIh. The CUI surfaces ~ m1-1arl and conseslcel. with unifonnly thick
eorliees and shafp c:ortieomedullary jUl'lCliOlII. The. pelves and Ilrflen an unremarklble.
White bt.ddcr mucosa overlies II/l ;nbd bl.ddcr wall. The bl~r Is empty. The
prostate has lobular, yellow-tan pamll:hyma and is J10I cn1araed.. The seminal vesicles

an unrenurItable.
GASTROINTESTINAl. TRACT:
The esophagus illn~ and lined by 1mOOIh, py-while mueosa. The Jlomach c:onllilll
approltilT\lllely 30 ml of pink viscous fluid. The: aasttic wall is inlKl. The dllOdenum.
di.taI1ooJll ofinteltine, and colon are WIl'tm&,klble. n.e p&llCIUS I. finn and yellow_
Ian. with Jobul/lr /lrChil«JUre. Seclioningoflhc panerus reveals diffuse, bUI mild
pareru:hymal helJ'lDlThllgc. The .ppendix il present.
ADDITIONALPROCEPVRt5

I. Doewnc:nwy pho\ogrlIphs are lakm by OAFME stafT.
2. Personal efT«15 are n:leased 10 lhc appropri.te mDTtUIry opcrltions tq)n:senlllives.
3. Spec:imens n:wned for loxic:olDiY testing and/or DNA idenli fication lIl'e vitreous
fluid, bile, blood. lung,liVCT, spleen, kidney, adipose tiulIe, heart 1TI11KJe. bllin,
gastric contents. ancI psoas muscle.
4. The diuectcd organs lIl'e forwarded with body.
.5. Tl"Il(:e evidence and/or foreign material arc collected and malncd by OAFME.

MEDeOM ()9.(7

ACLU Detainee DeathII ARMY MEDCOM 947

AUTOPSY REPORT (b}(6)

7

IBRAHIM, Sadlr Ab..td

MICROSCOPIC EXAMINATION
Sclecltd pMions of orpns ~ retained ill fOl'Tl\lllin for prepanrioll ofhi5tolol)' slides.
Slick Key: I-luna. inlerVentrieulw septum (he8rt), liver: 2· tung, left ~ wall (hcar1),
pancrus; ]·Iun" ri&hl &ee wall (bean), spleen; 4- tuna. left kidney, adTmai gland; Sluna. adrenal ,llllld, skeletalllluscle; 6- ri&ht kidney, thyroid ,land, ton,ue; 7.
cerebellum; 8· midbrain; 9- brail\$lelD; 10- hippocampus; 11- cerebntl eoltelt
HISlg!ogy:

Brain: DilTuse neurooal eosinophilia and pybosis; mild subarM:bnoid 1'lemoTrllage
TlIlIsue: no $ianilicanl pathologic change

Skeletal musele: no signi(1ClIll1 patholO&ic change
Lunp: multi-focal h)'l.li~ a1veo1armernlnnes; diffuse pullTlOntII} edema and
congalion with airsJ*e hcmorTflagc

Heart: no sianilicanl pathologic chan&e
Liver: mild to 1flO(\er.te: maero- and micro-vesicular steatosis
Spleen: no sisniOcant pa1hoJoaic change
Kidneys: lU~lar cell necrosis, tubular ClISIs, Ind mononuclear cell infilltlles
Th)'TOid gland: no sisnificant pathoIosit dlange
Adrenal Qlantis: no significant puhologit change
Panc:rctIS: mild autolysis, but olhcrwUe no li&\liliCllllt patholoait than&e

MEOCOM 09048

ACLU Detainee DeathII ARMY MEDCOM 948

•

AUTOPSY REPORiC b}(6)
IBRAHIM, Sadlr Abmed
FINAL AUTOPSY DIAGNOSES:

I.

Slunt force il\iuries
A.
Head and IlCCk
l.
CluSier of healing abrasions, left forehead
2.
Healing abrasion, upper lip
3.
Healingabra$ion, leA ear
4.
Contusion,lOngllC
S.
SubpJeal hemorrhage, right ftontal skull
6.
Diffuse subaracltnoid hemorrhage

B.

Torso
I.
2.
3.
4.

C.

Mulliple (2) contusions, leA chest
Contusion,left IlteraltOl'1O
Contusion. right back
Multiple (3) healinglbruions, middle beck
S.
Contusion, lower back and btlttocks
6.
Hc:alingabruion, scrotum
7.
Multiple (2) right rib fractures
8.
Fractu~. left IJ1:nSVene process oflhird lumbar vettebrll
9.
Bilateral intraparenchyma1 hemorrhage, testes
Extremities
I.
Right ~r
a.
Multiple (3) contusions, lllterior arm
Con1U5ion, posterior shoulder
b.
c.
Healing allrasion, pll$Ierior arm
d.
Contusion, posterior forunn
e.
Healing eontusion, posterior wri~
2.
Lel\ upper
a.
Healing contusion, anterior shoulder
b.
Chlstcr ofconlusions, anterior arm
c.
Contusions, distal ann to mid forearm
d.
Healing conlusion, posterior wrist
3.
Right lower
I.
Conlusion. antcn>-lateral thigh
b.
Heallngahrasion, anterior leg
c.
Multiple (2) healina abrasions, fOOl
d.
Contusion, popliteal fOSSIl
e.
Clusterofahruiom and contusions, po~eriOT leg
4.
leA lower
a.
M...ltiple (2) cont~ions, anterior thigh
b.
Cluster of heallnll abruioll$, anlerior knee. leg and fOOl
c.
Conlusion, poplitell fossa
Cluslerofhealing abrUons and contusions, posterior leg
d.
e.
Multiple (2) contusions, postero-Iaterallea

MEDCOM 0949

ACLU Detainee DeathII ARMY MEDCOM 949

..

AUTOPSY REPORT""(b~)("6" - - -

9

IBRAIIIM, Sadlr AbIDed

II.
Ill.

Other evidence recovery
• Cone-shaped metallie fragment from ld\ orbit
Nlturll disease: and anatomic fil'ldinp

A.

Cardiomegaly (bean weight 450 gn'!; expe<:ted weight range for. 170
poulld per$OI1ls 305 to 375 gm)

IV.

V.

B.
C.
D.

Mild peripheral al~rerosis
Glolllll ischemic changts orille bnin

E.
F.

Mild intraparcnchymal hemorrllagc. pancreas
AIIlIS&I'Ca

Diffuse alveolar damase

Medical intervention
A.
Two fa$(;iotomy incisions. anlerior and 181m.! nih! leg
B.
Blue pad WI'apped arol.Wld fasciolomy incisions
C.
Large bon: intravascular catheter, left subclavian
D.
Needle puncture marks, biialcllll anle-l:"ubilal fouae
E.
lnlfllvascullll' CBlheleT, left wrist
F.
Three incisions, lalerallef\ che$I

Post-monem changes
A.

Mild decomposition

B.
C.

Passing rigor
F!:ted poSierior Jivor

VI.

Identifying maOO;
- Scar. riShl hand

VII.

Toxicology result,
A.
B.

C.
D.

Volatiles (blood and vitreous nuid): no ethanol dClCCled
Sc~ned dnlgs of abuse and medications (blood):
I.
Positive benmdiazepine: Lorazepam dete<:ted io the blood at a
concentration of 0.049 mf'L
2.
No other screened drugs ofab\lsc or mcdlClllions dc'Ittted
Carbon monoxide: not lUted, no suitable specimen
Cyanide (blood): none

MEDCOM 0950

ACLU Detainee DeathII ARMY MEDCOM 950

·

.

AUTOPSY REPORT~(6)
IBRAHIM, S.dlr Abllled

to

OPINION

Thi, Iraqi malt (b}(6)
,died ofcomplieBlions or bluM fo~t injuries.
Aftci suslaininlla bee.ling resulting in injuries 10 the head. 10<$0, and extremities he
developed (ll,diac arrhythmias, respiratory failun:, renal failure, and seizures. These
clinical chan&cs were likely due: 10 the metabolk: insulll susUlil!Cd from lhe bealin&.
howe\'" an asphyxial contribution 10 his death cannot be excluded. Despite initial
rtslUCitauvc efforts hi! oondilion progressively wo~d and lie died. Toxicolosy tests
for ethanol. cyanide, and SCf"ned drugs ofabu$e ~ negative; Lorazepvn detecled in
the blood is consistent with medical-relllttd and cornfon·related measures. The mlll'lllel'

ofdeath is Ilomicide.
(b}(6)

(b)(~=:JMedical Examiner

j

MEDCOM 0951

ACLU Detainee DeathII ARMY MEDCOM 951

ARMED FORCES INSTITUTE OF PATHOLOGY
Office oflhe Armtd Fort'C'l' MPllfcal Euminer
1413 Research Blvd.• Bldg. 102
Rockville. MD 20850
301-319-0000
FINAL AUTOYSV EXA!l:lINATlON REPORT
Name: Jabar~~a.Ud TlnYU"-----,
J
SSAN!(b)(6)
Dalc of
D"lc of Dcalh(b)(~~2008
Dale and lime of AUloPSY: 27 FEB 2008 0900
Dale of Rcpen: 01 MAY 2008

ninh~:l6i~l~[6~IJiJ83

CirC\lm~l~nO<'$ of

A\lIO~Y No.: f{b)(6)
AFIP No,Rb)(6)

1

Rank: CIV
Place of Dcath: Iraq
Place of Aul-Opsy: Pon Monl.llU)·
Dover AFB. Dovcr DE

DUlh: 25 year old male ci,'Hian dC1ainee reponc'<ll r

eollllp~d

durinG inlerview

Authorization for AutOP5}': Office of the Anned Forccs Medical Examiner. lAW 10 USC 1471
hlcntifiuliun: Pn'Sumplin
CAUS~:

OF DEATIl: Se."ere n,ellibolie dcrangcmcnl due to lIeule adn:nOl:Orliul insufficiency

MAN,'>iER OF DEATH: NlIlunll

MEDCOM 0952

ACLU Detainee DeathII ARMY MEDCOM 952

AUTOPSY REPORTl(b){6)
JABAlt WalidTawfiq

1
EXTERNAL EXAMINATION

The body is Ihal ofa ""CII-developed, well·nourished male thai weighs 137 pounds. is 68 incho:s in
lenglh and appears conlp!tible willl Ihe repoI1ed age of25 years. The body is cold .Iller
refrigeration. Rigor is p!ssinll in all cXlremilies. Lividity is prescl1l and fixed on the posterior
surfaces orlhe body. except in areas exposed to pressure. The head is nonnocephalk, and the scalp
hair is black. Facial hair consi.sts of a black beard Md mustache. The irides are dark. The comcae
are cloudy. The conjunclivae arc unremarkable with no evidence of pcte<:hial hemorrhages, The
sclcroe are white, The external auditory Callais. external narcs and oral cavity are free of foreign
materia) Wid abnormal secretions. The nasal skeleton ami maxilla an: palpably intact The upper and
lo"er lips a", dry and chapped. The teeth arc I1lItural and in good condition. Examination ofihe
neck reveals no evidence of injury. The chest is unremarhble. No evidence of injur)' ofth", rib~ or
the SlcmUI1l is c"idcnt ",xtemalty. The abdomen is flat. The extcrnal genitalia are thosc ofa n<)nllal
adult male. The: posterior torso and anus an: without I1Ote. The extremities show no evidence of
injury. The fingernails are intnet.
CI.OTHING AND PERSONAl. F.FFr.crs
•
•
•
•
•

Pair of black sandals. soiled
Black lonll-sh:eved shin with thc nnblem "Down Nour", soilCli.
TIU] and olange striped 101l1l-sleeved shin
Pair of blue sweaL panlS
rair uflan ~wc-~t pwtts
MEDICAL INTERVENTION

•
•
•
•

End<>tl1leheal tube
Nasogastric rube
Intravascular cathct~rS ill l>oth anlecubital fossae. the right wrist IlI1d righl inl,\uinaJ region
foley cathekr with alt:lehcd collection system
"VIDENCE Of INJURY

ThCR is a Y. inch contusion present on lhe righllowet lip.
RADIOGRAPHS

A complele sct of postmortem radiogrnph.~ is obtained. There is no evidence of iikeletal ill,iury ot
melanic fureign material.
INTERNAL EXAMINATION
!~Of)Y

CAVITIES-

The body iii opened by the usual lhoraco-abdominal incision and the chest plale iii removed. TIte
ribs, sternum. and vCTlebr~1 bodies are visibly and palpably intaci. No adhesions a", presem in any

MEDCOM 0953

ACLU Detainee DeathII ARMY MEDCOM 953

AUTOPSY REPORT.C1Cb-,-",,"
JABAR, W.lid Tll.wfiq

l

_

ofllle body cavities. Approximau,ly 100 ml of amber nui<l is preSl'lu in the left lho=i.., cavity and
50 ml in the right thoracic cavity. All body organs are p~m in IlOrmalanalOmical posilion. The
subcutaneous fal layer of the abdominal "'-all is \.; irn:h thick.
HEAD AND CENTRAl, NERVOUS SYSTEM;

The scalp is reneeted. The galeal and suhgaleal soft t;SSIJCS ofthc scalp arc rree of injury. There lire
no skull fract~s. The ulvarium of the skull is removed. Thc dura mater and falx eerebri are illlacl.
Then: is no <:pidullli or subdural hemorrhag<: present. T1lc leptomeninges are thin and del;eale.1be
ee~bra1 hemispheres are symmetrical. The structures attllc base of the brain. including cranial
""I'\'es and blood vessels are inract Clear cerebrospinal nuld surrounds the 1440 l!\lllm brain. which
has unn:markable gyri and sulci. After fixation. coronal sections lhr"ul!h the cerebral hemispheres
reveal no lesions. Transverse seetions lhrough tile brain Slem and cerebcllum arc unn:markable. The
allanlo-occipital joint is stable. The upper spinal cord is unremarkable.
NECK;

Thc anlerior SlTap muscles of tile neck arc homogen<lllS and re<J·brown. without hemorrhage by
layer·wise dissectioll, The thyroid cartilage and hyoid bone an: imac\. The larynx is lined by intact
white mucosa. The lunllue is fn:e of bile marks. hemorrhage, or other injurie••
CARO]OVASCtJIAR SYSTEM:
The 2~O llranl heart is conlllincd in ~n inlact Jk'ricardial SlIC. The epicaroial ~urface is smooth. wilh
minimal fal investmcDl. 111e coromU"y aneries arc pn:scm in a normal dislribulion. "ilh a righl.
domi "anI p;lllcm. Cross st:etions of Lhc ""sscls show "i<ld~' patenl lumina. The myocardium is
homOGenous. red-brown. and fiml. The valve leancts are lhin and mobile. The endocardium i.
smoolh and glisteninll. The anna l!\ives risc to three intact and patem arch vessels, The renal WId
mesenteric vessels arc unrcmat1<:able.
RESPIRATORY SySTEM:

Th" upPi'r airv,ay is clear of debris and foreign material: Lhe mucosal surface~ are smoolh. yellow_
lan and unremarkable. The pkW'll1 surfaces are smooth. glistcoing and unremarkable bilaterally. The
pulmonary parenchyma is diffusely congested. exuding mo<lenne amoums of blood and frothy nuid;
no focal lesions an: nOled. The pulmonary aneries arc nomlally de"e1oped. paten1 and without
thrombus or embolus. The rightlun!! weillhs ~20 grams: the Teft 650 grams.

IIEPATOBIk!ARY SySTEM:
Thc 1420 gram liver has an imact smoolh capsule eovcriny dark rcd·brovlll. moderalely congested
tan·brown p:1Tt,nch)~na with no focal lesions noled. The gallbladder contains 8 011 ofgreen·brm'n.
mucoid bile; the mucosa is "Cl"cly and unremarkable. The eX1T1lllepalie biliary Irce is palenl.
.....ilhou! e,idellee of calculi.

MEDCOM 0954

ACLU Detainee DeathII ARMY MEDCOM 954

,

REPORTI(b~'~(6~'==­

AUTOPSY
JABAR. Walid Tawfiq

GASTROiNTESTINAl. SYSTEM:
The esophagus is lin.:d by l!T1ly-while. smoolh mucosa. The gaslric mu~osa is iITTlInSed in the usual
n1l;al folds and the lumen is empty. The small and large bowel are unremarkable. Farmed stool Is
prescm in the recllli vaull. The pancrcilS has a nnnnal pink-Ian lobulated appcamncc and the ducts
are clear. The appendix is pre~nl.

GeNITOURINARY SYSTEM;
The righl and Icrl kidneys caeh weigh 130 grams. The renal capsules are smOQlh, scmi-tr2llsparent
und strip wilh eus<: frum Ihc underlying 5moolh. red·brown cortical surfacc. Thc oonices arc sharply
delincaled from thc medullary pyramidS. which arc red-purple 10 tan and unremarkable. The
calyccs. pelvcs end ureters lITe unremarkable. White bladder 'nueosa overl;es an inlaet bladder wall
The bladder i.~ empty. Appro.~imatc1y 10 ml of urine is present in the collection bIlg. The t(:!;tes.
prostate gland and semina.! "esic1es are without '\(lte.
LYMPtIORliIl(;ULAR SYHEM:
The 160 gram "pk'Cn has a smooth. imaet capsule coveri"ll ~d·purple. moderntdy lir'"
parenchyma; the I~ mphnid follicles are "nri.~nurkabiL·. Lymph rlOdcs in Ihc hilar. periaortic and iliac
",gions are unremarkable. Ga.'lric (greater cllr..mure) lymph nodes appc.1I mildly ;,:nlarl:\w.
ENl)QCR1NE SYSTEM:
The thyruid gland is symmclric a'id red·brown, 1";1110,,1 cystic or tWdulnr
glands are poorly dise~mible flOm the adjacent adipose lissuc.

l·h:ml:\~. l"h~

adrenal

MUSCULOSKEI.ETAL SYSTEM:
No abnormalilies of the nlll5\:les. hones or joInts are idemHh,d. Lonllitudinal incisions of the
p"~terior surfaces of the tot"SQ. upper and lower el«ll:mitks show no evidence of injury.
AODITIO!'Jtlli PROCEPURES

I. Oocumcnlary phot0l:lraphs all: taken by the OAFME photographcr.
1. Personal effects arc rclc:.sed to the appropriatc monuary operations wpresemadves.
3. Sp«imens retained for tO~ ieol01O" \esting and/or DNA identifiC31,on are: "itreous nuid, blood.
urine. splecn.li"cr. lunll. kidney. bile. adipose lissue and psoas mll5l:lc.
~. Thc brain lIJ1d hean are retained rOl" funhcrcxamination. The rc:mainin:: dissected organs are
forwarded wilh bodr.
MICROSCOPIC EXAMINATIOr-;
I. !-leart (slides 1-4): No sil:lllilicallt microscopic abnonnalily
1. I.ungs (slides 5. II. D): I\Clite bronchMlveolllr pnelll11onia. right 10\\ cr lobe: bilateral
pulmonary alveot:tr ';{lngeslion \\-ilh palchy pulmonary edema

MEDCOM 0955

ACLU Detainee DeathII ARMY MEDCOM 955

AUTOPSY
.JABAR,

J.

REPORT@I(b~)(~'[)

W~lid

Liv~r (slide

T.,,'foq

=:----:J

j

6): No significant microseopic abnonnalily

4, Spleen (slide 6): No significant microscopic abnonna]ity

3. Kidneys (slide 1): Tubular autolysis
6. Lymph nodes. peri-gasl.l"ic (slide I 0): Follicular h>'ll':rplasia
7, Brain (slides 16, \ 7): No significaHl micrOS<.:opic abnonnaJil}'
8. TiS$ue from rellion o( adrenal glands {righl slides &.14; len slides 9.15): Scauered fragments of
adrenal medullllT)' lissue withoul ~'\'idence o( adl'efllli conical tissue (9.14.15); ponions of l)'mph
nodes and periph~ral neur~\ lissue. no adreMI tis$uc see" (8).

FINAk AUTOPSY O1AGNOSF~'\

1.

,\drelloconical alrophy
A. Melabolie imoalallCe (per proturo\)
l. HyponalTemia. hyperkalemia. hypogJyc~"ia and melabolic acidosis
2. ECG finding o(prolonged Q1' inte....·31 (per prolocol)

I!.

ACU1" bronchoah-eolar pneumonia (rillhlln"cf lobe)
A. Bilmernl pulmonary congeslion Wilh patchy pulmonary edema
B. Bilateral pIcural effusions (righl 30 ml. left 100 ml)

Ill.

Toxk..,logy: ACelone is presctll in lhe hlood and urilll:; nlropine is presenl in the urinc
OPINION

i\ceol'di"ll to repons. lhis 23 year old male civilian delainee coll"pscd while being interviewed.
Re$uscitali,'c effons Wen.' slaned at Ihe scene and he wa< transponed In the medical facilily whe",
he w:u found tn be hypolcnsive. hypothermic. and have a GCS of). Initiallaboralory testing
~ho,,~'ll signi ficalll m~'1abolic derangement (h>'ponaucmia. Ilypokalcmill. metabolic acidosis llIl()
hypoglycellli,,). Ahhough the decedent was initially slabih..d. his coodilion conlinucd 10 worsen
onlil his den';se on me (o!lowing day. Review of me a,'ailable medical records revealed a hislory of
a '"hunger s\rike" for approximately 7_ 10 days prior 10 dealh and unspe<:ifled "kidney" probiems for
whieh die decedent ....'as laking daily h)'droconisonc.
AU10pSy examination showed no e"idcn~c oflrauma Microscopic examination showed acute
I1ronchnpneul\1onia of lhe Idl lung llnd hilateral adrenal cortical atrophy. ToxicologiC''' examination
shuv..ed Ihe presenec of atropine inlhe uline and aCClOIIC (Irace) in lhe blood al,d urine.
Aeule ad.... llOC<>nical insullidency may prcseO! as a "eri.fs" in patientS with "hroni,- nd",nocortfeal
insufficiency precipitated h)' an)' (om, of Slress or from tOO rapfd wilhdra....al of "xogel1oU5 steroids
in those w/lose: ad .... nal glands ha,'c been suppressed by longlerm administralion. 1 Findings include
Oyponalreillia. hrpcrklllemia. hypoglyecm ia. melabolic acidosis and ptolonllation of the QT inlerval
l
011 EKG. Untn:alC<l patients ha'-c a poor ProllllOSis.J

'e",....". R, Kum..-. V...... r.. Robbi"~ P.. hologic 8.. 1. of D....",. W.8. S."I>J<~Co. 1994. ,. F-<l" PII 1151

, Kjrklll>d. L.. Adc<nal Cf"~ Ike 18. 2007. inTI"'"'' w"'''<dis"ill(·I'um.m<d 'l\!ric1iS him
, KI.U<,. K.. Ad""",i tn,uffkkllt}, ."d Adre".1 C,hi>. J"" ;0, 2007. hllp·II""')':,-<'",-di>;!lqolD'tmtl,,~,,pic16.b!m

MEDCOM 0956

ACLU Detainee DeathII ARMY MEDCOM 956

AUTOPS\' REPORT (b)(6)
JABAR, ""sUd Ts",nq

6

In lhe cum:'ll Cbe I..... ~1iol"lO' of lhe: .,J11:...1 ~Irophy iii unce!Uin. Conlribuling wesson: illCluded

pneumonia al'l<l c!eclh'e food depri"alioll,

I'us~m ~~icoIO¥Y sho",~

lhe presence of the

ltM:rnpeUlic sub$lsnce 'lropine and lnIee II/11OlInlS of lICClOfle. Act'IOfle is. b) ·prodUl."t uf fm
mclabolism and can be seen lIS a:'e$\lh offood ckpri"ation.
III SUIl'II1Wlry, lhi$ dKedclll mO$t likely had Ionll iilanding (chronic) -'~noc:ortical iMufficiency
.....!lich ~ to ",,,,,... iMUff>c:ienc)' (··crisis~) in lhe fllct' of infcclious (pno:wnOl1i.) and food
ckprhlllion $ll'eUOrt.(b)(6)
succumbed 10 scn'lt: mc1abolic demnllcmenl due 10 Kille
ao:!lt:noc:onlcal insufficicncy. The: mll/mCr of dealh is Illlilltlll.
This case is ~~iewcd in conlllllatiOt'l .....ilh lhe I)(;partmcnll of End<xrine and RCTUlI Palholo\lY. The
lane, is pcnditl$- Upon completion an addendum repon ....ill i$sued if cOCltribulol}.
(b)(6)

MEOCOM 0957

ACLU Detainee DeathII ARMY MEDCOM 957

___.-

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MEDCOM 0958

ACLU Detainee DeathII ARMY MEDCOM 958

ARMED FORCES INSTITUTE OF PATHOLOGY
M~dk.1 Eumillu
1413 Ruearch Blvd.. Bldg. 102
Rockville. MD 20&SO
1-301-319-0000
(FAX 1-301·319-Q63S)

omn of ch~ Armed ,"oms

FINAL AUTOPSY REPORT
Name: HUSSEIN, HV.der Abdul
ISN:(b)(6}
Date ofBii'th: Unknown
Date ofOealhl(b){6) h008
Dale of AUlOpsy: 22 MAR 2008, 0900 hoUl'S
Dale ofRepon: 30 APR 200&

1

Autopsy No,[<blf6)
AFt? NoJ(b)(6)
]
Rank: Civilian Iraqi Detainee
PllIee ofDealh: Camp Bucca, Iraq
PIKC of Autopsy: Dover Mortuary Facility.
Dover AFB. OE

Cireumlfanr;oes of Dc!.Ch:
I(b)(6)
an Iraq civilian detain« of Ullknown agc hu a well documenled
history of and trealment for Dilaled Cardiomyopathy during tWO prior admissions in
JanUllI)' and February Of2008.~I-t .._""'._~mhlCd 10 the "Thealer Inlcmm~nl FacililY (TlF)
hospital, Camp BllCcII, Iraq,
(b)(6) 2~ with a eomplainl orMnot fcclinR well':.
Over tItc following four day.s..!( By---- suffered cardiac arrestl\\'ice. On (b){6) '08.
he sufferal a third cardiac lII'TCSl and could not be rcs~i\.ll<:d. No llddilional ~nincnt
informalion is available.

0"

AuchorizalioD for AUloply: Officc of the Arm<:d Forces Medical Examiner. IA w 10
USC 1471
IdcnlirIUCkl.:
(bJ\6)
idcntilial by lOt IIlgs and his TIF number. Fingerprints.
dentaleliarting and sample for DNA idenlification arc obtained.

::Jwas

CAUSE OF DEATH:

Dilaled Cardiomyopathy
MANNER OF DEATH:

Nalural

MEDCOM 0959

ACLU Detainee DeathII ARMY MEDCOM 959

AUTOPSY REPOR1iSI(b~'~(6~1
HUSSEIN, Hydu Abdul

_

,

EXTERNAl. EXAttllNATION
The body is Chal of a wdl-developcd. While male 73 incllcs lall. 287 POUndllll>d appcan
of middle aile (unknown date of birth). The body build is obese with Bod)' Man IndelC or
37.9. (18.5-24.9 is normal: 25-29.9 is OVl!!" weiW11and 30.0 lII>d above il considered
obese). UvidiLy is consiSlent wich supinc po$ition. ril>'Or is equally prescnt in all
eXlremities. and the body tcmpcn.lurc is lll&t of \he rcfrigenllion ",nil.

The scalp and facial hair, beard and mUSl8Che. are blaek. The irides arc brown. and tile
pupilsllR' round lIlllI equal in diameler. Thc eomcas are d",n and the sclerae are
IIntcmarbble. The elClemal auditory eanll1s and cars arc unremarbble. The n~ an:
patel'll and the lips arc lllraumatic:. The nose and m;u:illac arc palpably 5llIble. The t«lh
appear IInrcmarbble. The CongllC reveals no evidence oflrallm& or bite marks.
The I'ICck is 5traig)n. and the lr&l;hcll il midline and mobile. 'fl1c cl1cst is symmetric. The
abdormn is markedly proluberant. The IlCTlitalia arc lho$c ofa normal adult circumcised
mate. The lesles arc descended lIlllI free of masses. Pubic lI&ir is ptcsenl in a normal
distribution. The right bllllo<.:k reveall d«-ubilUS ulceration right or lhe midline and an

incised and drained abscess mOfC literally. The anllS is 1I",,~marbble.
The upper and lo~r extremities are symmetric; reveal marlr.cd edema and no clubbinJl.
No evidence oflrauma is presenl on examinalion 01" dissection ortlle eXlremities. The
chest and abdomen reveal remarkablc stretch marks. A lalloo f(b)(6)
---"""]
Rb)(6}
1A large remolC healed longillldirull surJical
5QI" il noted on lhe left uppcrehcsl eloso: 10 lhe anterior axil1lUY line.
No other
idencifying maoo are noted.
CLOTHING AND PERSONAL EfFECTS
The body was rc.:civcd ulH:lad. A silver-colorcd ring is noted in the left middle finger.
The rin8 is rcmovro, photographed and submillcd 10 lite mQftuary slllfTror proper

disposilion.
MEDICAL INTERVENTION
Evidcnc:c of medical interve.ttion: El'ldotraehc:a1tl,lbc; Nasa-plric lube; EKG pads;
Mulliple inlravenous access lirIC! and. urinary elltheter.

RADIOGBAPHS
FilII body radiographs.1Id a cr-sean ~ oblllincd and demonstrate rcrJ1O{e intemlll
fixillion of dislllilefl forcann. No recent skeletal frac\u~s ~ noted.
EVIDENCE OF INJURy

MEDCOM 0960

ACLU Detainee DeathII ARMY MEDCOM 960

REPORT;~(b~)(6j"==::

AUTOPSY
HUSSEIN, Hyll~r Abdul

J

INTERNAL EXAMINATION
HEAD:
The IlI'leal and subgaJeal soft tissues of lhe scalp ate edematous and fret: of injury. The

calvarium is inliK:l, lIS is the dura maIer beneath it. Clc.v cerebrospinal nuid surrounds
tho: l400 e.m min. which has ul\J"Cmarkable llJri and suld. The surface vessels revnl
marked COflllcstion. Coronal s<:cIiORll dc:monslrat~ slwp deman;lllion between white and
t.\rey maner. without hcmo"hab'e or oontll5ive injury. The ventricles arc: of nonnal size.
The basal ganglia.. brairutem. eaebetlum, and arterial Sf$lCfTIS are free of injury or other
abnonnalities. There are no skull frac:tum. The atlant(H)(:(:ipita\ joint is stable.

NECK:
The anterior strap muscles of tile neek are homogenous and ted-brown. without
hemorrhage. The thyroid eartilage and hyoid are intact The IllJ'}'flx is lined by intact tllll
muc05ll. Thc thyroid is symmetrK: and red·brown. wilhout eystic or nodullll' ellanSC. Tile
longue is fm: of bite marks. hemorrhage. or other injuries. There is no de<:p pa:1Itervieal
muscular injury and no cervical spine rraaun:s.
BQDY CAVITIES:
The ribs, sternum. and vertebr/ll bodies an: visibly and palpably intact. The Chesl cayilies

reveal bilateral pleural effusion of e1C11r st",w-colored fluid: 300 ec in the len and 200 ce
in lite rillht. The pericardial sac contains 200 ec of clear slll.w-eolOfeG fluid. and the
peritoneal cavity contains effusion fluid. approximately 300 cc. Tile heart appcal1l
grossly enlarged and the major organs occupy their u:lual anatomic ~itiOfls. The
abdominal wall adipose tissue mcuul'CS 2~ in thickness.

RESPIRATORY SYSTEM:
The right and lefllungs lIle mu\(edly heavy and weigh 1220 and 830 gm. respe<:tiI'CI)'.
The: external surfae~ are. ","OOIh and deeprtd-purple. The pulmonary perenehyma is
diffusely conge~ and markedly edematous, oozing frothy nuid. Two dark red welldemarcated area an: noled in 11K: bIlK ortlK: lower lobe ortlle rigllt lung and the apex of
the lower lobe of tlte left lung, mensuring) '/, )t 2 '/, )t 2" and 2 )t 2 )t I '1:,' respeetivel~.
Seelions through these areas revcal finn dwt red parmehyma. with gross appeararx:t: of
pulmonary infarction. The lungs are phcllogrllphed fordoeumenlation. The pulmonary
vessels are norrtUllly positioned and are grossly f~ ofthrombo-emboli.
CARDIOVASCULAR SYSTEM:
The: Itean is mmedly en1arsed. weighs 790 grams and is conlained In an intact
pericardial sac. The epicardial surface is smooth, with increased fat investment. The
coronary aneries arc: present in, nannal dislribution. Cross sections of the coronasy
vessels reveal no sig.nifieanl alhcroselerotie changes. The myocardium is homogenous,
red-brown. and soft. The cardiae chambers are dilated. The valve Ie,nets are tlUn and
mobile except for a lhickened and sliUht1y shortened mitral valve. The tricuspid.
pulmonary, mitrallilld &Onic valves ITICI5llte 1).8. II and 7 em. rtsptttively. The mitral
valve is retained for further examination. The walls of tile left and rigllt ventricles and

MEDCOM 0961

ACLU Detainee DeathII ARMY MEDCOM 961

AUTOPSY REPORT~b){6)
HUSSEIN. Hyder Abdul

4

lhe intcr'o'entrlcular $Cptum lire: lB. S and 18 mm. l"Cspecli,·cly. The endocardium is
smooth and l:listeninJ;. 11Ic aorta l:ives rise to three intact and palelll are:h vessels. TlIc
TCl1al and mesenteric vessels pre: unremarkable,
LIVER &. BILIARY SYSTEM:
The JlOO am liver has an inlact. smooth capsule and a slIarp anterior border. The
parenchyma re:vcals a mnmcll appcurance eonsistcnl wilh conl:~$Ii~ hcan failure:, wilh
lhe usUllI lobular architecture:. No mll$5 lesions or other abnonnplilics are: seen. T!lc
gallbladder wall is slightly thickened and COI1tains dan l:reerl bile. A l:alt stone
mcasurinll I cm in diameter and multiplc minute Ilall stones are: noted in the: lumen,
pholollraphed and re:lPincd, The extrahepatic bililU)' tree is grossly palenl.
SPLEEN:
The 780 gm spleen;s enlllrgl:d and h", a smoolh. inlllc:l. red_purple capsulc. The
parenchyma is maroon and congested. with distinct Malpigh;an corpuscles. The major
lymph nodo:s cnrounlere:d during ellaminalion are: not enlarsed and are: unremarkable.
PANCREAS:

n.c panc:rcas is finn and yellow·tan. .-ilh Ihc: usuliliobular architecture,

No mass lesions

or othc:r abnonnalities are seen.
ADRENALS:

The riGht and len adrclllli glands arc symmelric, wilh bril:ht yellow eonices and grey
medullae. No masses or areas of IIemorrhilj;e are idenlified.
GENITOURINARY SYSTEM:

n.c righl and left kidnc:ys wdah 270 gm and 240 l:rams. respectively.

The external
surfaces are intac!' smooth with mild pcrsisknt Iobulalion. The cuI surfaces arc rcd·1l\Il
lind conacstcd, wilh unifonnly Lhick conic:es amI sharp conioo-medullary junctions, Tile
pelves = unrcmartll.ble and t!le uretCR arc: nonnal in course and caliber. White blao::\deT
mucosa overlies an inlacl bladder walt. TlIc bladdcToontains a small amount ofclcar
yenow urine with a urina!)' cathcler in place. Urinc is submined fOT toxicology. 1lIe
pmsliltc is normal in si:u, wiLh lobular, yellow-Illn pasenchyma. The seminal V'CSides II.~
unremarkablc, Thc lestcs are: frtt or mass lesions. contusions. or olhc:r abnormalities.
Bilateral hydroccles a~ noted.

CASTROJNTESIINAL TRACT:
The C$OphalluS is intact pnd lined by smoolh, gre:y·whilc mucosa. The 5Iornacll contains
II small amounl of dark green nuid. The gastric Willi is intPCl, The duodenum, loops of
small and largo: intestines slii:htly edematous bul otberwi$C are: unn:maJkab!o:,
MUSCLES &: SKELETAL SYSTEM:
Grossly \Il1R:maJkablc with no significant patholollieal changes. No evidence ofrccenl
skclcllll lrauTTUl is noted during eltllmin:llion or radiologicall),.

MEDCOM 0962

ACLU Detainee DeathII ARMY MEDCOM 962

AUTOPSY REPORT(b)(6)
HUSSEIN. Hyder Abdul

5

TQXICOLQCv
Corbon Monoxide: CllIbollyllemoglobin satullItion leSs than 1%.
Volat;les (Blood and Urine): No ethllllOl 'NUS detected.
CY8llide: No cyanide detecled.
$clftncd dru;S of abuse and medicatiOllli (Blood):
P05ilive Iknzodiaupine (MidlWlllllT1); delected and confirmed.
_ Pe»itivc BenzOOiaupim: (]·HydrollymidllUlllllT1). delee'ed and confirmed.

ADDITIONAL PROCEDURES
Documentary pholOgrBphs alt' tllken by an OAFME pholographer.
Full body llIdiographs l\lld CT-5Cal'I art' obLained.
ElIamination, wilh skin incisions, of 11ll: elltremlties and bDl:k 10 rule OUI tlllUIDa.
Specimens retained for toxiwlogical ar>dlor DNA identification arc: blood,
villeOlIS, bile. urine. gastric contents and tissl.lC.' samples ofheart. kidney. liver.
lung. spleen, brIIin. adipose tissw:, and muscle.
S. Reprcgntative seetions of organs alt' It'wncd in formalin for microscopic
examination.
6. Per10IIal effects. a silver-<:oloml rin¥- is p/tologlllp/lod antllt'lcascd 10 lhe:
mortuary stafT For proper disposition.

I.
2.
3.
4.

MICROSCOPIC EXAMINATION
Selected ponions of organs are It'lained in formalin. Histological slides IU'llIl5 follows:
1-4: Hean: Foca1subcno:locardial scarring: Prominent perivascular fibrosis; Focal
hypertrophic myocyte$; Recent septal myocardial infan:tion with eonlfBl:tion
bands and ll<:ute inflammatory cell infihlllle.
S:
Mitllli valve: ,hiekened milllli wive wi'h fibro$is and hyalinization.
6-9. II: Lungs: Largc areas of parcndtymal infllrtlions; inerused number intra·a1veolar
hcmosidlt'n and anthracot;c pi&mettt·llIden mael1lplulges; pulmonary congestion
and edema. No evidence: of pneumonia.
10:
Kidney: Focal lllt'lS of acute tubular necrosis.
12:
AdIt'nalglands: Unlt'mariable.
13:
Spleen: Congestion. focal inrlllt'tion.
14-16: BllIin: Unremarkable.
1-16: Postmonem aUlol)'sis

MEDCOM 0963

ACLU Detainee DeathII ARMY MEDCOM 963

AUTOPSY REPORT (b)(6)
HUSSEIN, H)'der AbeI'l

6

FINAL AUTOPSV DIAGNOSIS
A. Cudio.....,....r S)1ilcm:

Cll1diomcpl), (Cardio BoYUs). 790 &IWIIS
Four ellllll'\ber dilalBlion consiSltnt wilh dilat~ c:ardiom)'OllllIh)'.
Congc:sli..c Hesn Failure:
• 8ilat~ hemotho_. pc:ric:an:lialllld IXritonc:ll effllSions.
_ PullTKlnary edema. righl 1.120 ifI'II5 and left 130 grams.
• Ikpalomegal)' ...·ilh nulfMS appc:uvoc:e.
• analt:Bl pulmOlllI")' infarc:lioru..
• OeneraJiud cdtm~.
• 8il~IC",1 hydroceles.
Focal subendocardial and pc:riVII5Cular fibrosis.
Thickened (fibroKd and hyalinized) milral valve.llIIknown diolo&>,.

B. Other Fllldlnp:
Obesil)'. 8MI 37.9 (nonn(l\ 18.5-24.9. ovcrwciglll 25.0-29.9. obese 30.0 and
above)
Pulmonary infardion.
AeUle lubular nccrosis ofkidney.
Chronic: eholt:c:)'$Iilis and cholelithiasis.
Righi Glute.1 absc:eu. evidt:nec: of rteCnl il'l<:ision and dflinDiC.
Pusive congcsliOll of liVt:\'. spleen and kidneys.
Earl)' signs otdt:~lopin8 de<:ubiws ulccralion.
C. IDjUria

No cvidencc of blunt fort:e. sharp fo," or firearm injuries.
D. ToIkoI0ID':
No evidence of ethanolill' dNllS ohbusc.
Posi,i~ for Ikntodiutpinc and ilS mtUlbolilel.

OPINION

(bl(6)
a civilian Iraqi dcuincc= ofunkllO¥m agc. died from eardi.
disease (Dillie<! Cllrdiom)'Opilhy, c:ardiomepl)' and c:onaC$live linn failure). No
cvidence oflrluml is noted durill& IUlopt)'. TOll.;cologic:aJ rtSUl13 ~ ncpli\'c for
cthanol and dNas ofabuJc and posilive for DcrllOdiurpinc and illl mft.lbolhcs
(cOllsistenl with documenled medi<:allralmc:nll. and is IlOn-cOlllribulory 10 MItOps),
conc:hJ5ions. MllU'Il:r of dc.lh is nillunrll.

r

H

["1"

"
(b}(6)

MEDCOM 0964

Medial Examiner

ACLU Detainee DeathII ARMY MEDCOM 964

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DO ,~ 2064

MEDCOM 0965

ACLU Detainee DeathII ARMY MEDCOM 965

ARMED FORCES INSlTTtrn: OF PATHOLOGY
0f8« oftbe: A..-d F,IUlI MC'dil:lol EUllli.er
\4\J Research Blvd., 81... 101
Rockville:, MD 20150
301-319-0000
AUTOPSY EXAMINATION REPORT
NlIIJll::_BTB-'~tuhammC'dAI-Ilha"";'

Tah. DaMr

ISN: (b){6)
Date of Birth: UlIkDown
Dale ofDeatt(b){6)
DatclTime of AUlopsy; 1 Apr 2008@1130
D.le ofRepor1; 10 Apr 2003

l(b)(6)
Autopsy Nn.:
AFIP No_ (b)(6)

1

Rank: Il'Jqi Ciyilian
Place ofDu.th: II'Jq
PIKe of Autopsy: POl'! Monuary
Dover AFB, Doyer, DE

ORllllUUaea ofDealh: Per lllvesti8.11on, this lnoql male wu fldmitted 10 lhe 31" Com'-l
SlII'Bical Hospibll on 16 M~h 2003 for mUl1iple medical problema, lncludln8 .CUIc renal l"allure:,
umreated di.bc~ mcllilus, and an acute myocardial infarction. While in 1he ~pital he underwent
AIrier)' for pstrointcSlinal bleeding, and was.Jso lIe.~ for COf11lnllCd R:lIll f.ilure and another
myocllJdial infarction. Despite ,"","lve medical int~nlion, he e\lCl\lually succumbed 10 his
mUlliple .ilments.

AIllloriZlllloll for Alllop.y: Armed Forces MC'diea] Examiner. per 10 U.S. Code 1471

lde:alilicalioa: Presumplive idcnlifltalion I. established by examinalion of~rk in lhe case
file. Posl-rllOflcm finllCrprinUl and. specimen suitable for DNA analysis ~ obblincd•.
CAUSE OF DEATH:

MANNER OF DEATH:

NII"nl

MECCOM 0966

ACLU Detainee DeathII ARMY MEDCOM 966

AUTOPSY REPORi~)(6)
Muhammed Al·lanawi, Taha Daher

2

EXURNAL EXAMINATION
The body is lhat ofa weU-dcwloped, weUoflOIlrishcd unclad male. The body weighs 273 pounds
and is 73 inches inletlgth. The body is cold. Rigor is pusing. Lividily is preselll and fixed OIl the
poslerior surfaee ofllle body, exeepl. in &lUJ exposed to presJUJe. The head is nonnotcphalie, and
the _Ip hair is b\aek &lid gray. Faeial hair consists oh beard and musllehe. The irides are browrl.
Thc eomeae are cloudy. The conjunctivae arc congested. The Sl:lcl1le &R: white/red. The eyelids &R:
cdemalous. The external alldilory eall&1s., extetTll.lnares and ol'llli e&vity arc free of foreigrl mllterial
and abnomlal 5c:Crelions. The earlobes haw creases biratel'llllly. The nUll skeleton and muilla are
palpably inllel. The lips are witholll evidmt injury. "The lIppet" Ieeth are absent and the lower teeth
lU"t: in poor eondition. Elwnil1&tion of the IlOCk reveals no evidence of injury. No evidence of injury
of the ribs or !he stemwn is evident externally. The abdomen is $Oft and distended. Then: is a 10 Y.
inch vertical stapled ineilion on the midline of the abdomen. The eX1e1Tlll1 genitlllia are lhose of an
iiduh eireumci$ed male, and the scrotum and penis are edematous. There are numerous pinpoint
pustules on the posterior 101'10. The anus is unremarkable. The extremities are diffusely edenwous.
The fingernails are shon and inlact. Underneath the wrap and gauze on the left foot 15 a n«rolie
ulcer, 2 x 2 inches" and tile I- and 2"" toes on the left fOOl are absent. Scars and tattoos are not
noted,

CLOTHING AND PERSONAL EFFECTS
No items of clothing or pelXll1&l effeeu lICCOmpany the body.
MEDICAL INTERVENTION
•

EKG leads (5) on the tono

•
•
•
•

Stapled incision, mid abdomen
Foleyea!heter
Triple-lumen catheter, right femOl1llarea
Wrap and gilllU on left foot. labeled with "'29 Mar 08 0930~

MD'QCWHS
A complete set ofposlmortem radiographs is obtained and demonstrates the medical ilUervention
and natul'llli disease u noted.
EVIDENCE Of INJURY

No signifieant il\iuries are identified.

MEDCOM 0967

ACLU Detainee DeathII ARMY MEDCOM 967

=-

AUTOPSY REPORT (b){6)

J

Mulwnmed Al-lthawi, TlIh& o.her
INTERNAL EXAMINATION
BODy CAVITIES;
The body is opcntd by the usUDllhora<:o-abdominal incision and the these plate is removed. The
ribs, sternum, and venebral bodies are visibly and plIJpably intatl. All body organs are ~t in

normal anatomical position. There are dense Ieft.-sided plawal adhe$ions. T'here is 100 ml of
Krosan8uioolJli fluid in the Iell plalral cavity. Theft is I SOO ml ofsc:rosanguinous fluid in 1M
perilOlleal cavity. The subcUWleous fllla~oflhe abdominal wall is 1 % inch thick.
HEAP AND CENTRAL NERyOUS SYSTEM:
The $CaJp is reflected. Thc gIIleal and subgalelll sollliSlllles of the $ClI.lp are free ofinjury. There arc

no skull fntc1~. The calvarium of the skull is I'mIOved. The dUfa mater and falx cerebri are intact.
There is no epidunl or subdWlllllcmorrllagc plt:5a11. The leptomeninses are tIlin and ddleate. The
~n11 hemispheres are symmetrical. The structures a1lhe btie oflhe brain. inc:1udinll ereial

nerves and blood veuel5, are intact. Clear ~reblwpillal fluid 5IllTOUIlds the 1410 gram bnin,
which has UII1'CmllfkabJc &Yri and sulci. ComnaJ sections thtough the cerebral hemispheres ~ar no
lesions. TransvctK stetiOTl.l through the no stem and eerebeJlum are unremarbble. The allanlOCKX:ipillol joint is sIIoble,

NECK;
The anteriw suap muscles oflhe neck are hornogellOll!l and red-brown. witboul bemorrlage. The
tbyroid cartilage and byoid bone are inlld. The IllI)'lIX is lined by inl8cl white mllCOSL The IOnSlle
is free of bite IIW'b. hemorrhage, orOiber injuries.
CARDIOVASCULAR SYSTEM:
The 660 gram beart is contained in an int8Cl pericardia! sac. The epic8tdial sunllCc is smooth. wilb
minim.al fat investment. The coronary arteries an: ~l in a normal distribution. They
lkmonslrlte the followingllTlOUlllS ohtherosclerolic stenosis: approximately 9S% ofthc proximal
left anterior d~ndins C(ll'OlllU1a~, approximately 50"Aoofthc mid rilbt coronary anery. and
approximately 9S%ofthe proximal and mid len circumflex coronary artery. The myocardium is
homogenous, pale llIII, and modenllely firm, The valve leaflelS are tbin and mobile. The
endocardium is smooth and slistenins. The aona lives rise to three inllet and patent llcll vessels.
and demonstrales SCYere calcifie dianSf' distally. whicb extends into the Iliac arteries. The renal
arlericsdemons\nlte approximately 75% atheroscleruie stenosis bilaleRlly. The lI1C5CIIteric vessels
an: unremartable.
RESPIRATORY SYSTEM:
The upper airway is clear oflkbris and fo~i8Jl material; the muc05llI SUrfllCCS are smooth, yellowllIII and lIlI~markable. The right pleural surface is smooth and slisten[ns; the left pleural surface is
llIII·wbile and fibrotic. The pulmonary parencbyma is dHl\~ly congested and edematous, exuclina
lillie amounts of blood and frotby fluid; no focal lesions are noted. The pulmonary ancric:I are

MEDCOM 096B

ACLU Detainee DeathII ARMY MEDCOM 968

AUTOPSY REPORT (b)(6)
Muhammed Al-Itlllwi, T..... Daher
flOmIIlIy developn!, palent. and without dIromMor ~bol\lS. The riahlllllll wciJ,hs 1090 arams;
!he left 1070 If&I'IS.

HEPAIQBILIARY SYSlEMj
The 2]]0 pam livn has an intact smooth capsule coverinalln-red moderately congestccl
pmll(:hYJlUl willi no foul ~ noted. The pJlbllldder is markedly distended IIld conWIllI SO ml
of al'eC1l'brown, mucoid bile; !he muCOMl is ~vet)' and unmnarkable. 'The nlflhcP'olic bililfY tl'Ce

is palent. without cvidcll(:e ofc.lculi.
GASTROINTESTINAL SySTEM:
The csop/lagllS is lined by Sr1ly·white. 5/TlOOth mucosa. The pstrie mucosa is arranacd in !he lI$llIl
ruaal foldsand the lumen ecmllins approltimately SOO ml ofLhick. yellow malcrilol. 1'hcre is. <I
inch IUIU~ ill(:ision on Ihc mucosal surf.e of tile dlJlll slOmlCh. The small bowel is
WIl"Cmarbble. The serosil SlIrftoee ofthc 1Jr&e bowel is dif!Uscly 6artt purplc-al'lly. The p&nCraS
Iw. ~Ie Ian lobuliled .ppcll'llnCC and !he duelS arc clcer. The .ppendix is prucnL
GENITOURINARy SySIEM:

The riaht kidney wciglu; 200 a,ramt: the left 200~. The ren.1 capsula arc smooth and thin,

scmi41'.n'P'Kru and Slrippcd with casc Ifom lhe ulldcrlyina granulu, red-brown conical runted.
The concx is sharply delinealed from lhe medullary pyramids, which arc red-purple 10 Ian and
WIl"Cmarkable. The calyces, pclves and urcten: arc lWCmarlcablc. White bladder mucosa ovcrlia an
intact bladder wall. 1lIc blldder conwns I CllhelCl' and is empty. The testes, prCIlllte gland and
scmillll! vaiclcs arc wllhouIl1oOle.
LyMPHQREDCULAR SysTEM:

The 460 gram spleen hu. smooth, inUlCt capsule covenna red-palo Ian, modcrIllely firm
pal'Cll(:hyma; the lymphoid follicles arc unremark.ble. Lymph nodes in the hilII'. pcriaonlc and
mac regions arc not cnhll'lcd.

ENOOCRINE SYSTEM:

The thyroid Sland is symmetrically enlqed and red-brown, withoulcystic 01' nodularchanae. The
riglll and left adrcnaIslandsarc symmetric, with briallt yellow conites and red-brown medullae. No
muses or arcu ofhemormage arc identified.
MUSCULOSKELETAL symMj

Thm: arc deamcllti~ chanses ofthc 6"" and 1*' ccrviCIII, and ~-12"" thoracie ~nebral bodifi
(seen radiolosic.lIy). No abnormalhies oflTlUJCle lit idenlirleCl.

MEDCOM 0969

ACLU Detainee DeathII ARMY MEDCOM 969

,

AUTOPSY REPORT1l b}(6)
Muhammed Al·ll!ulwi. Taha Daher
ADDITIONAL PROCEDURES
l. Do<:~ntarypholOsnphs anl Ulkcn by an OAFME slIffpholOpphcr.

2. Specimens rtlained for loxicology testing and/or DNA idenliflelliion are: vitreous fluid.
blood, spleen. liver. lung. kidney. bf'llin. myocanlium. bile, gutrie contents. adipose
liSSlloC and psoas muscle.
J. The dissected 0IJ1nS art flll'WlJ'ded wilh body.
MICROSCOPIC EXAMINATION
Selected. portions of organs a«: «:tained in fonnalin, without preparation ofhistolocy slides.

MEDCOM 0970

ACLU Detainee DeathII ARMY MEDCOM 970

AUTOPSY REPORTlb}(6)
Muhammed AJ·lthawi. Talul Daher

6

FINAL AUTOPSY DIAGNOSES:
I.

Hypertelllin a1hmneknlllc cardlovatCUla... dltease:
A. Nu.-..ocdu.ive alberosderotk .Ieaosb oflbe left anlerior de.«adlac and len
t1l"C11mfln tOrour)' al1"rKlI, alld approdmaldy 50% alll"ro.derotic u ....o.u of lbe
nlbt coroDar)' arler)'
B. Alberoulerotlc .leaotu oflbe ""nalalUries, appro.li.alel)' 75% bilaterally
C. Diffu.e C1Iklllc cbaDle of the dbtalaorta and Itiac arteria
D. CardlolMply. 660 Ira. .
£. Grou bypel1"llIlvc dlanlft oflbe kklney.

II.

Addltfonal nndlnp:
A. Bllaleral puhnonar)' ('OIIIClIIoa. "lbl109O lJ"IIlIII, len 1070 lralll'
B. DeIlSC l"ft·.ldN pleul'lIladbetlOlu
C. Left pleu....1cavity, 100 11I1 serosanlulnoll. nuld
D. Perifoanl C1IVIty. 1500 .llCros.nllllllolU nllht
£. HbfOr)' of ullfreal~ dlabeles .dIU... wlCb a ..e..rotl" ulffr a..d ....lulnl dlalll on
tbe left fOOf
F. Hblol)' ofuppe... lulrolntali..... bleedinc. wllJl. 'Illpled abdomlllallncblon and a
.lIlured pstric IlIcbioll
G. Grou!)' ne..rotic lI....e bowel
H. DifJURIy enl.....ed thyroklwllb 110 foallcllioa. identified

III.

No evklrnce ohlpllneantlaJul)'

IV.

Evidrtll:e of M~lcallnte.....entlan: AI noted abon.

V.

IdeJltlf'ylllllllulIs and 1a1l00ll: None 1I01ed.

VI.

POII....Ol1eJII Cballlcs: .... noted .bove

VII.

Tos.ltoloJ)' (AFlP):
A. Efb.nol: No ethanol Is dctcctecl In the blood and v1l"0II' n,,/d.
B. O.... gs: No .crcmed drup or.busr.re det«:Ced In tbe blood. D1tt1azem 1J drtected III
the blood .t a level of 0.78 mafl- No I;llb... lllrdkatioll, are drte..trd In lbe blood.
C. Carbon Monoxide: The carbo.ybentOpbln .. !a.... lla.. l. lhe blood b a. than I-I..
O. Cyanide: No eyall/dc is dele..trd IlIlhe blood.

MEDCOM 0971

ACLU Detainee DeathII ARMY MEDCOM 971

1
AUTOPSY REPORT (b H6,;;'co:=_

7

Muhammed AI-ltllawi, Taha Daher
OPINION

This Iraqi mak(bl(6l
!ditd ofhypmensive atherosclerotic cardioYa$QJlar
disease. Then= was ebnoR complel~ blockagc ofl.....o ofthc three lTllIin coronary arteries, and
rnodmIl~ blockag~ oflhe lllird. TIlerc was also atherosclerotic disease ofthc lIOrta and meriu
supplying blood 10 the leas and kidneys. TIle heart and Jddneyslkmonstraleo:! chanlles cons.iJlent
wilh hypel1~nsion (high blood prcss~). The decedent also had a lIOIl·healing ul~ron hilleft fool,
consistent with the given hislOl)' ofunlreated diabetes. Additionally, the d«uIent's stay in the
hospiUlI was complicat~d by progressive kidney failure. a myocardial infarction (heart allaCk), and
bleedinll in the gaslroinlcSlinal tract. ToxicologicaJ 1CSlini was posilive for. medic.lion used to
treal hypcrt~nsion, but othcnvisc: neptiv~. The manner of death is MIura!.
(bl{6)

(bl(6)

MEDICAL EXAMINER

~

MEDCOM 0972

ACLU Detainee DeathII ARMY MEDCOM 972

'
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MEDCOM 0973

ACLU Detainee DeathII ARMY MEDCOM 973

•.

~..

ARMED FORCES lNSTlTtITE OF PATHOLOGY
Off'ICe ort1lt Ana~ Fol'Ull MINlIaoI Euml..er
1413 ~Ii Blvd., BIdS. 102
Rockville, MD 2OSSO
301-319-0000
nNAL AUTOPSY REPORT

Name: BTB Mansur. Ziyad Hamid
SSAN:l~~
~

DaJt; of Birth:L(b)(6OJ961

Dale ofDeaIh!(b)(6)
~OO&
D&terrinlC of Alilopsy: 09 APR 2008@ 1100
Date ofRepon: 26 AUG 2008

Autopsy No.;~)(6~
AFIPNo.: 1(b}(6) _
~
Grade: Civilian. Detainee

PllIl::e ofVe'III: Iraq
Plate of AIIIoP')': Dover Mortuary

Dover AFB, DE

ClreallUtllaen or Dnlb: This 41 year-old clctainee wall beins detained in Theater
Internment Faeili!)' mF) CAmp BlIlXa, when as reponed, he was observed by another
detainee 10 be s!laking while sleeping. A detainee attempted to wake him lIlld he was
noted to be LUVeSpOlI$ive. He was canied 10 eompoUDd Suards who inilieted lif~vjn8
measures. All resuseilalive trICISlU'eS ~re lII'LSUC«:SSful.

AutboriutlOQ lor "1I10PIY: Office ortlle Armed Forces Mcdieel Examiner, lAW 10
USC 1471.

IdQltirtelltioB: Presumptive identification via fCview orall accontpfJl)'lng paperwort.
Post·mOl1Cm fingerprints taken and dental «am performed. Suillble specimcn for DNA
lUIIIIy$is obtained.
CAUSE OF DEATH: Uncldc... llled
MANNER OF DEATH: UndetenlUled

MEDCOM 0974

ACLU Detainee DeathII ARMY MEDCOM 974

FINAL AUTOPSY REPORT: {bItS}
8TB Mansur, Ziyad Hamid

2

EXTERNAL EXAMINAIION
The body is that of. weU-developed, well-nouri5hed male. The body is
'flPI'OxinWely 62 ~ inches in length. weighs 1S2 pounds. and tppeus compatible with
the $WcO 'Be of 41 years old. The body is cold. Lividity (faint) is tixed on the posterior
SurfllCe of the body except in the area exposed to pressure. Riior is mJOlvin(l.
The scalp hair is brown/grey with male pattern beldness. f'teill hair consists of.
beard. The irides are indistinct The: comc:ae Ire cloudy. There are Jl:.ttered peteclUae of
the upper n&ht eyelid and lower left eyelid. The: remaining COnjunetiVlloC are pale with no
petechiae. The sclerae 8l'e white with drying lU1ifaet The: oral cavity, external nares, and
eJCtcmaI al.ditOf)' canaU are free of foreign material or abnonnal secretions. The lips are

drY. There are no petechiae oflhe onl mlJlXlSl
The: chest is symmetric. The aenitaliaare!hose ofa cirewncised adult mille. The
pubic hair is shaved. The anus is 1lttaI.u1'\.Itic..
'The upper and IOWCfeJCtremitieslle symmetric and wilbout clubbing or edema.
The fingernails are intact. On the ri&hl ann is, I x I-inch 5cal". On the n&hl knee is a I
x I-inch 5cal". On the left ankle at fOOl are multiple.scars thatmcasure up to 2 inches In
maximum dimension.
CLOIWNG AND PERSONAL EFFEOS

The body is clad in yellow pants, wttite plllIlS, wltlte underwear, and white (-shirt
(CUI). Two iclentUication tags lIQCompany the body.

MEDICAL INfERVEJIfIlON
No evidenee ofmedical iMervention is ptc:sftlt on the body.

RADIOGRAPHS
A complete set of post·monern radiopphs is obtained and demonstrate II radio01*!1IC fragmenl in the ri&htleg (metal fraamentrecovered fi'om denae fibrous tissue,
photognpllcd and pl.ced in ,labeled evidence container).

EVIDENCE OF INJURY
Tllete is 110 evMien.ee of eJCtemal or inlmlal recenl injury.

Im8NAL EXAMINATION

BODY CAymES;
1'he ribs, sternum, and venebraJ bodies are visibly and palpably intact. No exCC$S fluids
or adhesions are present in any ofthc: body cavities. The organs occupy their usuaJ
anItOmic positions.

HEAP (CENTRAL NERyOUS symM) and NECK;
The plea! and subaalealsofl. tissucll ofthesmJp are free ofinjury. There are no IhlII
fractures. The dura mater and falx oerebri are intlct. The leptomeninses are thin and
delicate. The unfixed brain weighJ 1380 arams and is n:uined for Neuropathology

consultation (see NeuropatholosY consultation).

MEDCOM 0975

ACLU Detainee DeathII ARMY MEDCOM 975

flNALAUTOPSY REPORTlt{b)(6)
BTB~, Ziyad Hamid

3

The anterior SlnIp mll3Cles of the neck are homoge/lOlU and red-brown without
hemonilage (by layer-wise dissection). The thyroid cartilage and hyoid bone are inLlel
The larynx iJ lined by intact white mucosa. The lOngue is ~ of bite marks,
t1cmonilagc, Ol'" other injuriell. The thyroid iSl)'llUT1etl'i<: and red-brown, without C)'ll:ic or
nodular change. Incision and dissection orthe posterior neck demOllltl'.les no deep
paracervical muscular injlU)' and no cervical spinal column filICtures.

RESPIRATORY SYSTEM:
The upper ail'Wlly is clear or debris and rorei&,\lIUlterial. The mucosallurraca are
lfl'looUt. yellow_WI and unremarkable. The ri~t &tid left lw:l£l weigh 650 and 540
&faI1Is, respectively. The pulll'lOl'Wy parenchyma is 1e:I-purple eJluding moderate
amounts or blood. The pulmonary llnCriesare nonnaIly developed and patent wilhO\lt

thrombti$ Ol'" embollll.
CARDIQyASCULAR SYSTEM:
The heart weighs 290 pns and il contained in an intact pericardia! sac. The heart is
retained rOT eardiov.scular pathology consultation (see cardiovascular consultation). The
aona and its mljor branches arise normally and rollow the usual course and are
unremarkable. The vena cava and its IIUljor tributaries return to !be heart in !be usual
distribution and are free or thrombi.
LlyER" BILIARy SySTEM:

The 1780 gram liver has an intae!, smooth capsule and. stwp anterior border. The
parenchyma is W1-brown with the usual lobular an:hltecture. In the right dome is. 3.0 It
3.0 centimeter red nodule. No oIhcTabnonnalities Ire seen. The gallbladder contaim
less !han I milliliter orblle. The extrahepatic biliary rree is plllenL
SPLEEN;

The 250 gram spleen lias allTlooth, intae!, red-purple Clp$lile. The ~l'ICllyma is
maroon with unremarkable lymphoid rollicles.
PANCREAS:
The pancreas is red-tan with a lobu.llted appearance. No mass lesions or other

abnomvJities are seen.
ApRENAL,,:
The right and left adrmll glands are symmetric, with bright yellow cortices and redbrown medullae. No masses or areas orhcrrrOl,hqe are identified.
GENITOURINARY SYSTEM:
The righ! and leA kidneys wei&h 140 and 140 grams. respectively. The elttemaJ lIItfaces
lie intae! and smooth. The eut lUffaces lie dan-red and the cor!elt is delineated from the
medullary pyramids. The pelves are unrernarlt.abIeand the urder.l are normal in CO\II3e
and caliber. The bladder contains scan! urine. The prostale and IC!lleS lie unmnarb.ble.

MEDCOM 0976

ACLU Detainee DeathII ARMY MEDCOM 976

•

FINAL AUTOPSY REPORT: (b)(6)
8TB MINUr, Ziyad Hamid

QASJRQ!NlWINAL IR.ACT:
The esopIIaaus is intld and lined by IIIlOOlh, Ifq'-white mucosa. The flOllIICh., small
bowel, eoIo!\, and "PPtndiJI are ~ The srom.cb eonlailllSO mimliltTS or
partially diJe'led food particles.
MUSCULO$Kf' EIAL;
Musele devdopmen, is nonnaI. No bonr; Of joimabnonnalities are idenlirlCd.
MlCRQSCOfIC EXAMINATION
Modcnlc ~iap with ~ Ul1Incolie pipnenr; no
significanlpllholos:ic ctitgnosia
l.un&. RiJht ("ide 1): ModaUe COfl&CSUon with ICaltel'al ~ pipnem and focal
tun&, Left (slide I):

Kidney (slide J):
Spken (slide J):
Lint (slide 4):

I.

2.
J.
4.
5.

6.
7.

.....

Modcrau: COllI "ion; no silnifieanlpllhologic dlqnosis
Modcrau: C<Jn&e$Iion; no lipificanl ~ic diqnosis
H_Jioma; modoente. conltftlion

APDngoNAL'RQCEDUBES

Speeimc:n.l retained (Of toxlcolOlY testing andtot DNA identification _: Blood,
vilftOWl fiuicl.liva-, wine, lun&, kidney, spleen, p!IOU muscle, adipose lissuc MId
pstrie conlents.
The distcetcd 0f'PIlI are fOJ"WMled with the body. The bnin and han are rcWncd
for consuJlIIlion.
~lcclCd poniOIlJ of 01Plll1II'I: retained in rorm.Jill.
PcrsonaI crrcetl are relcucd with the body.
Reco~ercd evidence: As lbcribcd above, rNined by OAFME.
Skin Incisions of the posu:riOf tono, bultlKb Mel extremities tevcal no cvjdcnc:c of

-

DocumcnwyIlllot0llAl)hs_~by(b)(6)
aulOJlSY is (b)(6)
(OAFME).

(OAFME). ASIIistina w1lb the

CONSULTADONS

I. Cardiovascular pIItholosY (ICC cv Path consultation forcompl~ f'CpOl1):
L Diqnosls: Modcme dyspIasiJ of sinoatrial nodal arID)' and intrvnwaJ
cororwy utene, in Cf'CSt of VI!fIlricular JCplWll
b. Comrncn,: The comlation bcfv,WI small vesscI ditcasc in the cardiac
conduction system and SlIddcn alb Is unclear, l*'Iieularly In the absence
of "gnineu" ~na in the crest of the septum. Frqmenl.llion of the AV
node (pcnistcnl fetal d.ispcnion) hQ aim been ponuWcd u a potential
JOuteC of _try lIdtyantl)'thmiL
II. Neuropatholoar (SCi: AFIP consult.lion for complete report):
L
Mild brain swelllng; Ulll'ellIIrkabtc Icptomminger, no pSi cvidcnce of
herniation or midline shift; no focallcsions identificcl
b. On miCfOSCOpi~ c:xaminatlon Ibm Is mild IIlbcpendymala1iO$is ofthc
~nttal lurf_ of the eorpus c:allosum. l1'I£JC changes are mild and nonspecirt~. No other pIIthologic. cltangcs are noled.

MEOCOM 0977

ACLU Detainee DeathII ARMY MEDCOM 977

,

-===

REPORT~)(6)-

FINAL AUI'OPSY
BTB MlI/lS1II", Ziyad Hamid

fiNAL AUTopsy plAGNOSES

I.

No evldeaee ofslplrJeUlt luau Ira....

II.

Nltural disetlte:
A. Moderate dysplasia of li_lriaI nodal artery and intrNnurai ooronary
ancrles in cl'e$l of ventricular septwt1
8. Hemanlioma oflhc JiV'Cr

III.

Evi6eltCe or m",1eaI .tervnUn: None

lV.

IdeolifylDl .....kJ: As deKribcd Ilbove

V.

POII-morteltl c1a. .lft: As dcsc:ribcd .bove

VI.

Tou<:ololY (AJIlP),
A. VOLATILES: No ethllllOl deteeud in the blood lIIUl vitreous nuld
B. DRUGS: No sacc:necI drugsof.buselmedieatioll$ detecled in !be blood
C. CARBON MONOXIDE: The eatboltyMmoalobin satuntion in the blood
was less than 1%
O. CYANIDE: No cyanide was detected in the blood

OPINION

]was, by repon, o~ed 10 be
shaking while sleepinJ. When anoI:ber penon anemp(ed 10 wake him, he was nolOd 10 be
WIIeSpOnsive. At autopsy cxcnil\llion, there: is noevidence ofrceent bllllll f~ injury,
sharp Coree injury, or gunshoc woUllds. The metal fragment rcoovemi from the riglll1c8
is COll$iSIel11 with mnotc iqjla)'. The pclochille of the eyelids Ire non·specific; however,
asphyxia C8IIlIOt be complelcly eltcludcd. CardiOVllSCUlar patholosy consuJwion was
signifieanl for dyspJasLa ofw nodal and inuamural COl'OIWJ' arteries. However. the
corn:lation between sudden delith and this finding in the absence ohignificant scarring i!
unclear. Mic;ro!C(Ipic; examination WIll non<ontributory. Neuropathology consu!tBtion
WJ! non-C:OfIbibutory. The IOxicology ~ WJ! negative. With no evidence ofre«tlt
injllfY, neptive IOJtkology, and non-conlributory miClOSC:opic examination (incll1ding the:
heart and brain) the: cause ofdea!h i! wxktemlined. ThUli the manner ofdeaah is
This 41 yeal"-old detainee, (b)(6)

UDdelemline(\l.

(b)(G)

(b){G)

Medic;al Enmlner

, It addillonalln",""",iool bo<ur>u .oallAble Ihoo _~ I
In .....'''''.....110 llIis ropon

dwla<: In 1"0 CIIIX """ _ _ otdalh,

...ilI be rudr.

MEDCOM 0978

ACLU Detainee DeathII ARMY MEDCOM 978

.-

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MEOCOM 0979

ACLU Detainee DeathII ARMY MEDCOM 979

ARMED FORCES INSTITUTE OF PATHOLOGY

omee ortbe Armed Forea Mediul Eumlnef
1413 Researeh Blvd., Blda. 102
Roel:vl1le, MD 208SO
301·)19.0000

AIFrOPSY EXAMINATION REPORT

Name: BTB Kaziru, Husayn Uwayyid

(b)(6)

_

ISN: (b)(6) ~

DaleofBinh: 8TE(b)(6) 1978
DateofDealh: (b}(6)
Date/T1me of AUIOJ-)': 07 July 2008@

200S

Autopsy No.: '(b)(B)
AfIP No.!fb){6)
Rank: Detainee
PI.ce of DeaIh: Camp Bueca, lraq
PllICe of AlllOpS)': Port Mortuary, Dover

AfB, DE

lJ30hn.
Da~ of Report: 25 August 2008
Circ:Ullltflllled orDnlb: This 39)Ul" old deWnee was reported missing following an inte/1l1l'lent
saW nlllllbel" (lSH) hudlOOUllL A XIJdI orlbe compound found !he decedent lying down in I !nll.
The decedenI wu removed from the tenl and medic.J lreatment !W1ed.
AalboriutiOD 'or Aalopsy: Armed Fon:es Medical EumiDer, per 10 U.S. Code 1471
Idellliftc.-tioll: J>nswnptive idc:ntifieation is made by internment scIUJ number, psoes musele Is

retained for DNA identification ifnecOed for future Klentifieation.

CAUSE OF DEATH:

Stralllfl"tioll Amplaled by lDulliple blulIl roree iDjurla

MANNER OF DEATH:

Homklde

MEDCOM 0980

ACLU Detainee DeathII ARMY MEDCOM 980

AUTOPSY REPORT(b)(6)
KA1JM. Hlaayn Uwayyid Husayn

2

EXTERNAL EXAMINATION
The body is dw ofa well-dcveloped, well·nourished Male dad in the itena listed below. The body
_iabs 210 pounds, measures 71 inches in Iengtll wi appears consistent with the reported. of39
)Ul1 Lividity is fixed on the posterior surface of the body exeept whc~ exposed to pres.sure.
Decomposition changes include green discoloration and rnartlling of the upper and \ower
exuemities. Riaor is equal in all exlmnities. The body, whieh has been previously ftozen,lscold.

Injuries to the head are described below in "Evidence oflnjury.M The head is: normocepbaIic. The
IC&lp is covered with short dark black hair with temporal graying in a nonnal distribution. The
irides are hazel and the corneae are clear. The extemal audilOry IaII&1s are free of nuid. The un
are unremarkable. The llllR'S and the lips are unrcmarbbla. The nose and maxillae are palpably
inlaCl- The teeth are nalUl'al. The neck is SlI"aight. and the U1IChea is midline and mobile.
Injuries to lhe 10rso are described below in KEvidencc oflnjwy." The abdomen ilIaoft. The
aenitalia are !hose of. normal ..:lull cireumc:ised male. The testes are descended and free of
masses. Pubic hair has been shaved close to the skin. The bac:k is \lllf'C:markable. The buttocks and
lII1US are WlI'CmarkabIe.
Injuries to lhe extremities are desc:ribed below in MEvideooe of tnjury." The hands are IlOIIeCUfeCI
in paper Np. The lingemails are inlad. ldentificalioll up are affixed to eac:h 2-linaer. There are
no idtntifying marks to include laItoos.

CLOTHING ANO PERSONAL EFlECIS
The followina c10lhina items and perJORal effects are present on the body at the lime ofal/topsy:
• TOrD white briefs
MEDICAL 'NTEBVOOION
Medical intervention presenl on lhe body II the time ofaltopsy includes:
• EndotrKhW tube (appropriately piKed)
• Electroeardioamn pickup on the left latmJ IOnO

RADIOGRAPHS
A QOIllplelC SId ofpllSlmortem .-.diolJlphs is obtained and demOll'tntes the Injuries described
below.

EVIDENCE Of INJURY
The orderin& of the followina injuries ill flit descriptive purposes only, and ill nollnttrlded 10 imply
order of infliction or ~lative sevenI)'.
INJURIES TO THE HEAD AND NECK;
~

is lII1' x j-inch confluent dark blue·purple conlusion over the entl~ forehead and both

ptriorllital regions. A I x I_inch oval .bracIed oonlUlion is located above lhe J.teralleft eye. Two
oval abraded OOIllUliom are below the right eye, J x 'n-inch and ¥. x ·;'·inche5 respectively. A ¥. x
'/,-inch oval abnded conlusion b below the left eye. A 2 x 2-inch .bnw!ed contusion oovers tbe

MEDCOM 0981

ACLU Detainee DeathII ARMY MEDCOM 981

AUTOPSY REPORT(bH6)

3

KAZlM, HIISa)'ll U_yyid HUSliyn

chin. ~ coajllllttiYK and sdeBt IlJl: diffusely bemohhqic. There ill dit'fuse $Ubpleal
hemorthqe Md biWeral illnm~., bemorrba&e of the tempol1llis mlllll:u1l1tUre. l1lae is
intJamllllC\lt. heIrIiX,bq;e oft!Je left proximal upect of the medial body of the aternodiedomastoid
m\l5de (~iIldl), iIlIerior epeel of the left aternobyoid mldCle (%-inch) and pmximL! Uped of the
ri&hl.lel'IlOhyoid mUllCle ('I. .ildl). Tbe inferior ri~ thyroid J,laocI baa focal (1/4-iocb)
illlJ1plltl1dl)'l1W beIrla..hIae. There is benlOl rbqe mlO the .lIOft tissue SUITOunding the right gre-aer
hom of the thyroid cartililie.
INltIBIES TO THE TORSO:

Tbtrc an: multiple, IJOIlped, oval contusions 011 the right side of the ehest ranging from y..-illeh 10 }Ill-inches in nwdmurn dimension. Two oval contusions 011 !he left aide of!be chest measure up 10
1-Yt-iDcbes in mlltimum dlameler. The left lower quadrtnt oftbe abdomen Iw:. I ~ x I Y.rinch
oval cootuaion. The entire hick dcmonIlrIles multiplc. ~ oval contuliotlll (right side gTelItCI
t!wl the left side) nngina from \4-illeh 10 l-incll in &f'Nl$ dimension. There ill .aoft tissue IIlld
InballlldCU1. hell)(llThase oflbe central upper bKk IltId riabt shoulder measurina 2 x 2-Yt 1lId) x
l-inc:belI respectively. There is 10ft lissue aDd inuamllSCV1ar hemonhlse of the centnl1lowcr ISpect
of tile bck lad LIIerI1 left ISpeet of tile lower II1elll1 bKk measuring 6 x I-Ii and.5 x 2-illChes
respectively. Th~ an: &actutes oflbe anterioraspccU of!be 56, f/" lIDCI"" right ribs IlId lateral
~oftbe 9"left rib. Lumber uansverse processes an: fractured on !he rishl.ide of the ) .. and
.. and on !he left side of the 46 vettelne. Tbere is diffux hell10rrnase of!he posterior
medilSlinurn aDd IUmIUDdina !he thoracic vtrtebne II the CO$IOVenebl1ll jUDCtiOllll. There is a
conIUSlOl'l 10 the pomriOl' w:all of !he left ventricle of the: heat!. There is a wbdural hematOl'lUl
sunoundina!he thoncic JPinai con:IlIIld intnplmlChymal hClToOuhage oftbe spinl1 cord at the
l~l of the 9" tborac:lc vertebra. There IlJl: bilaleft1 bemotbonces, SO millililers OIl the risht llIld
75 miUilitmon the left. There i. diffuse lebopaiolellial hemorrllage, approximately 200
mil1ili~ and hemoperilOne\lm of200 milliliters.

INlURlfS IOTHE gxIR.EMmES;
The Ulterior upect of the rishl arm dell\OlllltrtlleS IWO oval contusions. 'I.-inch 10 I-Vo-incbes in
nwdmwn dimensiol\f.. The posterior aspectof!he risht arm hat multiple oval contusions ransins
from 'I.-inch 10 ~inch in &JUles! dimension. The anterior aspecl of the left arm hu three avaJ
conluSlonr rlIlIsil1&!Tom \4-lrKh 10 I-~Incbet in ,reatestdimension. The anter101' aspect of the left
forearm Iw: an oval contusion meuurina 2 x 2·inches. The posterior latcrlll aspect of tile right thigh
hat multiple, iWuped, oval conlUliions ranging from v,-inch to ~inch in maximum dimctl5ion.
Anterior aspect oftlte left leslw an ova! contllSion mearurinll2 x 2-inche•. There ill subcullrleOUS
and intramllSCular hemorrhlge to the lllterior aspect of the risht arm {6 It 2-incbes),!O the posterior
aspecIofthe right upper arm (S It 2-inches), 10 the di.slallau;ra1 aspect ofllle righl thigh (3 It 2_
inches), 10 the po,.erior lateralllllpe<:1 o(!he rishl thigh (8 x 2-inches),!O!he posterior laterall.'lpecl
of the left thigh (3 x I-Ill-inches) and to !he proximal anterior aspect of the left leg (2 It 2·inches).

INTEBNAL EXAMINATION
BODy CAyml!S;

ltIjuries an: described in MEvidence of Injury." The orp.ns occupy their uslJl1lU1atomic positions.
The subcutaneous flliayer oflhe abdominal wall i'lIllf'm1I1kable.

MEOCOM 0982

ACLU Detainee DeathII ARMY MEDCOM 982

,

AUTOPSY REPORT,(b}(6">- - KAZlM, HUSlyn Uwayyid Husayn

HEAD AND CENTIW. MERVOWS SYSTEM:
Injuries an: described above in "Evidenu of Injury." There are no skull fracturu. The dura mater
is mt&CI with 00 evidence of hemorrllage. The leptomeninges an: thin and delicate. Cloudy light
red cerebrospinal fluid surrounds the 15)0 gram brain, which is softening and mabIe. The gyri and
sulci an: unremarkable. The ce~brlll hemispberc:s are symrnetrie&l and the stnICtures at the b.se of
the brain, including the cranial nerves and blood vessels an: intact. Corooal $CCtions demonstrate
sharp demareation between white and gray mattel", without hemonhage OJ" contullive injury. The
ventricles are ofoonnal size. The basal gangli.. brail1Stcm, aDd cerebellum are me ofinjlD)' or·
olhcr abnormalities. The lItIanto-oecipitai joint is stable.
~

Injuries are described above in "Evidence oflnjlD)'." The thyroid cartilage and byoid bone are
intact. The I.lryM is lined by intact white mueosll. The thyroid IIland is symmetric, without cystic
or nodular chanlle. Incision and dissection of the posterior neck demonst:rates no deep pMICClVical
muscular injlD)' and no ecrviul spine: fracUIJ'CS.
RESpIRATOR)' SYSTEM:
The airways are clear of debris and foreign material and the mllCDsaI surfaces an: smooth, yellowtan, and \IllJ'ClIWuble. The right and left lungs weigh 530 and 560 &rams. respectively. The
extemal surfaca are smooth. No mass lesions OJ" areas of consolidation are presenl. The
pulmorwy arteries are normally developed and palmI. The diaphBgm is intact
CARPIOV ASCULM SYSTEM:
Injuries are described above in "EvideneeofInjury." The 390 8'1IlD bean is contll.ined in an intllCt
pericardial sac. The epicardial surface is smooth, with minimal fat investment The COTODIlY
arteries are present in a nOlIllal di5lri!Jution, with a rigJn-dominant pattern.. Cross sections oflbe
vessels showno stenosis. Where uninjured the myocardium is homogenous, red-brown, and flCTD.
The valve leaflets are!hin and mobile. The walls of the left ventricle, inletVentricular septum, and
right ventricle an: 1.1, 1.1, and O.J<entimeters thick, respectively. The cndol;ardium is smooth and
glistenin&. The aorta gives rUe to three int&CI and patent AlCh vessell:. The renal, mesenteric, and
iliac vessels u well u the venae cavae are lIllt'mIAtkabJe.

HEPATOBIWARy SfSTEM:
The 1530 gram liver bas lID intact, smooth capsule and a sharp anterior bordet. The parenchyma is
tan-brown and congested, wilh the usua.I JobuJararchitectute. No mass lesions or other
abnormalities an: seen. ~ gallbladder contains 10 milliliters of green-black bile and 110 stones:.
The mvoosaJ surface is grun and velvety. The extnlhepatic biliary tree is patent.

LYMPHOREDCULAR SYSTEM:
The 200 gnun spken has. smooth, intact, red-purple capsule. The parenchyma is friable, maroon
and congested, with Indi.stinct Malpigbian corpl1SCles:. Lymph nodes in the hilar, peri.anic, and
iliac regions are WlmDarkable.

MEDCOM 0983

ACLU Detainee DeathII ARMY MEDCOM 983

,

AUTOPSY REPOR1(b){6)
KAZIM, HLlS3.yn Uwayyid Husayn

ENDOCRINE SYSTEM:
The pituilaJy gland is UlIf'CIIlllI'kablc. The thyroid gland Iw been described (sec: NECK. above).

The rigbt and Ict\adrcnal glands arc symmetric, with bright yellow cortices and red-brown
medullae. No mwCll or areas ofbemolTbage lIl'll idelllificd.

GENITOURINARY SYSTEM:
The rig.bl and leftlddneys .....eig.b 120 and 90 grams. respectively. The external $IIlflCeli are intact
and smooth. The cut surfllCC$ are pe.!e Ian witb unifonnly thick coniccs and sharp cortieomcdullaJy
junctions. The pelves arc IIllmIIIII"kable and the IJl'etCl!llll'll normal in course and caliber. White
bladder mucosa overlies an intact bladder wail. The bladder <:ontains approllimlltcly 120 milliliters
of clCllr yellow urine. The prostate is nonne.! in size, with lobular, yellow-tIIrI ~nchylllll. The
$CrninaI vcsiclC!l m: unremarkable. 'The tC!lCS are free of m.IIS! lcsioll5, <:ont\lSions, or other
aboonnalitiC!l.

QASIROINIESTlNAL TRACT:
The esophagus is inlllct and lined by smooth, gray-white mllCOJll. The stomach contains

appl1lximately 350 milliliters oftan-brown partWly digested food particles and viSCOllJ fluid. The
gasuic wall is in!llCt. 'The duodeoum, loops ofSIllaiI bowel, and colon lIl'll ~ble. The
pMCl'C3S is finn and yellow.tan, with the usuailobular architoctuR. No mass Icsions or other
ahllOlTllll1itics arc seen. The appendix: is pracnl.
MUSCULOSKBJ HAL;
No llOD-traumatic abnornulitics of the mll'Cles or bollCS of the appendicular fJld lillie.! skeletons arc
identified.
ADDnnONALPROCEDVRES
I. Documentary photographs lIl'll taken by OAFME stIIff photographer.
2. Personal effects arc released to the ippropriate mortuary operations repccsentatives.
3. Specimens retained. for toxicology testing and/or DNA identification 1Il'C; vitROus. blood, bile,
wine, gastric contents, brain, m)'OClllllium, IUIIg, liver, spleen, kidney. adipose tissue IIIld psoas
muscle.
4. Thedissocted organs arc forwarded with body.

MICROSCOPIC EXAMINATION
Scleded portiOllS of organs IIl'C retained in formalin with tbc following tissuc submitted for
histological cvlliualion;

Slide! 1,2, and 5; Han; Decomposition ~hangcs and pcmible ex!nlvllSCular red blood cel1ll
Slide 3; Bladder; No signifiCIIIII pathologic chanse
Slide 4; Thyroid: Decompo!lition ~han&e! and poaible cxlravllSCU1ar red blood cells in the
J\IIlO\Illding soft tissue

MEDCOM 0984

ACLU Detainee DeathII ARMY MEDCOM 984

=:J

AUTOPSY REPORT'(b)(6)
KA1JM, Husayn UwaY)'id Husayn

6

FINAL AUTOPSY DIAGNOSES:
I. Blunt force injuries:
A. Injuries to the head md ncck
I. Multiple conlullions ancIabradcd contusioDS of the face.
2. IntramWICUJIJ" hemnrrhage of the llJ1lcrior ncclr. musculature.
3. Soft tiSIlllt hemorrhage SlUJOunciing the right greater hom of the thyroid autilaae
4. Hemorrhage of the right thyroid g111ll1.
B. lojuries to the torso:
I. Multiple contusions (0 the cbest Illd back
2. Multifoca18lellS of marked inlratrlllSCll1anIle hemonhage of the back
3. Multiple rib tIaetun:s
4. Posterior mediastinal hcrnol"l"hagf;
S. Contusionofthehcart
6. Perithoracic vertebral hemorrhage
7. SubdUl'lli hcma!Oma of the thoracic spi.nal cord
a. lntraparenehymal hemorrhage of the thoracic spinal cord
9. Fraenues of the lumbar lrlMVenc procCS$l"$
10. Bil.ltel1lJ. hem01:horaceS
11. RetroperiDlOneal hemorrhage
12. Hemoperitoneum
C. lnjuries to the extremities:
l. Contusions of all four extremities
2. Marked intramllSCuJlttirC hemorrhage oflhe right upper, rigbllower aod

~ft

lower

extremities.
II. Evidenceofmedica1therapy: Aanotedabow

m. Post-mortem changes:

M IIOted above

IV. Identifying milks: None identified
V. Natunl.1 dixax and pre-cxisting collditiona: None idmtificd within the limitations of the
elt&lllination

VI. Toxicology:
A. Volatiles (VitreOWI fluid): No ethanol detected

B. Screened drugs ofabuse.nO scrccDCd medications (Urine): None delected
C. Carbon monoldde (Blood): Leg than 1%
D. Cyanide (Blood): None detected

MEDCOM 0985

ACLU Detainee DeathII ARMY MEDCOM 985

AUTOPSY REPORT(b)(6)

KAZlM, Husayn

7

Uwa·~'Y'f""id"""_"","',
OPINION

This 39-year-old ~(6)

~died from strangulation complicated

oy multiple blum foree injuries. The de<:edent shov.ted evideme ofstrangu1ation and additional
blunl force injuries of the head, torso and all extremities contributina to death. ToldcolOi)' analyses
~ Ilegalive for ethanol, 5Creened mediCliliol15 and se~ed drvgs of abuse. The manner of dctlIh is

bomicide.

(b)(6)

-,

(b)(6)

1~(b~)(~6}C=JMtdical Examiner

(b}(6) _ _ [Medical Examiner - - - '

MEDCOM 0986

ACLU Detainee DeathII ARMY MEDCOM 986

_
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MEDCOM 0987

~

ACLU Detainee DeathII ARMY MEDCOM 987

ARMED fORCES INSTITUTE Of PATHOLOGY
om« ottbe Al'lIIed Fol'CCI Medkal EumlDu

1413 RcseaR:h Blvd., Bldg. 102
Rockville. MD 2(l8S0

1-301-319-0000
AUTOPSY EXAMINATION REPORT
Name: BTB At!.. Muhammlld Najib Abu-Wafa
SSAN:JIill.6.l
Aw:: Approlli~cly» yean old
DIlle ofDeath[(b)(6} 2008
Oatdfime of Autopsy: OS SEP 20081(9)0
DIItcorReport: 19NOV2008

Autopsy No.:_ (b)(6)
AFlP No.:,(b~)~{6~)
Rank: Civilian Detainee
PllICe orDeath: Iraq
Place of Autopsy: Pon Mortuary

==-'

DoverAFB,Dover.DE

Clreull\Stalicet of Otat": This approl;imatcly S2-year-old civilian maIC~!'''~·_~~_~~
housed al Camp Bucca. Iraq. AVlilBblc investigative: reports indicate thlll'{b)(6)
collapsed to the wncrete floor orhi, tcnl as reported by fellow detailXC'S. Emeracncy
medical pmonnel responded and reponed thailbl~n:Jated to them that he had fallen.
Despite agg.ressive medical intcrvcnli~(b)(~umbcd to his injuries.
AUlboriZllooli for Aulopsy: Armed Forces Medical uaminer. per 10 U.S. Code 1471
Identificalion: Presumptive: idenlification by ac:«lmpanyinS rcports, identification tags
and documental ion. A postmortem dental examination, postmortcm fingerprinl
cllamination, and a postmortem DNA SIlTIple an: liken for prolilc purposccs should
ell:&mplan become available for positivc identiflCltion.

CAUSE Of DEATH: BluDt force tno",ma orllie bud
MANNER OF DEATH: Aecldeal

MEDCOM 0988

ACLU Detainee DeathII ARMY MEDCOM 988

,

AUTOPSY REPORT (b)(6)

ALI, Muhl.mad N.jib Aba-War.

EXTERNAL EXAMINATION
llliuries will be deseribed in detail in. sepan~ -:tion. and will only be briefly .1Il1dcc1
III in the remainder oflhc report, for ~ oforicntlliion and eompletencSll. The body
is lhal of. wcll-dev1:lopcd. well·nourished appevina. adult male. The body is 1'C'ClCivcd
UIlCIothcd. The de!;edcnl is wrapped in. mulliple layers ofclOlh sheeu.nd abIorbcnl
peds. The Almalns lie 69-inclles in length, and wei&h I SI-poWlds. Liyidity is prc:senl
and fixed on the poslerior smace ofille body except in UQS exposed to prcsslllC. JUaor
is Pl'C5Clll 10 III equal dearec in all alrcmilicJ. 'The temperalUAl of the body is lhal of the
Almgenujon unil.
The head il nOfmOCephalic. The ri&hl occipitlll scalp is covered with curly black and
while llair, the rcmlirKler ofthc scalp is wvcd. Faci.1 hir colIIlsLI of. arty and while
beard and mustllClle. The irides arc brown. The comeac are haq. The pupils are round
.nd equal in diameler. The sclerae are muddy and withoul petechial hcmolThagc. The
eXlCmal.udhory canals. eXlernal nares, and oral cavil)'.re I'A:e of foreign malerial and
abnonnal secretions. Thc cars are on rcmarbblc. The IWa are palCtll and !he lips arc
.traumalic. The uppet and lower !Tenula in the oral cavily arc intlCl. The nasal skeleton
and maxillae arc palpably intICI. The tuth appear IIItural and In f.ir condition. The
IlCl:k is stnlight, and the lrachea is midline and mobile.

Thc chesl is symmetric. The .bdomen Is fiat. Tbc 8enitali. arc lhose of. normal adull
circumo:iscd male. The lesles an: descended and fl'DCofmaucs. Pubic hair iI prescnlln a
normal male distribution. The bullOCb and anus arc unrcmarbble.
The uJIPCT and lower extremities arc symmcltic and without c1ubbinll or edema. There is
.mputlllion of the distal tipsoflhc I' and 2"' dillill ofllle left hind. The finaemaill lie
inlact and the nail ~.re cyanolic. There is hypertcrllo$ls ofille I-Is ofboih feel.
Idcnlifyina marks include mulliple JCIl1:
•
A 2 In" III-inch well healed hypopigmcnlcd Kar on the r1&hllo~quadrant of
thc abdomen
•
A well healed 4 It I In·inch tear is on the left upper chest with absente ofthe lell;
nipple
•
A 4 x In·inch vel1icaUy oriented hypopigmcnted teat In the midline ofllle lower

.""""',

CLOmlNG AND PERSONAl. EfFECTS
Noclothing ilems or I'C"'OI\lIJ effects accompany the body It the time of.ulopsy.

MEDCOM 09lI9

ACLU Detainee DeathII ARMY MEDCOM 989

,

AUTOPSY REPORT (bH6)
ALI, M.b.lIIl11.d Najlb AbtI·War.

•
•
•

•

•
•
•

•
•
•

•
•

MEDICAL INTERYENDON
A puze dres$ing. lealred bElIelIlh die chill, DCIven the calvarium and the e)'Cs
On lhe left f"ronlll, J*ielll,1tId temporal JCIlp ill.., II 1'4-inch curvilinear
SlIpIed surgical incision
A chin cxilillll (rom !he IeftoccipitailCalp tonIail\llS-millililel'l ofred tinged

fluid
A VCTltrieulOSlomy tube exitl the rialu pariet:a1 scalp
Anaioc:lthcter In the niht subclivillll speee
Urinary bllddtT cadJeler
Rectal lempcl'lture probe
Intl'l~nous "!helen in the riahllllteeubital fossa, ri&hl vollt wrist, volar left
foreum. and dorsal righl fool
A clear plulic idenlifJCllion tq in circles !he ri,taI......nsL (b)(6)
f1lStie identification lIa.in ein::les lhe left wrill, (b){6)
[(b)(6)
Multiple ther1lpcutic needle punet\ft lites on the forehead, abdomen, left upper
chest, and bolh ..,kles
(j&\lU blndIge on medi.llefl ankle

1

BAPlQCRAfHS
A complele set of postmonem radioVlJlhs b obcained I~ OenlOI\ltn.tcs the followlna:
•
MedicallnteM:ntlom u listed .bove
•
Hailed fraclure of the left uhw Ilylold
•
Bone flap remo~ fi'om lhe left fronlo·temponI\ ealvlrium
•
Midline shift ImUn to the ripl
•
Edema onlle Jell. hemi$~ with effacemenl ofille left I.teral ventricle
•
DiJ.Led rishtl.tertlJ ventricle posteriorly, blood In poster warned
•
Blood collection in both frontal lobes, .merior ~ bilaterally
•
SubdUl'lI hemonftagc: lnvolvllll the frontallobcs, riihl jVe.lcrthan left
•
Linear skull &acrure of lhe ri&hl occiput
•
Biliteral pleural effusions and patchy consolldalion ofille lunp
•
No internal metallic li-agrnents
EYIDENCE OF INJURy
The orderill1l orlhe following injuries is forde$cripCive purpose$ only, and il not

inlended to imply order of infliction or relatIve severity.
There is an im:gular tillCar li'acture of the posteriOlllpe<:t of lhe pc:trous portion of lhe
riahllCmpora.l bone rxlendina IIlteriorly inlo lite ri;ht middle cranilll fOll8 and
I'O'lCriorly into the ri&ht posterior c:rani.J fossa and posterior ri&ht parietal bone. On the
posterior rishl t:houltler Ire multiple vertically oricn~ fine superfieia! Ilnelr .bruions
measurina up 10 2 1f2·inches Jenilh. Addilionll.ul(lj)I)' Ondinp penainillllO the held
arc described in ~ Evidence OfMcdicaJ IntetVentJora andfor 1nteml.1 Examination-Head
And Central Nervous System ".

MEDeOM 0990

ACLU Detainee DeathII ARMY MEDCOM 990

REPORT·(·",,,iii6)-~

AUTOPSY
ALI, Mubmm.d NtJlb Abu-W,ft

•

Evldmu ,f I,Jury ceo,l);
Incision Ind disseclion ofl!le posltrior neck, subcutaneous liuues of the torso and
cxtmnilies. demonstnltes no dcq:l \*XC'Iiell mllSC\llar injury, no cavical $pine:
fractures, Of evidenee of blunl fora lf1lWT\I.

BODy CAVlTlfS;
The body is opened by che usuallhorlc:o-abdominal incisiofllnd lhe ehesl p1ak is
removed. The ribs. stemlllll,llld venebtll bodies are visibly IIld f:*lplbly ill\lf:l. No
.dheli(lflS are presenl in the pleural, peric:anlill. or periloflul tavities. There U'I: bililmll
p1eunl dYi~ioltS (righl·27S·millilitm., Ien·17S·milliHcm). There are 4SO-millililet'S of
S\l'llw tolOfed nuid in the perilonul uvily. All body oraanJ are pratIll in l!leir 1lQnI1a1
anlIlomie posilions. Then is no inlnNIl evidcnc:e of blunl fOl'l:e or pmdl'ltiflllinjury 10
the lholal:o-abdomirull reaion.

The sulx:UutnOOllS fall'yer of the abdominal is]'4-incnes lhiel:.
HEAp AND CENTRAL NERVOUS SYSTEM;
(See above ~Evideoce of InjW'Y")
The scalp is renecled. Subplea! IlenlOoTlllse is USOl:ialed wllh the underlyins frKNres

and medical inlervention. There is. non-quanlifiable subdwal hemorrluiae in Ihe riahl
anlCrior eT1lni.1 foss.. The ther1.peulie mcdital devices are documenled and removed.
The 1480-pwn brain IIld dllrl are mnoved and piKed in formalin for fomtal
NcuropalhoJoay tollllullalion.
formal Ncl/l'DDUlfw{ogy CorwdUlllon:

GROSS DESCRJPTJON:
Brain weight: /•.JOJ grums
1M :pe(;/men corulm ollhe InlroerarrkV duro and "'oln all," /MIu".
A ret'tnt crunltcfumy hWi ruu/ltd I,. fM. absente ol/he ptU/erlor-la/tru/fronloJ, laftrol
purielUUfuptrlor.fUltruJ /emporuJ tmd OIlftrlor-Ja/era/ acelpf/aJ por/lon aflM /'./1
"",bra/
TIlt w¥al /lIIDrgln of IItt dural deleel cons/.III ala raw a.f I~",d dllf'Q/
lam with alluelttd blad III/Wet. Tht rlg/ll ctNIl'Ulry dura ami lite loJx cerebrl are In/acl.
The purum,dlan dllTQl arachnoid gnmulallon¥ (Irf red·bluek due /0 ,""mIlIDied acllie
.fllburUl:hnoItl blaod. Seal/tred ¥Irolllb olrtd·black. CODglllaltd blood up la O.Jan/lmffen Ihickond I-t:tntimf/tn In gnoJUI dlomtler odJltrllloosely 10 lhe Inner
¥urjUa ollltt rlghl ond Itft paromedion duro. 1M lejl ¥urloce oflltt falx ctrtbrl. eN'lIe
loosely IJIIIM or«hnoJd rut;/lJu aftach poramedlan ctrebral hem/:phere. ~ I'tMlU
.f/nwer an pattnt.

dJ,,""

A motkrlJfely Ik,p cranlllCl"",y groo." /ndenlJ IItt Itft ctrehrallurjtrll. autllnlnlt un
e/ellO"d (1ternlal,dj al'Ul a",a opproxlmtJlely 9 (aflftrlar-pwltrWr) lIy 6 (donal·wtrlroJj
Cenll_ltrl invollllflg lire laluoJ parlt/a/. flllerol aflfulor IlI'fNhinh oa:/piial and

MEDCOM 0991

ACLU Detainee DeathII ARMY MEDCOM 991

AUTOPSV REPORT'(b){6)
ALI, M"bI",m.d N.jib Ab.W.r•

s

.fIIl'trlor l~mporal/fJbl!5. A ~n"lculostOmylllbe has ln~n Ins~,,~d InlU I~ft dor5al mid
fronlallobe approxlmm~/y J c~nlifMltrsfrom Iht _dial margin.
RttJ./N'aW1l t:ONIr:a1 canluslons c/rQrar;/trlztd by cOrllcal hefllOrrho~s, carllml Mcrosls.
lepfoIMnlngtol ond carlir:alIQCtrollon and ctJr/lr:al and sllbr;arllr:ol htma/omas (up 10
1.5 c~nli1Mlers In gr~alesl dlnunslon) an sllualed In: anltrlor parlJon o/iht It/llnftrlor
I~mporal gyrus. 1M anltrlor porllan oflhe I~ft SlIptrior lemporal gyrus. 1M posurlor
porllon ofltf/ slIptrlor Itmporal gyrus. lilt left laural pmltwl'olH. Clusltrs ofsimilor
contusions ar~ also presenl over the Itft inftrlor Itmporal poI~ (4;0; J ern/lnultr), 1M I~ft
Inftrlor franlal pol~ (4 x 4 c~nllmtltr), 1M rlgN/n/trlorfroll1al pole (3 x 3.J «nllmtler)
and 1M rlghlln/trlor I~mporalpol~ (1.5 x 1 untllfltltrs).
Tht~

Iso Ihln r~d-brlJwn sl/wachnoid MmrH'rhagto>'Cr lire bost oflht: pans and 1M
urtbellar ptdU1tt:/e. A Ihln. horlson/al rim ofsimilar sllborachnoid hemorr/rQge
(probably gra~JlalffJffQl) Is prtnnl owr Iht posurior margifa ofIht rlghl und J~ft
urebelliN' IItmlspheres.
l~jI

ExctpllZS /tOIed. Iht leplom~nlnguarethin. dtllr:ale and Irunspar'nI. The cerebral gyri
on soft, while andjlalleMd due 10 swtlllr/t bUI huve on anatomicall)' normal
configuralion. Tilt ptrlstllar, ptrimtStncrpholic and basal clsltrN are compltl,ly
~ffocrd due to brain sw~1IIng. Dttp fen/or/oJ groows indenl ~(JCh UncIlS, 0.8 ctnllme/trs
on 1M I,ft ond 0.5 cenlimtlerson lilt rlghl. Tht: left groo~ is conllnuous wllh a lejl
parohlppor:ampol grlHJ~~. The brallUltm il displocrd rightward wllh su/lseqll<!Pl/
jlullening ofthe rlglu surfau oflht midbrain. 11It «r,btlliN' lonsi/s or~ d~flJrnud due 10
pnxsun agalnslilltforamen magnlUl'l.

The ar/trits ollhe bo.ft oflhe brainfol/ow a normal dlslribullon tmd lhere are no
Q1Itltrysmol dilalallons or !iltes 0/occlusion.
COrQNlI seclions oflht urtbrum

re~a1IMaboWlnDltd abnormalillts.

In oddllion. lhert is a swollen I~ft ctrtbral htmisphtrt wilh a sharplydemorcaltd IIJnt
ofsaftMSS. gra)'-whlle discoloro//on and blurring oflht grey mo/lerlwhll~ malltr
margins dut 10 Ischemic Mcrosis In the tntln mSlrlbu/lon oflhe I~ft middlt ctrebral
arury. TMr~ Is a promintnt rightward shift oflhe «rebral htmisph~ns with rightward
boWing oflhe in/trlltmlsplltrlcflSSuu and slibfalcillt! IItrnlal/on oflilt rlghl clngulalt
g)-"lIS. T1r~ wnlriculoslomy 'I/be f'trfON1fn 1M Itftfronlallobe In a venlrol·mNla/
dinClion and f'trfomlts Ih~ mldUnt corpus ctJ1losum wMr~ Ihtre Is Intuwntrlc"'ar
ht:morrhogt and un upproximaltly J c~ntilfltltr in diaJMltr Itft mtdlallhalamk
hematoma.

1M ~ntrlclilur xyr/tm Is disrupl~d ollhe a~ noted WlnlrlculoslomyptrforolJon In 1M
corpus callosum. The bDdi~s of/lit laltrall'tl/lrl(:l~san nul tnlarg~d Tht occlpllal
horn oflilt righllalerul ven/rleft Is /arger /hun lilt Itft (1.5 un/fmtltr In diamtler ~l O.J
(:~nllmtltr) r~fttetlr/t SUmt tkgnt ofprOJ:lmoJ obslruclion. The Aqu~duct ofSyMus Is

MEDCOM 0992

ACLU Detainee DeathII ARMY MEDCOM 992

,

AUTOPSY REPORT (b)(6)

ALI.lIohhlll.....d N.jlb A111;1-w.r.
Nwopgtho/ogY CtWHItel9fl (Co!!lJ;
pat.1I1 ""ith __1PI4J siu fIIId ronfl'lII'OJIOII. Thtt choroid plexus ISlUfu_bJbl. lind 1M
.~1IdymD1 nnf«u rIrf smooth fIIId gJulm/ng.

MICROSCOPIC EXAMINATION:
Bloch O/IUsW joI- mlaoscoplr _/,..t1cm rIrf ullfOWd.frgm: (I) I.ft IOJ.roI froJltoJ
100,. (1) tI1II.rfCf' t:OfPVI callosllm, (J) I.ft mrt!JQI Sir/OJ' bo<f)o, (.) 1,/1 UlICIlI". (S) ItIt
lhoIoMUS. (6) rlllll Ilippoc_plU. (7) l.jI occip/iol 10M. (8) riglll o«Ipitm loIJt, (9)
calldaJ ",/dbt'QI,., (10) mtdlfllo, (I I) hit (tnbrllfim DIId (12) d_.
SKtlonsfroM bloch 1·12 an I/o/Md wflll H cI E.. Srcllons 1·11 01" Qlso SIQ/Mdwll"
OF"P oIId p.-ylold.
Blrlscltowsty GIld LFS ItcJudquu DIId 1IMlIUlOJIQf",d/tN 1M

n.

COMMENT:

TIwr. U wldupnlld grty and w/liit _II" edt_ and Kal/"RI «III. UCM"';C "'firoftOl
I""" (" red "'....Olll "J lit HCllons oflM I,ft ctr,bnun (blocks I. 2•• oJ 7) COtISW,III
",1111 OCIll' flt/(Ir(I1cm wll'c" Is probably nwmJ /0 lilt Itft /rOIlS aaltltt:lonf)' ItrmIotIorL
Thtt tlCfif, MtItOtTltogt of lilt Itft Slrlat, bo<f)o Ottd 1M 1IdjllC,III corpllS UlIIOIfiM tmd
pooI,d blood lit Ineoet:fp/loIltorlt of1M rip Ill/,ro! velllr/cl, 01" nlolld 101M
~"'frQI1011 of1M ....ltlr1cli/OJlomy lfik Thtt orrtJY ofcortkol COlIIlll"fDm
tM
- r ' l l o/tllt crfIlt1«lollty dtftcl Is dw 101M ,..II-S_ of1M bra/II ogalllJt tlw boM
-rill rISlIll/"Ifram IhI fiffdtrly/", bro/ltswtlli"" Thtt l,jllUtCOIlIIt;rOJu ruuJlld
from 1M 1./1 CIrIINaI nwlli/tl.;> ftJIlO rlglrt MId/I", s"/fI·;> It/I clllglJ(I/' IY'W
hlrniQI/oIt·;> I.ft transt,lIIarloJ 1ln<tJ.

m-s

1M nMOlltil1l'tslons opptQl' 10 bt pri_il)' dw 10/rQfiJ/tQ, &utd 011 1M .scrlbrd
/rtIClllrts. Iitt Impaa ocr:_d Ott fltt r/flll sidt of1M Iwad (kmporoJlporitloJ) ..../l/clt
wofild Inllllll, IQ/,rol ,00QI1oII occtl"otk"" "'Mllttr dw IQ _ blow or Qfoil. 1M bi/ll/trQI.
~IQIIsfibdwroIMlfIll/o"", U corulSftlll ....(1" 1114 Thtt bllll/,rol/rOltUJI lind
fI'"fXH'OJ conkol COrI/lUlofU olld slIbccnlctJI /ltmorrhagu tmd lilt (tnhro/.J'tW/IIng an
mtN"I_rt Qn lilt 1./1
Iitt rl,,- mdll1fl/""., _ _ S~ISf/W of_foIlllltll 0 blow.

' ' 'It

II _Id be IltlpfuJ 1/_ «Jll1d SO)I "..rMroptllllc Inwgu offhls ptJIi,lII f(J /fIOrI t:/,orf)'
S'por"'. III, priMary tffic/S O/'M IrtJfifftQ from 1M ucondory t11ld '''troptlllk .Jf«1S..

NECK:
1M antrrior $!rap muscles ohhr neck at!: bofno&eneous and red-bn:lwn, without
hell'lOl'ri.-ae.. The thyroid ~i1qe and hyoid bonr ate I~t. The larynx is lined by
InlSCl wIlite mucosa. The tonaue is IRe ofbi~ matb, hemorrbq., or otheT injuriell.

Incision and diuection of the posterior neck ~Ies roo deep patKltI'Vical m1lKU1.,.
Injury or ceNical spine fraclUres.

MEOCOM 0993

ACLU Detainee DeathII ARMY MEDCOM 993

(b)(6)
AUTOPSY REPORT __
.
_
ALI, Mubammad Najlb Abu-Wara

7

RESPIRATORY SYSTEM:
The upper ail'WllY is clear of debris and foreil:Jl material; the mllCOSliI ~urfllCes lie
smooth, ycllow-an and unrmwbble. The pleural surfaces of the righllunglle smooth,
glistening and Ullr'mW'kable. Then: lie scallC!'Cd loose plcunll adhesions surrounding the
left lung. The pulmo~ puenchyma i~ salmon pink with anthracotic changes.
congested and edematous, eltuding CGpiousamounlS of blood and frothy nuid. No mass
Icsions or lIftS of consolidlltion lie present. The right and left lung~ weigh 7aO IIId 76Q.
jp'aI11s. respectively.
CARDIOVASCULAR SYSTEM:
The periCltdial surfaces are smooth, g1istenins and unmnarkoblc. The J20·grwn heart is
I;OOlIined in 111 inlact pe:ricLlrdial sac free ofsignificlIIl fluid or adhtsions. The epicardial
SUrfllCe is smooth. with minimal fat investment. The coronary arteries arise nonnally.
follow the usual distribution in a right dominlllt pattern,lIe widely petent, and without
evidence oflhrombosi~ or significanl alherosclCT05is. The myocardium is homoaencous.
red_brown, linn and unremarkable; the atrial and ventricullt septle lie inIac!. The walls
of the left and righl ventricles ItC 1.0 and O.2.cenlimetel1l thick. respectively. Thc valve
leanets are thin and mobilc. The aonallld ilS majorbRnches arise normaUy. follow !he:
usual course IIId lie free ofsignificant abnormllities. Therl' i~ mild focal athcrosclerotk:
slreaking oflhe abdominal aorta. The VCnlle cavae and lheir major tributaries mum to
the heart in the usual distribution and are free oflltrombi. The rl'MoI and mesenleriC
vc:ssels are unrl'malkablc.
HEPAT081L!ABY SYSTEM:
Tile hepatic capsule is smooth. g1iS1C:lling and inllCl, covcrinll dalk red-brown,

moclcRlely congesled p4m1Chyma. No mass lesions or olher abnormalilies lie noted.
The gallbladder conlains 3-millililel'1 of green-brown mucoid bile; lhe ffillCOSll is velvety
and unremarkable. The Clttl"lhepatic biliary llee is pllent and witholll evidence of calculi.
The liver weighs 1460-grwns.
GASTROINTESTINAl TRACT:
The esopItllllus is inllCt and fined by smooth, lVIy-white mucosa. The gastric wall is
intact and the stomach contains apps'Oltimately 20-millifiLel1l or lhin brown-llray fluid.
The gastric mucosa is arranged in the usual nagal folds. The duodenum. loops of small
bowellUld colon are unrcmltuble. The appendilt is not identified. Synthetic mesh is
idcnlified in the rigllt inguinal canal.
GENITOURINARY SYSTEM:
The ri~htlUld left kidneys weigh 160 and 141).grams. respectively. The renal capsules arc
smooth and thin. semi-transparent lUId slrip with ease from the underlyinll smooth. redbrown cortical surface. The cui surfaces are red-an and congested. with uniformly thk:k
cortices and sharp corticomedullary jlUlCtiot'lS- The pelves and ealyces arc unremarkable.

MEDCOM 0994

ACLU Detainee DeathII ARMY MEDCOM 994

AUTOPSY REPORT(b){6)
ALI, Mubammad Najib Abu-Wafa

I

8

GenjlourjJWY system (conll:
The umCfS are normal in course and caliber. While blatlder mueO$l overlies 10 inllet
bladder wall. The bllldder conwns approxillll1ely I()()..millilitCfS of cloudy yellow urine.
The prosialC is normal in site, with Iobul..... )'('Jlow-tan parenchyma. The semiOlI
vesicles are ~marbblc. The IeSlCS are fm: of mISS lesions. contusions. oro/her
.bnomlalilies.
LYMPHORETICUI.AR SYSTEM:
The 28Q.gram spleen h..,. smooch, inllCl CIpSlIle covering maroon. moderalely firm
~nchyma; lhe Iymplloid follicles ~ unrcrrwbblc. Lymph nodes in the lUlu.
periaonic.1lId iliac resions are DOl enluged.
ENDOCRINE SySTEM:
The pituitllf)' gland is examined irHitu and is unremubble. The th)'fOid 1IllllX! is
symmetric IIIId red-brown, willloul c~lic or noduluclwlile. The panCtelS is finn and
yellow-llll. with the usual lobulu IIfclIiteetlll'e. No mISS lesions or other abnormalities
are DOled. The right and left Ildrenal sJl1Idslll'C 5)'TTImelriC, with brighl yellow conioes
IIId arey medutlat. No masses 01' IleIS ofhemotrhaae identified.
MUSCULOSKELETAL SYSTEM:

Mll5Cle development appears nonnlll. No non-tl'1lumlllic bone or joiDllbnonnelities are
IIOted.
ADPIIIONALPROCEPURES

I. Documenwy photolBPhs are liken by OAFME staffpllolOgnphen;.
2. Specimens rt:lIined for toxicology testing lIIdIor DNA identification art:: Blood.
vil1'eO\lS nuid. urine. gastric contents, bile. !Jean, spleen, iiver, lung. kidney, Ildipox
tissue, and skeletal mU$Cle,
3. Full body I'1Idiogmphs are obtained and demo<utra\C: the above findinas.
4. Selected ponions of organs are retained in formalin.
5. The dissected orglns are rorwatded with the body.
6. Personal effects arc rclcued 10 the mort1ll1)' affain lCJMC:5Cnlllives.
7. Identifying body marks that inc:lllde multiple scars have been documented.
MICROSCOPIC EXAMINATION
The brain is rt:moved and plllCcd in fonnlllin for formal Neumpathology eonsuilition.

Selected ponions oforpns are retained in (amalin, without preparation o(histologic
slides by OAFME.

MEDCOM 0995

ACLU Detainee DeathII ARMY MEDCOM 995

AUTOPSY REPORT (bt(§)
ALI, Muhamm.d Nlljlb Abw-W.f.

9

nNALAUTOPSY DIAGNOSES:

I.

Evidence ofuawna
A. Unear frlletures of the calvarium involving the righl temporal, parieral,lIlId
occipital bones
B. Superficial.bruiollll on the posterior right shoulder
C. Subgaleal and subdlll'll hemorrhage

II.

Evidence of closed head lrlllll1Ul and subsequent medical intervmtion (per formal
Nelll'DplI1holoiY consullalion)
A. Diffuse grey and white mailer edema with ischemic neuronal injlll')'
B. Left IrBnscranieetomy herniation
C. Left 10 righl midline: shift with left cingul.te gyrus and the leftlftlrtSteruorialllllCaf
herniatiollll
D. Cortil:al colllusions of the frontal and lentpoBJ lobes, bilaterally
E. Subaracltnoid Illd intTaventril:u!&r hemorrhage

Ill. N.lIIral disease dillino5CS
A. Evidenoe of prior appendel:tomy
B. Evidell(:C of prior ri~t insuinal hernia repair
C. Mild IIthcrosclerotil: streakingofthe.bdominal aorta
D. Healed fracture of the left ulnar styloid
E. Partiallllllpuwion of the distil I- and 2'" digits oflhe leftlwKl
F. Absence of the left nipple. tnwnlltic, healed

IV. PoslmOrtem changes
A. Lividity is filled on the posterior surf_the body except in areIlI eKposed
,..,..~

B. Rigor is pcaentlo an equal degree in a11l:Ktremities
VI. ToxiQ:llogy results
A. Volltiles: lhe blood and ViltcOUS fluid were examined fot the p~nee of ethanol
at a culoffof20 mgfdL. No ethanol was deteded.
B. Drugs: The urine: was screened for aoelaminophen, antphetamine, antidl:pressanlS,
antihistamines, barbiturates, beruodi~nes, cannabinoids, chloroquine, coc:aine:,
dextromelhorplum, lidocaine, ~otic anaIgcsil:S, opiates, phcnl:yclidine,
phcnothiuines, saJicylales, syrnpathomimetk: amines, and verapamil by Bas
chromatognlphy, color test or imntWlOlSSlY. 'The following dNgs were deteeeed:
I. Positive Opiatei Morphine WIU delccted in urine by aa.s cltromatography/lTlllSS
spectromClry. The blood l:OflIaincd in 0.18 mgIL of morphine as quanlitaUd by
gas chromatographylrnass spectrometry.
2. POJ!jljye LJdocainl: Lidocaine wasdelecled in urine by gas chromalography
and COIIfirrned by sas chromatography/mass spectrometry,

MEDCOM 0996

ACLU Detainee DeathII ARMY MEDCOM 996

10

VI. Toxicology results (conn:
C. Carbon Monoxide: The carboxyhemoglobin saturation in the blood was leu than
1% as dclennincd by spectrophotometry witb the Iimil ofquanlilalion of 1%.
Catboxyhemoalobin $lIll,1ration.s 0(0-3% arc expected for non-smoketS.
Saturalions .bow; 10% lII'e eonsid~ eleWlIed arc eonfinncd by gas
chromatopphy.
D. Cyanide: Th~ was 110 cyanide dw:cted in !he blood. The limit of quantiwion
(ot cyanide is 0.25 mgldL. Normal blood cyanide ConeerllnltiOns lII'e less than
0.1 S mglL. LethDl eonccntnuions ofcyanide are grealcr than) mafl,

QPINION
1
J'his anomxillW..elv 52-year-old male detainee at Camp Bw:ca Iraq, BTB (b)(6)
(bl!6)
Idied as the miult o(blunt fcm:e If1Iuma of the head. Autopsy
findings show evidence ofskull fractures Mil 5Ubsequenl medieal inlerVencion. No aross
or x-ray eyidence of=1 pcne11'lting or additional significant blunt force trauma is
identified. A formal NClIlllJlBlhology COlWllulion ill oblained and dernonslnlles the

findings described above. Post motIem analysis o(the body "uids for ethanol, carbon
monoxide, cyanide, and screened illicit drugs ofabll!le ue negative. ~ presence of
morphine in the blood al\Cllidouine in the urine are eonsiSlent with the reported hiSlOlY
ofm«licaJ intervention and do nol contribute to the: caU5C or manner ofdutlt.;(b)(6)
injuries are consi.mnt with a blow to the head or a fall. llie ~view of available
investigative reports, medical records, and Neuropathology consultation taken in
cOl1ilQ'lClion wilh l'l!: absenoe ofdefensive injuries SUSieslS that an accidental fall is more
likely the cause of,(b){6) !injuri9. A blow to the helld cannot be ruled OUi as the cause
of the closed head trauma. However, with leUO/Iable Imdieal certainty the manner of
death is best classified as accident. Should additional information become available that
would change the cause or rnllTll1Cl" of dalth, an amcndc:d report will be issued.

:=J

(b)(6)

(b)(6)

MediCiJ ExamineT •

MEDCOM 0997

ACLU Detainee DeathII ARMY MEDCOM 997

_.--

_. __ . -_... -

--'''.

CUTlflC'IlT~ 01' DUoTl1 /OIIt'1UJ!A.Sj

-~-

BTe Ali. MuhMuTlad Nljib. Atlu-Wafa
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