ARMED FORCES INSTITUTE OF PATHOLOGY
Office of tile Armed Fon;a Medic:allJ;amiller
1413 Research Blvd., Bldg. 102

Rockville, MD 208S0
301·31~

FINAL AUTOPSY REPORT

Name:

BTB Ahmed, F,glad Wasmee

ISN:JbJl~

Date ofBirthl(b)(6l-=r1989 (estimated)
DateofDeathrb}(6} ~2007
DatelTime of AulOpsy: 12 AUG 2007@0900
Inte of~pon: 27 SEP 2007

Nj;"~.~(~b)~('~)=:-:::;j

Autop$)'
AFIP No.:~b)(6)
Omde: Civilian (Detainee)
PlaceofDea1h: Imq .
Place of Autopsy; Port Monuary,
Dover AFB, [)over, DE

ClrcU_lIeca IIf Dutil: Th..i5 17 yeac--old civilian ~ being detained II! the Theater
Internment Facility at Camp Cropper, lnIq when, as reported, compound guards observed
~ unknown det&ioees carrying !be body of the deceucd in a blanket, placing him on
the ground. and !ben running from sight.

Aul.boriutloll for Autopty: Office ofthc Armed Forces Medical Euminer, lAW 10
USC 1471.

Idntiftcatlon: Presumptive idmtifica1ioo based on review of all papefS in case file.
POSt-rllottem fingetprint and dental eJl.&IIlinatiollil conducteO. A suitable spc:cimen for
DNA analysis is obtained.
CAUSE OF DEATH,

Multiple blunt force injllriea

MANNER OF DEATH:

Homidde

MEDCOM 0795

ACLU Detainee DeathII ARMY MEDCOM 795

FlNALAUTOPSV REPORTI(b)(61

2

BTB Ahmed. Etnld Wasmoe

EXTJjRNAL EXAMINATION
The body is IhM or. well-dewloped. well-nourished male. The body weighs 120
pounds. is 6S inches in lenat/l and ~ compIltible with Ibr ",ported qe.of 17)'U1'S.
The body i' cold. Rilor i' n::toIved in all exlranities. Lividily is obsc:urrd by dil'fu5e
contusions ofllle back (see MEvidencr oflnjuryj. Thrre ill jpl:'eII wSiCOloration of the
'kin of the abdomen.
IqjuriC3 oflbe "-1. lOfJO and exuemilieJ ue described In ME..;dence of Injury".
The head i' IlOI'rnOCepbaiic, and the IClIlp hair is black. FKiai hair consists of black
mustache and beard. The eyes ue SWIho. The irides are bro'o\ln. The corneae are eloudy.
The conjunellvM: are pale. The Jel_ are while. The QtmII.I auditorycanal" extmll.l
nares and oral e.vilyll1e free of foreign INteriai and abnotmal src:retions. The rarlobes
are nol piereed. The nasal skeleton and muiUa are palpably inlael The leelll are nallnl
and in fair condilion with bolll deciduollS and pmnarlrnltceth.
The extemlllenluHa are lhose ofan adult eircumeised male. The anus i'
unremarkable.

The eXlremi~ are 'ymmdrie. The finaemails are intael. There is I II2·ineh
'l:aI"on the left knee. There i' I 112_ioeh healinl abrasion on the right medial ankle. The
soles of the feet are e.lIous.
CLOTHING AND PERSONAL EfFECTS
The body i. elad in I white t·shirt, orange trousers (willt defret in the elOleh and
defec:t of lite leA bunoeks). white boxer, IlIId I gr«n per$OnaI elfec:tJ baa around the right
wrist. There are Varlo<iS leuers. numbers, and I)'mbols wriUen on the righl pant leg of
!he: annie lfOLIJt1'J. Within lite personal effecta t.g are IItree pieees of paper.
MEDICAL INTERVENTION

None.
RADIOGRAPHS
A complete Jel of po!lmortem radioaraP'u i. obta.inecl and demonltrltrs no

sltelt\11 fi-aetureJ.
EVIDENCE OF INJURY

I. Blunt force injuria:
A. Had and nec:k:

On lite left 'ide ofthr forehead ill 1.112 x J.!t2.inell contusion. On llte
ripl sitk: oflhe fau I.terallo Ihe riPI eyebrow i, a 112 x 1!2_inch eonlLtJion.
There are IWO. 112 It 1!2·ineh aInsions on Ihe bridge oflhe nose, On llte tip
of tile note is. 1/4.ineh abrasion. A \12 x II2·ioc:h contusion is on the left
eheck. On llte mllCOllllUI'I'8ec: ofllte irA lower lip is a 112 x l/2.inc:h
Ibnuion. 'The helix oflhe left ear tIu a 1/4 x IJ4·inc:h contusion.

MEOCOM 0796

ACLU Detainee DeathII ARMY MEDCOM 796

FINAL AUTOPSY REPORT:I(b)(6)
BTB Ahmed, Emad Wasrnee

l

Internal examination revuls a 3 x 2·inch OOI'1IU!ion of the left tempcxalis
mllS(:!e. There is a 3 x 3-inch hema!OlT1& of the right lateral strap mWll'les.
There is superficial hemorrtlage oflhe posterior stJ1Ip mllS(:les of the neck.
There is a bitatenll, panl.5agilt&l subdllJ1l1 hemorrltage (approximatel)' 10 ml).
On !he left lemporallobe ohlle bnin is Il focal 2 x I·inch subanchnoid
hemorrhage.

8. TORSO:
On the skin over the right clavicle is a 1-112 x I- II2-inch contusion. On
the right chest medial 10 lhe ri&hl nipple is a I x I-inch conlllSion. On lhe:
lateral righl torso, inferior to the right nipple. is a connuent 6 x S·inch
contusion !hat exlcnds: 10 the anterior midline. On the left. side of the anterior
torso, inferiorlo the left. nipple, is a 2 x I-inch contusion. On the right lower
quadrtlllt of the abdomen is a 3 x 2-incll contusion with a centnllly located In.
x II2-inch abTll5ion. On the skin over lhe right anlerior ilill<: el'C$t is a 2 x 1·
inch contusion. A I xl-inch contusion is on the skin over the left anterior iliac
aesl. There lUe diffu5econl\lsions over the entire lMck (17 x I S inches).
There is a 1/4 x 1/4-inch abrasion of the ri&hl upper back. On the skin o~r
the left scapula is a 1/4 x lI4-inch abmsion. Th~ lUe [W() I x I.inch
abnsions oflhe lower right blIck. There is. 4 x I-inch abrasion oflhe mitldle
orthe lower bllCk.
Intemal examination reveals a 2 x 2·inch contusion oflhe posterior left
eighth intem>stal muscles. Superficial skin incisions of the back reveal a
superficial hemaloma thai involves the enlire back (approximatel)' 300
millililers of blood).
C. EXT1l.EMITIES:
There is. 2 x I-inch contusion of the anlerior right arm. "There is an 8 x
4·inch contusion of the poslerior right arm. There are three abTll5ions of the
right elbow rtIllging in size from 1/4-inch 10 314·inch, in lTWlimum dimension.
On the posterior right forcu.rm are two contusions that are 2 x I-inch and 3 Jt 2
inches, respectively. There is a 3 x I-inch contusion of the anterior right
forearm. On the palm of the right tland, over the thenarcminc:nce, is a 2 x I·
inch contusion. There are two 1 x I·inch contusions of the back of the righl
Iland. Th~;s Il 112 x II2-inch conlllSion orthe: righl index lilliel and righl
middle linger.
On the posterior left arm, extendina to the medial left forearm, is a near
circumferential contusion !hat is II Jt II ioches. There is a I x In.-inch
abrasion of the left elbow. On the posterior left foreann are a 2 x 2-ioch
contusion and a In x In.-inch <XMIlusion. There is. 2 x I·inch contusion of
the palmat surface of the left hand. A 2 x II2-ioch contusion is on the
posterior aspect of the left middle finger. A 2 x II2-inch conrusion is on the
posterior aspect of the left small finger_
There anl diffuse contusions of the posterior right thigh and buttocks (I S x
10 inches) exlending to the anterior Isteral aspecl of the riiht Ibigll. There are
two lIZ-inch circular contusions ofLbe anterior righl thigh with areas of

MEDCOM 0797

ACLU Detainee DeathII ARMY MEDCOM 797

FINAL AtrrOPSY

BTB Ahmed, Emad

R.EPORT=I~(b~)(~",===

4

Wasm~

«:ntral pallor (3/8-inch in diameter). On the antcnor-medial right thigh are
twt> 112 x 112-inch wntusions. There is. I x I-inch contusion oCthe ri8ht
knee. On the posterior right leg is. S x 4-inch contusion.
On the left buttock is a 1 x 6·incb contusion. On the posterior left thigh
are diffuse contusions (9 x 8 inebC$). On !be anterior left thigh arc multiple
(4) contusions ranging in size from I x l-illCh to 7 x 3 inches. On the anterior
left leg is a 1/4 x 1/4-illCh wntusion. On the posterior left leg is a S x 3-ineh
conrusion.
Superficial skin incisions of the posterior aspect of the extremities reveal a
hcmatomaoftbc posterior right urn (approximately SO milliliters), hcrnaIoma
of me posterior rightlhigh (approximately SO milliliters), and a hematoma of
the posterior left thigh (approximately SO mil1iliten).
INTERNAL EXAMINATION

BODy CAV!Ilf.S;
The body is opened by the usual thoraco-abdorninal incision and the chest pille is
removed. The ribl, sternum, and vertebral bodiCll arc visibly and palpably intact No
adhesions or abnormal wllcctions of fluid arc present in any ofthc body cavities. All
body organs arc present in nonnalanatomical position.
HEAP ANp CENTRAL NERVOUS SYSTEM
See "Eviden<:c of Injwy". The blllin weiglu 1300 grams. The leptomeninges an: thin
and delicate. The ccrcbr1.1 hcm~ arc symmetrical. The structures at the base oflhe
brain, inc1udina cranialncl'VCS and blood vessels are intact Coronal and tr'al1SVC'I'2
sections through the cerebra! hemispheres and brain stem and cerebellum reveal no 1lOlI-

traumatic lesions. The atlanto-occipital joint is stable.
NECK;
Sec "Evidence oflnjwy". The thyroid eartilllge and hyoid booe are intaet. The 1&I)TlX is
lined by inllll:l white mucosa. The ((Inguc is free ofbitcmarks, hemorrhage, or other

injuries. Incision and dissection oflhe posterior ncclr. dclTlOnstnlles injuries described

."""".

CARDIOyAsculAR SYSTEM;
The 230 gBm heart is contained in an intact pericardial sac. The epicardial sunJICe js
smooth, with minimal fal investment. The coronary arteries are present in anolTTl&l
distribution and arc widely patent. The myocardium is homogenous, red-brown, and
fil1J\. The valve leaflets arc thin and mobile. ll1c walls of the left ventricle,
inlCl"Yellmcular scptWl'l, and right ventricle are 0.8, 0.9, and 0.3-em thick, respectively.
The right ventricle is dilated.. The cndocardiwn is smooth and glistening. The aorta
giV'CS riiIC to tIuec inllll:t and patent an:h vessels. The renal and mesenteric vessels are
unremarkable.
RfSPIRATORY SYSTEM:
"The upper airway is clear of debris and foreign ITUltcria.l; the mucosal swfilCQ arc
smooth, yellow·tan and \lJ1l'eIn8l'kable. The plcuml SUlfaccs are smtlOIh, glistening and

MEDCOM 0798

ACLU Detainee DeathII ARMY MEDCOM 798

Fffi'AL AUTOPSY REPORT:(b)(6)
BTB Ahmed, Em.d Wumec

,

unremarUb(e bilalenllly. The pulll'lOlW}' pareneh)'ttW it congested, exuding slighllO
modef1Ilc amounlS of blood and frothy fluid; no fOClllletiont lie DOted. The pulmonary
arteries arc ~ly deYeloped, "",enl and wilhout thrombus or embolus. The right lung
wei&!" 310 arams: the left 350 I"-"'tHErATOBllIARY SySTEM:
The lID &Pm liver hal an inlaCl smooth capsule covering dlllk red·brown, rnode:alely
conae5lCd lan-brown parenchymll with no rOQllesions noted. The aa'1bladdercon!lins
less than S milliliters or~ m\lCOid bile; the mucosa is velvety and
IIlII'eIlWbble. The auahepatic biliary lft:e is palmi, withoul evidente of calculi.
GASTROINTESTINAL SYSTEM:
The csoplllgus is lined by gray.while. smooch mucosa. The gasIric mucosa is manged in
!he usual ropl folds and the Iwnm contains)SO milliliten of brown fluid tlId rice
particles. The Jrnall and lqe boYrI'tla In; 1llIltmarbh1e. The pancreas has. nonntl pinkWllobullted appearance and the dUClS lie clear. The appendix is pesenl.
GENITOURINARY SYSTEM;

The right kidney weiihs 70 1V'Jl1S:!he left kidney weighs 50 gram$, The: reTIlIl <:a.psUles
lIl'e smooth and thin, ~i-transparent and stripped with ease from !be IIQl\erlying smoot/l,
~-brown cortical surface. The corteJl is sharply delinealed from the medullary
pyramids, which are red-purple 10 Ian and untemlIbble. The ealYCe50 pelves and ureters
unremarkable. White bladder mucosa overlies an inlKt bladder wall. The bladder
contains approximately 10 milliliters of blood-tinged urine. The tesle$, prostaIe &.land and
seminal vesicles are without note.
lIl'e

LYMPHORETJCULAR SYSTEM:
The SO gram spleen has 1 smooth, inlact capsule coverins ~-purpIe, mode:alcly finn
parenchyma; lhc lymphoid follicles lIl'e unremarkable. Lymph nodes in the hilar,
periaortic and iliac regions lIl'e not enlarged.

ENDOCRINE symM:
The Ihyroid gland is symmetric and red-brown, witholll l:Y5Iic or nodula.r change. The
righilltld left adrenal glands lIl'e symmettic, with bright yellow cortices and f'ld.brown
medullae. No mlWeS or areas ofhelTlOlThage en identified.
MUSCULOSKEI.ETAL SYSTEM:

Musele developmcnt is nol1T\lll. No bone orjoint abnormalities are identified.

ADDITIONAL PROCEPURES
1.
2.
).

4.
5.

Specimens retained for loxicolOl)' tesllnaa.nd!or DNA Idenllfication are: Blood,
bile, urine, liver, IUlIi, kidney, spleen, brain, P'OBS muscle, myocardium, -.iipose
tissue UId gastric contcn!$.
The. disaeetcd 0Il1N are forwarded with the body.
Selected portions of organs lIl'e retalned in ronnalin.
Pcnonal effccts In! relused 10 the appropriale mol1uary operations represenwives.
Recovered tvldcnc:e: Nails, retained by OAfME..

MEOCOM 0799

ACLU Detainee DeathII ARMY MEDCOM 799

FINAL AUTOPSY REPORT: ."_"_"
BTB Ahmed, Emad Wasmec -

J

6

FINAL "VIOPSY DIAGNOSES
I.

Multiple bluIl1 (ORC Injuria:
A. Head and ncd;;
I. PlW!II.gittal $llbdural hemorrhage

2. FOClII subanchnoid hemorrhage
J. HemolThq;e of the left Icmporali! m~le
4. Hemorrllage of the right lateral and posterior strap ml"lSCld
S. Multiplcwntusions and abnsion

B. Tono:
1. Multiple diffuse contusions and abrasions
2. Soft tWllC llemaloma of !he back

C. Extremities:
I. Multiple diffuse contusions and abnisions
2. Soft tiSSIll: Ilcmatomas of the posterior right arm, posterior right
thiill. and posterior left thigh

IL

Evldnlce at medial iolervcotioD: None

III.

Idltlltlfymg mub: None

IV.

POll-mortem dwIpt:
A. Rigor tw resolved in the upper and lowercxtrCmiliCil

B. Green discoloration ofttle abdoJm1l
C. Cloudy cornea
V.

NaNnil diJe:ue: None identified within the limils of the cxunination

VI.

Toxkolocr (AFlP):
A. VOLATILES; No ethanol detected in the blood and vitnlous fluid
B. DRUGS; No screened dnlgs ofabugelmedications detected in the urine
C. CARBON MONOXIDE: The carboxyhemoglobin $RtUJlI.tion in the blood
was less than 1%'
D. ex ANIDE: There was no CYlUlido:: detected ill the blood

MEDCOM 0800

ACLU Detainee DeathII ARMY MEDCOM 800

FINAL AUTOPSV

REPORT~~lb"')(~6)'--,

7

BTB Ahmed. Emad Wasmee
OPTNION

1

This 17 year-.old male. BTBI(b)(6}
died of multiple blum force
injuries sustained wl\ile being detained at !he Theater Inte~llt Facility at Camp
CropPer, Iraq. He had multiple <:onflucntoonrusions ohhe head, torso, and extremities
with lWOCiated soft tissue hemalOIT1a$. In addition, he had focal subarachnoid and
subdura.lllemonhage of the bnlln. A possible contributory component of asphyxia
ClIIlIlOt be eJl<:luded ",., toxi<:ology S<:reeJ1 was negative. The mann<:T of deatll is
homi<:ide.
'{b)(6l

MEDCOM 0801

ACLU Detainee DeathII ARMY MEDCOM 801

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MEDCOM 0802

ACLU Detainee DeathII ARMY MEDCOM 802

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MEDCOM 0803

ACLU Detainee DeathII ARMY MEDCOM 803

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MEDCOM 0804

ACLU Detainee DeathII ARMY MEDCOM 804

ARMED FORCES INSTI1UTE OF PAniOLOGY
OftIre of the Armed Fora:s Medlall Examiner
1413 Ruearcll Blvd.. Bldl. 102
Rockville, MD 20850
301·]19.‫סס‬oo

AUTOPSY EXAMINATION REPORT
Name: 8TB Kujm, Fayis H.lim

AulOPSY No.:~(b~)(,,6)==l
AFlP
l(!:lI}6)
_
Rank: Detail*
Place of DellI!: Inq
Place of Aulopsy: Pott MOftUIry
Do~r AFB. Dover DE

No.:

SSAN: t!1>.{§}

DIUe of 8irth~(!:Iilli!.-=ri96S

Dale ofDeIlIJb)(61---I2007
Dace -'ld ti~oI" A",topsy: 06 AUG 20079:ooAM

Dateol"lnitill Report: 09 AUO 2007
Dale of Fillli Report: OS DEC 2007

.Iwas

C1l'aU111ltaM". of Death, (b)(6)
belnl detlIincd pendinl 1nll!lfOJlIlion wilen he was
reponedly found in his "II ullRSpOllSi~. He h.:Id previOllSly ~OIllpI.ined or dyspepsia -'ld
IaIlllidine tIad been ~bed For him.

AlldtorizatiaD for Alliopsy, Offi" oflhe Anned For=; Medic:al Examiner. lAW 10 USC 1-471

Identlt\cltlon: by lDeUII 01 a1ptlJ~ til lAd eolltl~ ~hIllJ of C'IIStOcI)'

CAUSE OF DEATH: CoronlU')' Thrombosb
MANNER OF DEATH: Natural

MEDCOM 0805

ACLU Detainee DeathII ARMY MEDCOM 805

1

AVTOfSY REPORT[(b)(6j
BTB Ka:dm. Fayb Hallm

2

~ALEXAMRYfDQN

The body is th41 of a well-developed, well-nouristlcd appearing male, 63-1/4 inches lall.
weighing 139 pounds. whose appearance is COtlsistent wilh lhe reponed age of 42 yelll'$,
Uvidily is posterior. Rigor is resolving. The body is coot 10 touch.

Black hair is disuibulcd in the usual mlIIlc plIt1Cm. The irides ate brown. wilh a
promincnlllR:US scnilis. ,TIle pupils are round. 0.3 em and equal In diameter. The eXlernal
audilOry ClIIIals ate clcar;(b)(6)
lihe eatS ate
otherwise unrelTllllbble. Thc narcs arc palClIt and the lips are lURUmlIItk. Thc nose and
maxillae arc paJp.tIly scable. A moustache and cllmly trimmed beard arc distributed In
the U$UaI pallem. The leeth are nlllul1ll with nidenee of mild 10 moderate neglOCl.
The neck is 51ra.igllt.llIld the tnlchea is midliM and mobile. Thc chest is symmetric. The

abdomen is slightly procuberuu. The genll.a.lia ate those ofa nonnallldull circ:llm<:ised
male. The tesles are descended and free of 1TI1l5SCS. Pubic hair is present in the usual
male distribution. Thc buuocks and anus arc unA:marhble.
The upper and lower elltremllies are symmetric lUId wil1'lou1 clubbing. c}'allosis or edelTlll..
CLOTHING AND PERSONAL EFFECTS

The A:mainS are clad In a wltile gown
EYIDENCE OF INJURy
An old.llealing I II 112 inclt abrasion is. present on the cenlnll fOfChead. An old. hcaJing
2 II 112 ioch abrasion is prestnt on lhe uppcrbaek. slightly to the right dIlle mHlline.

ElUA:mity injuries include a groupoF old·huIing abtuions and contusions cluSlCmI over
lhe posterior right elbow. ranging From 112 ioclt up 10 314 II 112 ioch. A lIeaIing 112 ineh
abrasion is p~nl JUSI above !he len elbow. A grtlllp of punclate deFccu IUrJ'OIInded by
a In ioclt gtftn-blue conlusion is !,",Knt jUR above and llllend to lite righl knee.

INTERNAL EXAMINATION

""""'

TIle saJeal and subgalcal son lissues of llx: scalp an:: (RIC of injury. The calvlllium is
inlact, IS iSlhe dura mater bencalh it. The CCA:1!ra1 blood VesK!s ate engorged with
blood. but are otherwise unremartable. Clearocrebrospinal nuid surrounds the 1100 gm
brain. which has unremartable llyn and sulci. Coronal iClCtions demonstrate sharp
demarcation between while and grey matter. withoul hernorrbase or contusive injury.
TIle ytnlricles are of normal size. The basa1 ganglia, blllinstem. cerebellum. and llrttrial
systems are frcc of injury or other abnonna.lities. There are no n.ull fnJClUil'S. 1lIC
atlanto-occipital joint is Slable. A posltrior neck disstcllon confirms lhatlhe abrasion
idenlirted over the pDSIeriot back is superficial and remote ~hronologieally.

MEDCOM 0806

ACLU Detainee DeathII ARMY MEDCOM 806

AlTrOPSV REPORT (b)(6)

BTB

KaDIrI,

....

J

'11k H.-Jlm

'

1lle ~~rior 5tlllp musclel of !hoe IlC("It an: hORlOaenous.mt red-brown. without
hemorrilage. The thyroid canillge IDd hyoid an: Inlltt. 1lle larynx illilkd by inl.el
while l1WCOSI. The thyroid ilsymmelric and red-brown, withoul cystic or llOdular
cllange. The tonaue is flft of bite malt$, MlIlOl'ThIige. or other injuliu.

80PY ChymES:
The rilll. I~rnum. and venebrll bodielln: visibly.mt plIlpibly Int~. There il I small
pleural effusion b1laten1ly (l'Illiopaphle finding). Multiple dlesions ulend from !hoe
rip lun, to the puietaJ plc:ullllwrfll:C. Otherwise. !hen: il no Utell nuid il in the
plellllll, periclrdial. or peritoneal cavities. The: 0fJIIl1 oecupy their usual I/IItontic
positions.
RfSP!RAT08X symM:
The congested ri,lIt and len lunp weigtl630 lIld 490 am. respectively. The rilht pleutll
Jdhelions "'VC been noted. lntrapvenehymal clllciflcMionl1lR: identified
I'Illlographically, butllR: not identified on direct lnspeetlon. The puJmonlll'Y parendlymll
is diffusely congested lind edemllOUl. No mlSllelions or IIR!IS of cOlIIolidliion an:
aroulyevident.
CARDlOyASCULAR SYSTEM:

The 330 am hean is eont,ined In an intltl perieltdial sac. The epicudilllurfllCe il

lmooth, with moderMe fit investment. Moulin. Willi foeal pale color chlnae II pn::senl.
The COfl)Ilat')' a"cries are present In IIIOfTI'lII dilolribllllolt, willi I riaht-dominlllt ptlltcm.
On cross scetions of the vessell I helTlOfl'haak: occlusive plMjUC il ptelCnt in the len

anterior descendina eoronlr)' anery. CaleirICltlonl an: also evident l'Illio.raph1cally in
lhe circumflex IIld left Interior descCfldina CQI'OfI.It)' aneriel. A Ian cutsurfKe wilh
i~&ullT mottlinl is noted on 5CCtlOlllthrouah the myoeltdium. The valve leafletllre
thin and mobile. The walls of the len ventricle, inlerventrieullr septum llIld riiht
ventricles an: 0.9. 1.0 and 0.4 cm Ihiclt. telpeclivcly. The IOrlI displa)'lllhcl'Ofl\lllOUs
plaque deposition, wilh prominenl cak:ified Iaions II the level of lhe iIIl1C bifurtillon.
'There is no evidence of congenlt.1 or infectious lesion. 1be n:nalll1d mesenleric: vessels
~ unremarkable.
LlyER.t eQ.IARY SYSTEM:
The 1330 am Ji~ ha$ an inl.ltI.smooth Clpsule

and a.1Iatp lnIeriorbordc:r. The
parenchyma is tan-brown and congested. wilh lhe usual lobulu an::lliteeture. No II1ISll
lesions or Olher ahllOlmllitiu are seen. The pllblllldder contains approdlTIItely 10 oc: of
arecn-black bile. "There an: no stQllCl. "The ITlIlCOSII surf.a: iii lreen and velvely. The
extrahcpelle bililt}' lree II ptltenl.
Sf'! fEN:
The 170 JIIIlpleen his. srnooth,lntaet. red-purple ClIpsulc. The parenehyml il m¥OOn

and ronaested, with dillinel Malpilhllll corpusc:kI.

MEDCOM 0807

ACLU Detainee DeathII ARMY MEDCOM 807

]

AtfrOPSY REPO RT llb)(6)
BTl Kulm. V_,ll Ht.lIm

4

PANCREAS:
'The pancreas is congesled. with the usual Jobul81ed Il1:hiteclUR! on cut surface. No mass
lesions or ocher abnormalities are seen.
ApBWAJ :Ij:

The righl and left adR!na1 glands

are symmetric, Wilh bright yellow cortices and grey

medullllle. No masses or areas of hemorrtlage life identified.
oempURINARY symM'

The riglu and IeI't kidl'le}'$ weigh 90 and 80 gm. n:spectively. The cullllrraces are red-tan
and conccsted. wilh unironnly lltick cortices and sharp conicomedullary junctions. 'The
pelves au unremarlcable and lhe un:le... ~ IIOrmaI in altJrse and caliber. While bladder
mllCOSa overlies an intflCt bla6der wall. The urinary billclder contains approxil1'lalely 8OI:c
of cleat amber uril'le. The prostate is lIOl'TnlIl in size, with lobular, yellow·tan
parenchyma. Brown malerial is upJnSCd from the duelS; the seminal vesicles ~
OIherwise unR!mllftable. The testes are rift of mass lesions, conlUsions, or other
abnormalities.
GASTBOINTESTlNAL TRACT;

'The esophajllS is Intact and lined by smoolh, grey-white mucosa. The stomach contains
approximately 200 IX: or par1ially digested food. 'The gastric wall is inlacl. 'The
duodenum, loops of small bowel and colon:llt! unremarbble. The appendill. is present.
MUSCULOSKELETAl. SXSTEM:
Muscle development is normal. Degenentive cltanges of the tltoracic and lumb<Lr spine
arc identified nKIioppltically. Otl!erwiK, there are no bone or joint abnormalilies noced.
MICROSCOPJC EXAMINATION
Selected ponions of organs life retained in ronnalin. without preparation of hiSl.OI08ic
slides.
ADDPOONALPROCEPURE5

I. Documentary photograplls life taken by OA!'ME staff p/lo(08raphe....
2. Specimens R!tlined for toxicologic testing and/or DNA identification are: vilfWUS
lIuid. blood. bile. gastric COlIIents, urine. brain, m)'OClU1lium, lung, kidney, spleen.
skeletal muscle and adipose tissuc.
4. 'The dis&ected organs are forwankd wilh body.
5. Personal effects are releucd to tbe appropriate monuary opemlon~ R!flreKntatives.

MEDCOM 080Il

ACLU Detainee DeathII ARMY MEDCOM 808

,

AUTOPSY REPORTl b)(6)
BTB Kazim,

FI," Hallm

A1lI'OPSX DlACNOSFS
I.

of Dilleille
Arcus Knilis
EngorJe:mcnt or llle cen:braJ cOl1iclll ~S!lels
Calcific-lion of lhe Icft IIItcriordcsccndina coronary Ulery (ndlopapl1lc
findina and dirccl ulmil'llllion)
CllcirlCalion of the cilQlml\cl. COl'OIIII'Y anery (l1IdioJ1llphic findin, and
direcl cnmil\lllion)
Occlusi~c IhrombiK superimposed on., Ilhcromalou5 plaqllC, left
antcnor descendin, comrwy artery
Molilin, orille myocardium
CalcirlClIlion of the IlOr1Ic root ll'ldioaiapltic findln,)
Aonic intimal crosion
Clllclficilion of the abdomin~llOn. It lhe iliac hi rureatiol! (l1IdiOlftlphic
findlnl and direct uamlrullionl
Billtcl1l1 pulmDl\ary ConiCJlion (1'IdlosJ'lphie ru'ldinilllld dlm:t

E~idcllCC

A.

8.
C.
D.

E.

F.
G.
H.
I.
J.

cl~minatlon)

K.
L.
M.
N.

O.

Riglll sided pleul'll dle$ions
No tadiolf'SPhiclll)' lclentillable tlJ,uma
No radioJ1llph.lc.lI), Idcntifillble fORign bod)'
No si,nmeant utn:mil)' injury identirled
Sc:llucred small abrasions and COfltLI5!Qns
I.
forehead (I), of ehl'Ol'lOlo,lc.lI)' n:lTIOIC 1)Ii,ln
2.
upper back ( I1, without significant ui'lderl)'inlll'lluma
3.
postcrior riJllI elbow (3)
4.
left clbow (l)
S.
riitllkncc(l)

II.

Evidence of MediClll Intcrvention:

Ill.

Natural Disease
A.
Degellel1ltivc ehanges of lhe thoracic: spille (ndloJRpbIc finding)
B.
DeicllCl1ltive change or lhc luntbat spillC (rlIdio'l1Iphlc findl"a)

IV.

)dcntirvlnLMarb:

VI.

I'IOllC

noted

(b)(6)

Post-monem O1antu: no sienifiCllllt change noted

MEDCOM 0809

ACLU Detainee DeathII ARMY MEDCOM 809

,

Atn'OPSY REPORT !(b)(6)

BTl Kulm. Fayls H&llm

OPINION
Ilb}(6)

1.42 year-old detainee, died when his len anleriordesoending

COI'l:Xl&ry artery became occluded by superimposilion oralhiombus on a pre~llisling
alilen:lmalOUs lesioo. The cause or dealh i~ lhererore coronary IhrombO$is. 1lle manner
ordeath is naluml.

(b){6)

(b){6)MedicaJ Ellaminer

[(b)i6)

MEDCOM 0810

ACLU Detainee DeathII ARMY MEDCOM 810

___.-

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Oovef AFB, Dover DE
(bH6)

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MEOCOM 0811

...

...

ACLU Detainee DeathII ARMY MEDCOM 811

I

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

D1S$'0SrT0H OF RaMlNS

IN5TA.l.k.A 1101'1 OR

NAME OF

TYPE

,,

AOOR~S5

I;;EIIIET~R'r'

,

OR I;;REMATOfl'r'

,

,

ur- DISPOSIION

,

UJ\TEo~

ISI'\)l;1I0Jol

RfOISTAATKlN OF \lfTAL STATlSTlCS
REGISTRY (TQIWI.nlIl'OUnllY)

DATE REGISTERED

FILE JolUM9ER
STATE

NAIIIE OF FUNERAL DIRECTOR

OTHER

ADORESS

SIGJolAlURE OF AUTHORIZED IJolDIVlDUAL

DO FORM 2064, APR 1911 (BACK)

USAPA V1,DO

MEDCOM 0812

ACLU Detainee DeathII ARMY MEDCOM 812

ARMED FORCES INSTIlUJ'E OF PATHOLOGY
Omce o(lae Armed FolUS Medial lda.-iIIer

1413 a-ell Blvd., BldB- '02
Rockville, MD 2OSS0
301-319"()()()()

FINAL AUTOPSY REPORT

"AMENDED"

Name: BTB KhlJ.id, Muhammad Qusa)'

ISNf(~).(6)"71

b)1 ',1976(eSlimaled)

DateofBitth~{ ()
Dale ofDelltl'i(b){6)

12007
o.lcmlllC: of AlIlOp$)': )0 JUL 2001@09OOhrs
Dale ofRepon: )0 OCT 2007
Date of Amended Repon: J I MAR 2005

AUlOPS)' NQ..:I{b)(6)

AFlP No. ~)(~

I

~

Orade: Civilian (Detainee)
Place of Death: Iraq
PIIIce of Autopsy: Port Mortuary,

Dover AfB, Dover, DE

Cirnaula.eu 0(De-11I: Thi,)l )'t8l..old civilian \\lIS beins detained at the Theater
Inlernmenl Facilil)' (TIF) at Camp Bucca, II8lI when, I.!I reponed, be was _ulted by
unknown detainee{,) on 24 JUl. 2007. He was trInsporled 10 the TIF holIpil.ll fot
~ and tr.InSfem:d to lhe 28'" Combat SlIpport HO$pital for further IrqtmenL On
l(b){6) 1007 lie belllllllO exhibil lIiiJIS and S)'IIlplOlll' of 8 stroke and was inrubllled
""ResU$Cilalive elTora were U1ISllCCesllfW and he was pronounced dead at 0247 htiill(6)=:J
,(b)(6) ~7.
Aalborlz.arioo for Alllopl)': Offioc of tile Atmcd Fon:es Medical Examinet,lAW \0
USC 1471.

Idallifleallou: Prc$umptive identification based on review of all pIlpCI'$ in case liIe.
Post-monem finge:print and dental cuminations conduc:tcd. A suil8blc specimen for
DNA anaI)"is is obuined.
CAUSE OF DEATH:

Comp1ic:l1iolu of.harp ...d bl.ot fOnlllllJ.r1cs oflllc
bad

MANNER OF DEATH:

H_kk1c

)\ MAR 2008

The first page oflhi$ tepan is amended to cotted 8typogn.phie error in the AFIP
nwnbcr.

MEDCOM 0813

ACLU Detainee DeathII ARMY MEDCOM 813

nNAL AlTfOPSY REPORT: (b)(6)
BTB K.haIid, MuhammId Quay

2

txnRNAL EXAMINATION

The body is tIlIl of. well-dcYcIopcd, well·nourished male. The body is 70 inches
in length, weiihl211 pounds, and appears compatible with !he "led tge 001 yean: okI.
The body is eold. Uv;dily is tlxed on lhe posterior surf.ee of the body except in the
areal exposed 10 pra.sure. Rip is raoi'fina and eqlll! in the upper and lower
exlretrlilies.
InjuriQ are desc:ribed in "Evidence oflnjl.Q'R. The xalp hair is black and short.
The facial "-if c:onsiw of. black bcanl. A pllSlic cap ~ lhe left e~ and il\illr)' of
lhe left eye pn:c:ludes _ _I. 'The rillM iriJ is indistinct. 11M: rialll c:omeII is eloucly.
The ri&tll eonjuncliYl is conaated and the ri&hl xlera is Ilemorrhq.ie. The ICClb 1ft
1llIWf1J. On the Interior Jl:IIp il' 2·incn llnearlCll'. A Yo x ~inc:n news is on the bridle

"""~
The dltSl is symmetric:.

The.lIalr of the upper left side oflbt cllcst is sha-:l. A
.·incn linear seat is on 1M ri&htlowtr quedrant of the.bdomen. The lenitalia ~ lhose
or In tdull elR:umcised male. The anus iJ 1lftI"etnIfbble.
The upper' and lower exl1emities 1ft symmetric. The flnlemails IR: intad. The:
soles oflhe reet are callous. On the Iell. upper extremily are mulliple scars in variOUJ
SlIaes orhealinll ranaina in size from 4 x Vo-inch 10 2 x I-inch. On the Iatetal riatu hip
are six. 1(I·inch in maximum dimmsiOll, skin dd'eo:u. There are multiple heaJeclXllrS on
both kneel that are Y..lnch in muimum dimension. A JCII' is on the: anterior lell. foot that
is Y..inch in maximum dimension.
CLOTHINC ANp PERSONAL EFnCTS

The body is uncltd and no pmonal etreeu an: pR:XIlt with the body.
MEDICAL INTER\'tNTION

On the ri&htside Oflhe lICIlp is. US·inch ckfectlhat is xcuml by twO metal
""pies. Thil defect comlates with. J millimeter defect in the call11rium and. J
millitneter defec:tln the dura maier (eonsistenl with uephine). There is pIlZC 0'lCr the
Jell. eye. Both uppereyelid.l and the riBhllowt1' eyelid have sultilU (see "Evidence or
lnjury".) On lhe upper left side orthe chest is. punc:tute nwt. A S·II2·inch incision
dosed with slAples is on the: posterior righl forearm. On the Iell. croln. an: two. III-inch
inc:islOftS (eonsistent with YaKulu ~ cut dowru).
IWUOORAPHS
A compJc:te IC:t orposHnorteln radioar-,phs is obtaIned and demonstrate fraclures
or both medi.1 walls OrlM orblu, staples in the tQlp. and fl1lClure ofthe ulllll with
lSIOCiated pl.te and screw "Ulion and ovel1yina skin. ltaples.
EVlpENCE Of INJURy
I.

Head Ilid lIeck:

On the upper and lower Maltl eyelids are obliquely oriented. I-inch in Imath
penttralina sharp force wounds (SllIurtd). The: underlying medial exll1l-oc:u1ar
muscles orlhe eye h.ve been lneised and there Ire fraclures orlhc: medi.l wall of
the ri&llt orbit (radioaraphic). On the upPer Jell. eyelid are two oblJquely oriented
penelnlting sharp force wounds (suturcd) that are ~inc:h and I·inch in lenllth.
The underlyin, eyebJ,ll is rupaued and the exu.oc:ulu muscles an: incised.

MEDCOM 0814

ACLU Detainee DeathII ARMY MEDCOM 814

,

FINAL AUTOPSY REPORT: (b){6)

BTB Khalid. Muharnrnad Qusay

Tlw:re life fi'actum; of the medial waH of the lell: orbit utendinl into the $phenoid
sinus (radiographic) willi wociated tIcmofrhlle of\he sphenoid sln\ll.. The left
QlMic nCl"le is lranseetcd. There is ecchymosis of the upper IIld lower left eyelidJ.
On Ihe right cheek is. V. lC V..inch abruion.
On the left side of the roe<:k,lnferior to the lell: CIT, is. I lC Yt-inch contusion.
There is. ~ lC ~.ineh conl\Uion of the left CIriobe. tnlemll eXllllirwotion ~
.2 lC I-inch contusion ofthe left temporalil muscle. There is dilTuse
subarachnoid hemorrhage II1d contusions o(!he left (ron1ll8l'ld plriNl1Qbe, o(
the bnIin. Then= is hemon1lafle o(the Interior midbrain and lell: caudate nuel_
and thalamus.

II.

To,*,:
On tile upper right side o(the chest is') Jt 2-inch tolllllsion. Tbete is I I II: I·
inch contusion and a Y, Jt \S-inc!llbrasion on the left side oflhe dlesI.

III.

EII:tre.IfMs:
011 the IIlterior right ann are two, horitonlllly oriented conhlsionslbat ~
both 2 II: lA-inch with an Vet of oentral pallor lbat is % Jt 'I. .inch. There is I 4 II: 2·
inch contusion oflhe medial rilhl elbow. There are two, ~nch abfuiord and a
'I. .inch In muimum dimension ~tion o(the right elbow. A I Jt I·inch
anion and a Y, Jt loi-inch abruion are on Ihe pClSterior ri&ht (0fUfIn. On the
medial left ann are multiple, Yo II: 'I. .inch conhlSions. A 6 Jt J-inch conl\lliion is on
Ihe Iatenlleft dhow. A 2 Jt I·indl contusion is 0Il1he bedt of the left hand and I
lilt Y..inch contusion il on the base of the left thlllTlb. There ill 1 Jt I-inch
abrasion on the t.ek ohht left hand.
A). 2-indl contusion Is on the anterior "Ih! thi&h. On the nlht knee are I J
II: 2-inch conl\lSion and a 'I, Jt ~inch ablasio!•. There ~ two lacerations oftht
IlItmor riam lellbat ~ Yt-inch and Y..inch, rcspec1l~1y md are separated by 'I..
inch. Inferior to ~ lacerations is a Yo II: 'I.-indIlbllSion. A Yo Jt Yo.inch
COl'llusion lion the anterior nant tIli'" and a I Jt l-inch eontusion is on the right

....

SuperfICial skin incisions or the posterior asp«t of the exlJemities reveal a
hemetoma of the riJhl fotcarrn (6 II: 2 II: Yt-inch), left rorearm (I II: 2 II: 14-inch).
ri&hl ttll.,. and lei (10 II: 4 II: ~nc:hl,
INTERNAL EXAMINATION

BODy CAVITIES:
The ribs.. stemum, and vertebral bodies are visibly and pllplbly inllet, Theft are
adhe:siollll of the abdomen. The 0IJIfII occupy their IlIUIII anatomic positions.
HEAD. NECK. lOll CENJRAL NERYOUS SYSTEM;
See MEvidm<:e or InjuryM and MMcdiCIIlnteMntion", The

brain wcillls 1420 IJ'l1I.S-

The llIlerior su.p muscles or the neck are horJtoaenOus and l'Cd-brown, without
hanorrba&c by layer-wise dissectioo. The thyroid cartilage and hyoid bone are intaICI.

MEDCOM 0815

ACLU Detainee DeathII ARMY MEDCOM 815

FINAL AUTOPSY REPORT:ml(b"l<"'"- BTB Khalid, Muhammad Qusay

4

The Ihyroid gland is symmetric and red-brown, withoul cystic or nodular change. The
IIJ)'l\X is lined by intact wtIite mllCOSl. The lOngue is lIfIl'emal'kable.

RESPIRATORY SYSTEM:
The upper airway is clear ofdebrU W fo~llln IllIIterial. The mucoW ,wfaces IR:
smooth, yello~ and unremanable. The right and left lungs weia.h 1050 and 810

grmns, re5peclivc:ly. The pulmonary parencll)'TTI/I is diffusely congested and edelTllltolJS,
exudln& modeftte amounts of blood and frotlly fluid. No mass lesions or areas of
consolidation ate present. The pulmollll')' arteries are normally developed and patenl
without thrombus or embolus.

CARDIOVASCULAR SYSTEM:
The heart weia/lS]gO granu and is contained in III inl8ct pericardial sac. The coronary
arteries ate widely patent. The atrial and ventrieular septum are inl8ct. The cardiae
valYe$ are ~Ie. The left inlerventricular septUm rneasumI 1.5 centimetef'5 and
the left ventricull1 free wall measures 1.4 «nt;meters. The righl ventricular free wall is
0.3 cenlimetm thick. The right ventricle is dilated. The aorta and;1I major branches
arise nannally and follow the usual cour.;e and are unn:martable. The vena CIIva and ill
ml\iOr tributaries n:l\lI'Ilto the heart in the usual distribution and are fTce oflhrombi.
LIVER" BILIARY SYSTEM:
The 1630 srmn liver has an intact, smooth eap$U1e and a sharp anterior border. The
parenchyma is pale with the usual lobular architeclure. No mass lesiol1ll or other
abnorrnalities are seen. The gallbladder contains 15 milliliters of green bHe. The
exuahepatic biliary tree is patenl.

SPLEEN:
The 200 grmn splcen has a smooth, intact, red-purple capsule. The ptreneh)'1TlJl is
maroon with unmnaJkable Iymplloid follicles.
PANCREAS:
The pancreas Is red-WI. No mass lesions or other abnormalities are seen.
APRENALS:
The right and left adrenal glands are symmetric. willi bript yellow cortices and red-

brown medult.e. No muses or areas ofhemontlage are idenlified.

GENITOURINARy SYSTEM:
The righl and left kidneys weigh 150 and 170 grams, respeel;vely. The eXlernal surfaces
are in1lCt and smooth. The cortcxls sharply delineated from the medullary pyramicb.
TIle pelves a~ unmnarkable and the ureters are normal in COline and caliber. TIle
blad~reoll1ains 150 milliliters of yellow urine. The prostate and testes arc
IUIl'\'markable.

MEDCOM 0816

ACLU Detainee DeathII ARMY MEDCOM 816

FlNAL AlITOPSY REPORT: (b)(6)
BTB Khalid, MuhatnlNld Qusa)'

5

GASTROINTESTINAL 'TRACT;
The esoplllgUS is intact.nd lined by SllIOOlh, ifq'-'Nbile mucosa. The SlOl'nach, snWl
bowel, and colon ~ un~le. The slOIl*h eonwns 60 millililers of brown nllid.
The appendix is ahKnL
MUSCULOSKELETAl.:

See MEvidenc:e of ll\iuryM. MlISCte devclopmetll il nonnal. No non-ttaUlMlic bone 01"
joint .bnormalities ~ idenlirled.

ADDnJQNAL'ROCEDURlS

I.

2.
J.
4.
5.

Specimens retained for 10xicolotlY leSIin, and/or DNA idenlil'ie.lion Ul:: Blood.
vitreous nuiil, bile. urine. 1i~r,lun,. kidney. spleen. brain. pIOU m,,*le.
myocanlium, adipose tiulle and pslric eontetIt.t.
The disseelCd 01'B1nS ~ forwuded with lhe bod)'.
Seleeted portions of orpns lI/'e retained in ronn.lin.
Personal effects ~ released 10 the appropri.IC ITlOrtlW)l openliOTlS rep. eKnlllivn.
Rcc:o~rcd evidcn«:: None.

MICROSCOPIC EXAMINATION
Brain, left parietal eol1ex (Slide I): Hernon'tIa~ of the wrtie.1 suna<:c e"lending inlo the
underlying white II1Ilter
Optic ntfYC,lcft (Slide t): DIffuse hemorrhage o(lhc oplic nerve MClth with acute
innamm.1OI")' response; i.sc:hemie cllanges of. portion 0(1he neurons

Midbrain (Slide 2): Seanered hemorrh.ge oflllc IIIlerior parcnehYIl1l

MEDCOM 0817

ACLU Detainee DeathII ARMY MEDCOM 817

FINAL AlfTOPSY REPORT:[f b)(6)
BTB Kluilid. Mllhammad Qusay

I.

I

6

"wesy

ONAL
DIAGNOSES
SbJrp Ind bllial (Olft laJuria:
A. Two penetralina $harp force wounds oflhc uppa- kft e~Jid with
asso<:ilted rupture oflbe left e~b11I. uanssted optic nerve, diJruptiolr of
lhe u~ular rnusetes, and fractum oflhe ortnlai wall and Ipbenoid
sinus
B. Penetralina sharp force WOW1ds oflbe upper and lower ri;hl e~lilb with
associated dlSl'llpcion oftbc utn.«ular rnUICIes and hctures oflhe
orbital wall
C. Subarachnoid hmlorrluage and COlllusioM oflhc left plrieW and frontal
lobes ofthc: brain
D. Hemorrhage of the left temponlis IlIU$Cle
Eo Abl'llJion of lhe riglu clled.
F. Conl\lSioll$ oflbe left ear and left nec:k
G. Contusions of both sides of Ihc chest
H. f'l1lCIure of the righl WNI
I. Soft tissue hemllOlTlI. oflhc ri&hl forearm, left foreamt, Ind righl1ownulremil)'

J. Muhiple eonl\lSiOlU, abrasions. and l-.riol'lS oflhe Cllimnities
U.

IdeDtlfylq .arb:
A. Appendectomy scar
B. Muiliplc XInI ofthc left upper extremity and both lower Clttmnitics

TIl.

Evldnct of _edlcallalcrnalioll: As dexribcd above

IV.

POII·_I1_ CUDIft:

A. Lividity I, fixed on tbc posterior rud_ of the body DCCP! in uus
exposed to

~

B. Ripr is rnolved in the upper.lld IowerCXlremilies
C. Cloudy ri;hl tomeI
N~

V.

NlrarJIl d ' - :

VL

To:licoleu (Anp):
A. VOLATILES: No ethanol Oe1eclcd in lhe blood and vllrrous fluid
B. CARBON MONOXIDE: The arboll)'hclnoslobin Slhntion in the blood
was leu lhan I"
C. CYANIDE: No eyllDidc dctcacd In the blood

Idmlifled within the limits ofthc examiNition

D. DRUQS:

I. Morphine _ detected in the wine. The blood contained 0.50
maIL of Il1CIfphllV.
2. LoI'UCf*Jl_ dctecled in the urine. The blood contained 0.05
rn&fL oflorucpam.
J. Ephedrine _ deteeied in the wine. The blood contained 0.06
mlV'l- of ephedrine.

MEDCOM 0818

ACLU Detainee DeathII ARMY MEDCOM 818

FINAL AUTOPSY REPORT:{b)(6)
BTB Khal id. MuhamlTIId Qu.say

7

4. FenWlyl was deleeled in the urine. The blood contained 0,07
mgll. offen1llllYI.
S. AceulITIinophen was detected in Lhe urine. The blood contained
6.3 mgIL ofaoclaminophen.
6. Lidocaine was delel:led in lhe urine.
Or:I~ION

This 31 y~,,?k1. ma~(b)(6)
:died or comp!i~l~ns or shlll'p and
blunt rOfte InJUnes of"tne-IlelQ;-He-llJCI-penelratlng sharp rora: InJunes of both eyes.
The left optic nerve was lranxcled and !here wen: fractures of the orbital walls thaI
extended inlQ the sphenoid sinus. In addilion. he had subem:hnoid helTKlfThllllle and
conlllSioRS of the tt/l side ortlle brain. Gross examinalion and microscopic sections or
the brainstem revealed hemorrhallCll orthe midline thlt are COn5I51ent with bernialion.
The resuI\lI of the IOxicolOllY SCl'CCll are consistent with resuscitative eiToAs. The manner
ofdesth is homicide.

(b)(6)

MEDCOM 0819

ACLU Detainee DeathII ARMY MEDCOM 819

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MEDCOM 0620

ACLU Detainee DeathII ARMY MEDCOM 820

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MEDCOM 0821

ACLU Detainee DeathII ARMY MEDCOM 821

.~.

ARMED FORC[S INSTITUTE OJ' rATHOLOGY

Office o"bc Armed Pon:et Medka' En_lacr
1413 Rawth Blvd., Blda. 102

Rockville, tolD 20lSO
JO 1-319-0000

AUTOPSY EXAMINATION REPORT
AulOp!ly No.: (blt6)
"FIP No.: (b}t6)

NaITIe: Huuein, Hader Ali
ISN: (b)(6)

DatcofBit\b:(b)(6)

SWllS: DeW~

191'

Dale o(Deatb(b)(6j 2007
DuelT'IlI'IC of AU!OJl')';(b)(6)

PiKe of AulOpS)': ron Monuary. Dover AFB,
2OO'l (b)t6)

Placeof[blh: n-rer lntermenl hcility
(TIF) HO$pital, c.mp Butea, I/'JQ
DIlle ofRcporl: 04 SEP 2007

00Yet, Delaware

Orn-elScaofDatb:
On O41UL 2007, this 26-year-old l/'JQi male was being detained II the TIr (Calnp Bl.ItQ, IIWj)
whm, IIf rqJOI1ed. he wall physleaJl)' lUSIuhed by Olha-dcwnta. He _ b"llISfmoed 10 the TlF
hospital (or tretlmeDL APJII'OXlmrolcl), I Ifl hours Iller, he suffered allWSive m ~
Inr.tC1ion. Despttc medJu.! treatment provided by !be nF ho$pillli medical personncl;(bX 6)

_

]

died on (b)(6) 2007.
A.lboriurlCMI for AUIOpq:

AImed Fon:es Medical Examiner, pn' 10 U.s. Code 1471

Jdntlfieatloo:
Ptnwnptive idC:tlliflealion is provtded by ..:corapanyinl ~k.

CAUSEO'DEATH:
Myowdl. irtfvetion eomplicMed by blunt forc::e injuries.
MANNERorDEATH:

Homicide.

MEDeOM 0822

ACLU Detainee DeathII ARMY MEDCOM 822

AUTOPSY REPORT,(b}(6)

2

HUSSErN, Hader Ali

EXTERNAL EXAMINATION
The body is that ofa nude, well-developed, well·nourisl!cd male. The body weighs 190 pounds, is
67 inches long and appeIlf' compatible with tile reported age of26 years. The body is cold. Rigor
has p'sscd Lividity is present and fixed on tile posterior surfac::c: of tile body, except in areas
exposed to pressure. There is IlUlfbling of the skin of tile upper extremities. The hands and feet ~
macerated with skin slippage identified on the hamb. There is bvllu formation on both lower
extremities, mel these bulilltl are associated wilh!kin Ilippase. The head is normoccphaliC:,.and the
scalp hair is short, black, IJld exhibits male panem balding. Facial hair consists ofa moUSUlChe anti
aootee. The irides are bro\VJ\. The comeae are cloudy. The conjunctivae are pale. Thesclerae ~
l&lI. The exlema! auditory eanals. external nares and oral cavity are free of foreign material and
abnomW secretions. The nasal skeleton anti maxillae are palpably int8c:t. The lips are without
evident injury. The teeth are nalUl'll! and the left upper central incisor i. missing. Examination of the
ncek reveals no evidence of injury. Injuries to the dIeSl are described below. No evidenoc ofinjury
of the ribs or the sternum is evident externally. The Ibdomen is slightly pl'OlUbennt. The external

genitalia are those ofanormal adult c:in:umc:iscd male. A 2 inch wpcrlicial decubitus ulect is
identified on the skin overlying the sacnun. A S inch thin c:W'Vilincar scar Is located on the skin of
the tight upper qll8drant of the abdomen,llIld a S irn:h curvilinear scar is loc.ated on the skin
overlyil\i tile riiht lower t.ck. The fingernail! are intact No tattoos are idc:tUified.

•

._.

CLOTHING ANp PERSONAL EFFECIS

Aecompanyina the .......eued ate white and gJeCII hospital sheets, and a white hospital
MEDICAL INTERVENTION

•
•

None is present 00 the body al the time of autopsy.
Evidenc:c of previous medic:al interVention inthodcs a 112 inell superficial mucosal uloemion
of the proximal esophagus aDd a 1/4 inch SIIpCl"ficial mucosal ulceration of the pharynx just
distal to the vocal fold.
RADIQGWHS

A complete set ofpostrnortcm radiographs is obtained mel dcmonstrate5 the following:
• Calcification of the midline falx c:erebri.
• ColLlOlidation of both 1W\iS.
• Fluid filled trachca and brollChiai trtes.
• No fnIl:t1R:s IIRl identified.
• No foreign bodies are identified.

MEDCOM 0823

ACLU Detainee DeathII ARMY MEDCOM 823

,

AUTOPSY REPORll(b}(6)
HUSSErN, Hader Ali
EVIDENCE OF INJURY

Theordering oflhe following injuries is fordescripliYt purposts only, and is 110I intended to Imply
order of infliction or rtillive :severity. All wound pathways ve givt1l rtlltive 10 standlrdll1ltomic
position.

BLUNT FORCE rNJURJES:
HEAPINECK:
Thert is I I 112 x III inch hclllinil lincll' Ibrasion on the rislll side oflbc fl(:C. Above
the left eyebrow is I 1 x I inch purple contusion, and on the center ofthc fortheld is I
I Jl 112 inch purple contusion. Awx:llttd wilh 1hc5c two contllSions is. 4 illCh fronlll
subpl~ hcmonh.l~ that exlend!lo the billtellII parielll !Calp. Over lhe occipital
protubenlnoc is 13/4 x 314 inch hcaling 11ICCt81ion Ilia! his c:cnlnll grMulltion tissue.
On the back ofthc hcad,j~ to the left of the midline. il13/4 x 114 inch V·shaped
hcalinglaoertllion with (:CnU1llg!1ll1ulation tissut present. On Iht right side of the
back ofthc head in I ~ 1/4 inell healing IlCCnltion with ecl1lnll gnnulltion tissue:.
TORSO;

Thert is I 1 inch purple contusion ofthe rijhtlower quadrant ofthe Ibdornen IIld two
pwpJeconlU5ions, 1/2 inellind I inch rtspcclively, o(thc ccmraJ aspect o(!hc lower
abdomen. On the ri&ht butlock is 12 inch purple conruslon. Upon rtflection ofthc
skin of tilt right side of tilt chest, an Il'ta of contusion, I 1/2 inehes, is identified willtin
thc museulature ovelying thc anterior lISpCClS of riGhI ribs 6-8. The ~terior llSpcct
of the sixth riiht rib is fractured. FtutheJ, 11\ Il'CI of contusion, 3 x 2 inches, is identified
in the muscullture overlying the anlerior llSpccl of riahl ribs 9 IIld 10. The undcrlying
ribs 1lI'e not rr.:tured. (The: injuries of the chest may be due to mediclll intervention.)

EXIREMlTIES:
Ovcrlyina lhc anterior aspca of the riiht Icg is I 1 lneh helling subbed Ibrlsion whieh

is located within thcccntcr of 13 inch purplc contusion.

MEDCOM 0824

ACLU Detainee DeathII ARMY MEDCOM 824

,

AUTOPSY REPORT (b){6)

HUSSEIN, Hader Ali

INTERNAL EXAMINc\DO~
BOOY c,wmES·

The body is opened by the usual ~minaJ incision and the chest plate is removecL The
strm\llTl and vcrttbraI bodies are visibly and ~pably inlKl. Bilateral p~ and pcri~
adhesions are seen in bot:h dlCSl Clvitics md within the periwdial All:. 80Ih dlest cavities conwn
200 ml o( _lIIincous nuid. The pcriewdial S8I:" contIiDs 10 ml o(serosallpincous nuid. The:
peritoneal cavity tontains 100 ml o(
nuid. All body 0TpnS are prcscrIt in normal
anatomical position.

_sui_

The subeWnco\ll (at la)'Cf o( the abdon\inal wall is I 112 indles thick.

...

1'oIteri0l" eutdowns .we pcdonncd revu!ln, eviOcnoc ofinjllt)' QOfISistent with those 6docribed
~.

HEAp AND CENTRAL NERVOUS SYSTEM

The K.alp is free ofnontrawnllic lesions. There _ no Ikllli rr.ctwa. The calvariwn of the skull is
removed. The durllllf.la' and f.ht oercbri lie intact and calcifteations Ire ickntificd within the fab::
Ufebri. and the midline dUlL 1'hm: is no epidural or Illbdural hemorrhaSC present. The
Icptomcninaes are thin and deliclle. The cumal hcmlsphctes are symmcttical. The SIJUCtuJcIIl
the bale of the br'lin, includina cranial nerves and blood vessels are Inlld.
CICll"cercbrosplnal nuid SUITOunds the 14'G-pm bnoin, IOIhich has ~ble &Yri and RIki.
Coronal sections through the cerebral hemispheres leVa! no lesions. Tr&n$WftIC xcliolu: Ihrouah
the br'Iin Slem and cerebellum are unmrwbhlc. Thealllll\o-occipital joim is slable. The spinal
coni is unremarl:;able.
NECK;
The aIllcnor strap muscles o(thc neck are homo&CrIOUS and Itd·bro~ withoul hcmorrilaBe by
1I.yer·wise dissettlon. The thyroid CMllaae and hyoid bone are in!ACl. The larynx is lined by pinkwillIe mucosa and _ l/4lnch __ ofulcerstkln illdemificdjUll: diJu,I!O the voeaI fold on the left
side. The tonpc is lTcc of bite marts, hemotThallt, OI"otOO injuries. Incision and disSCdion ofthc
postcrior neck dcrnonSlratcs no deep pancervical musctJlar injury and no ceT'iical spine fTacturcs.

MEDCOM 0825

ACLU Detainee DeathII ARMY MEDCOM 825

AUTOPSY REPOR~(b){6)
HUSSEIN, Hader Ali

,

1

CARDIOyASCULAR SYSTEM;
The 450-aram heart is conlllinca in an InlaCl pericardial SIIe. 10 mI ofserosanguineous fluid is

identified in the pericardia! SIIe. There are fibrinous adhesiON ~ lIlc peric:ardlum IIIld the
bean. The epicardial swface is granular and TOu~ willl minimal hi invesbnent.
The coronary arteries are present in. normal distribution, with. ri&ht-dominant pauem. Cross
sections of the vessels show occlllSion of the proximal portion of the left anterior descending
COron&lY ancry by atherosclerotic plaque and adherent organized thrombus.
There is • 4 x 3 incb area ofsoft yellow-bfowD dilCOloration of the myocardium extending from Ihc
.pex along the anterior wall of the left ventriele and extending just into the intravcnlrieular septwn
and to the l.lCfaI wall of the left ventricle (within the pctfusion zone of!he left anterior descending
ooronm')' artery). This area ofmyocanllal necrosis extends Ihrouah the full thiekness of the left
ventricular wall (nrwnural). A mural lhrombus is identified within the left ventrieulatclwnber.
The valve leatlets are thin and mobile. The walls of the lcf\ venlrielc, inlervelltric:uJar sepcwn, and
right ventricle are 1.0, 1.1, and O.3-em thick, respectively. The endocardium is SlI100lh and
glistening.

The lIOrtI gives rise to three imaet and patent arch vessels. The renal and mesenteric vessels are
wuanatkable.

RESPIRATORY SYSTEM:
The upper ai~y is elear ofdebris and fOreli'! material: the mucosal sutfaces are smooth, yellowtan and WRmm.ble. The p1etU111 surflCC5 are smooth, glistening and Wll'emII"kable bilaterally.
The pulmonary parenchyma Is diffu!cly congested and edematous, CJluding alight to mod.=rate
amounts ofbJood and frothy fluid; the eut swfaccs ofbo!h IUD&l exhibits patches of iN-Y, purulent
consolidation most prominent in the pen'hilar regions.

The pulmonary arteries are normally developed, pat<:nt and without
thrombus or embolus. The right lung weighs Jj30 grams; the left 1450 gnms.
HEPAIOBILlARY SySTEM:
The 1810-grarn liver has an intact smooth capsule covering a m~tely congested tan-brown
parenchyma wilh no focal Jesioru; noted (the cUI surf_ has. nutmeg 'ppeIJMCe).

The llallbllldder conl.ailUl S ml of green-brown, m~id bile; the mucosa is velva,. and
unmnarkable. The extraJ'lcpatie biliary lree is patent, without evidence of calculi.

MEDCOM 0826

ACLU Detainee DeathII ARMY MEDCOM 826

AUTOPSY REPOR](b)(6)

6

HUSSErN, Hader Ali
GASTRQINTESTINAL SYSTEM:
The esophagus is liDCd by gray·white, smooth mucosa. The gastric mucosa is arranged in the llSllaI
rugal folds and the lumen contains 50 ml ofbrown-tal'l fluid. A Ioi-inch mueosaJ ulceration is
identified in !he proximal esopl\agus.
The small and large bowels are unrenurtable. The pllllCreas has I normal pink·tan lobulated
appcaranc:c and the ducts arc clear. The appendill is present.

GENITOURINARY SySTEM:
The riiht kidney weighs 180 grams: the left 200 gram1- The renal CIJl$Ules are smooth IIIld thin,
semi-transparent and stripped with ease from the underlying smooth, red-brown cortiesl surface.
The eortex is shal'ply dt:lineatcd from the medullaty pyramids, which arc red-purple to tan and
WU"em.arkable. The calyces., pelves and \lftter!l are llllI"emulr.able.

White bladdermuc:osa overlies an inact bladder wall. The bladder is empty. 'The testes, proswe
gland and seminal vesicles arc without note.

LYMPHORETJCULAR SYSIEM:
The 2SO-pm spleen has asmooth, in.,t CIlpsule eovering red-purple, modenllety firm

parenchyma; the lymphoid follicles are unrcmarltsble.
Lymph nodes in the hilar, periaonic, and iliac regions are not enlarged.

ENDOCRINE SYSTEM:
The pituitaty;land is WU"emarkable. The thyroid gland issymrneuicand n;oj·brown, without cystic
or nodular change. The right and left adrenal glands are symmetric, with bright yellow cortices and
rcd-bTtIwn medullae. No tna$SCS or areas ofhemorrltagc arc identified.
MUSCUWSKELETAL SYSTEM;

No non-trawnatic abnormalities of muscle or bone are identified.

MEDCOM 0827

ACLU Detainee DeathII ARMY MEDCOM 827

AUTOPSY REJ'ORT{b)(6)

7

HUSSEIN, H.ser All

ADPIDQNALPROCEDU 8 f,$

1. Documentary pbolOlPlphs lie liken by OAFME "Iff photoar-Pben..
2. PelWlll1 etr«u lie releued 10 the apjlOopiillC: morIlIIt)' operIlions repl_.wlves.
J. Specimens reWned (or IOxieo1oaY leSIillllnlllor DNA idendfkation Ire: brain, 1una,1Ieart, liver,
kidney, spleen, a:lipose tiuue, skeletll mllSCle, yilm)uS fluid, blood, bile, Jnd patric c:ontenlL
4. The disseclC:d ofllllS are rorwarded with bod)'.
MICROSCOPIC EXAMINATION
• Left Anlerior Daeendinll Coronary Altay (Slide I) - An I1haoIelerotic pllCjue with
hemonhage and necrosis is seen. There is 11\ occiuslYC orpnitina and a:lherem thrombus

within the residlJll lumen.
• HeJrt- Left Venlriele II ApclI (Slide 1) - There is an Idherent mllnl1 thrombus idmtirJed
witJ'lin the left ycntricle. Withln thc m)'OCll'dium there are lie.. O(eompldc myocyte
replao::emcnt by iJ'IIlulltlon tiSSUl: with loose coliisen and lbundant capillaries. There Is I
predominllli chronic inflammatory respomc identined.
• Heart- Left Ventricle (Slide 3) - Within the m)'OCll"dium there are &reIlI orcompJelc myoe)'le
replacanml by &ftI!utltion built' with I~ coll&&en and lbuMant ClplltuieJ. There: is I
predominllli chronic inflammatory response idcnlined.
• Luna (Slide 4) - A neutn:lphil rich ext.date flils the bronchioles and a:ljllCent liveolar spllCeS.
• Liver (Slide S) - There: is necrosis orthe pcri-«nlJSl he:polOCytel with rdltive spaninll or
hCplltoeytes in the pcri-porIIJ areu.

MEDCOM 0828

ACLU Detainee DeathII ARMY MEDCOM 828

AUTOPSY REPORT(b)(6)
HUSSEIN. Hader AJi

8

FINAL AUTOPSY DIAGNOSES:
I.

CARDroVASCULAR SYSTEM:
A.
My_n:Ilal iafuctloa -Ie lb. dlllhibudon of lbe len aaterior daceadlaa
corona..,. art•..,..
8.
Atbero.clerotk can:lloYucalar dilcal.· oedadoa afille pro-.I••lleft uterior
C.
desceDcllaa coroal..,. a"•..,. by atb'l'O$Cleretle plaqa. "ltIl adh.rent arpalzlaa
tbrolllbul.
D.
MUrlllbrolllbllS -len "etlfricular e1UIIDber.
n. PULMONARY SYSTEM:
A.
Bilateral broachop..umoalL
B.
Puha"a..,. coapldoa aDd edema.
III.
HEPATOBILIARY SYSTEM: Cllltrolobullir NKn»1.
IV.
CENTRAL NERVOUS SYSTEM: CakfficatlOllll ollhe lal1 cerebrlaad _klll.e d.....
V.
SKIN: Superficial deeubltu uar onrtyina die IICRm.
V].
LARYNX: Superlkial ulcenflo..
VII. ESOPHAGUS: SCiperfk:ial C1kuatioL
V111. INJUIUI:S: MUlliple coahUlou ..d bnlta,lIIceratlolla.
IX.
EVIDENCE OF MEDICAL THERAPY: At d~ribed abon.
X.
POSTMORTEM CHANGES: At described aboft.
Xl.
IDENTIFYING MARKS: At dlKrihed abo¥L
XII. TOXlCOLOGY (AFlP):
A.
VOLATILES: No tlllnol" dtleeted ia tbe blood aDd bile
8.
DRUGS: Acetaml"plllll bltbe blood (19 _IlL); Atropla. ill tbe blood;
Olaupam latile blood (0.13 ........ Nordlaupam iJltlte blood (9.1211I""")
C.
CYANIDE: No eya.ld... dttlded bI fb. blood
D.
CARBON MONOXIDE: The carboJ)'II'IIIOIlobl••ahlratioa Ia lite blood "II
Ieulba.l%

MEDCOM 0829

ACLU Detainee DeathII ARMY MEDCOM 829

AUTOPSY REPORlj"lb","C-"'

_

9

HUSSEIN, Hader AIi-

OPINION
This 26-year-old Iraqi male died of. myocardial i~ion complicated by blunt force injuries. II is
reported that he suffered. myocardial infamion I short time after beinllllSSlllllted by other
dctaillCC.!l in adetmtion facility. It is my opiniOll based on the information available 10 me lIw there
Is • causal n:lation between the assault and lllc myoc:ardial infarction. The manner of death is

homicide.

l(b)(6)

I~".)

[MEDICAL EXAMINER

MEDCOM 0830

ACLU Detainee DeathII ARMY MEDCOM 830

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MEDCOM 0831

ACLU Detainee DeathII ARMY MEDCOM 831

- . I..........

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IW>Il OF fUHERAl OlItECTOlIl

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MEDCOM 0832

ACLU Detainee DeathII ARMY MEDCOM 832

ARMED FORCES lNSTlnrTE OF PATHOLOGY
Omt~ oflb~ Armed Fortes MedkaI EnmillH
1413 Research Blvd., Bldg. 102
Rtx:kvil1e, MD 20850
301·319.0000
AUTOPSV EXAMINATION REPORT

Nam~:

Abdul Rahim... Moham~d Hashim

ISN: l(b)'<6)zrfh\{A\~

Dal~ OfBi~~J~~~976

Dal~ of Deatb\(l?)(6j
12007
Date of Autopsy: 17 JUL 2007 al 0900

AUlOpSy No.: ,(b)(6)
'I
AFIP No.: l(b}(6}_
Rank: NA
Place of Death: Camp Bueea. Iraq
Plat~ of Autopsy: Port Mortuary
Dover AFB. DE

Dale of Report: 30 JUL 2007

Cirtpmatances of DUlb: Aewrding 10 inilial investigalive reports. (b}(S)
(b)@
'was brought 10 the guard shack. at Tllealc:r Internalional Facili!)', Camp
Bucca. Iraq. by other detainees who found him unconscious and bleeding. Despite
institution of resuscitative drons, he was withoul signs of life wilen evalwlled alth<:
camp hospital.

AUlbori:r.ariop for AUlopsy: Office of the Armed F(lfCe's Medical Enminer, lA W 10
USC 1471

ldeDlificalion: Detaina: serial

num~r

CAUSE OF DEATH: MULTIPLE BLUNT AND SHARP FORCE INJURIES

MANNER OF DEATH: HOMICIDE

MEDCOM 0833

ACLU Detainee DeathII ARMY MEDCOM 833

"UTOPS\' R£PORT (b}(6)

~==

"ODUL RA.IlIM, MGI......"od II.

2

AUTOPSY DIAGNOSES:

J.
A.

Injuries
Head and Neck
I. Midline, vertex of the scalp, laceration, 1-112 inches, wilh adja~nt 1-114 x
112 inch abrasion and eviden~ of underlying subgaleal hemorrhage; no
underlying skull fracture identified
2. Occipital scalp on the left side, abrasion. 112 x 112 inches, with evidence of
underlying subgaleal hemorrllagc: no underlying skull fJa<.:ture identified
3. uft f'Onto-tcmporal scalp. abrasion, I x In inches
4. RighI eyebrow, lateral aspect. contusion. 3/4 x 1/4 inch
S. Right <tygomatic area. contusion. 3/4 x 112 inch
6. Extensive injuries to the right aoo left eyes are present
a. right eye injuries incilKle:
i. upper eyelid, medial, deep penetrating wound. 3/4 inch
iL upper eyelid, lateral, penctraling wound, 1/8 inch
iii. lower eyelid, lateral. penetrating wound, 1/8 inch
b. left eye injurics incllKle:
i. upper eyelid, lateral, ragged pellCtrating wounds, 1-1/4 inches and 3/4 x
112 inch respectively
ii. lower lid, medial, penetrating wouoo, 3/4 x 114 inch
iii. enucleation of the left globe with tearing of the extra-ocular muscles and
transection ofthc optic nerve
7. Lower lip, mllCOsal surface, abrasion. , inch
g. Absence/avulsion of the anterior 113 of the tongue
9. Chin, th'Ough_and-through laceration. In inch defect through Ihe skin
surface, communicates with a 3/4 inch defect of the mucosal surface of the
lower lip
10. MlllIillary injuries include
a. fra<.:ture of the left side anteriorly
b.av ulsion of teeth 9 and II, with associated lacerations of the sockets
c. partial avulsion of tooth II with associated la~ration of the socket
11. Fracture of IIIe nasal bone (radiographically)
12. Fracture ofthc bones of right ethmoid sinus (radiographically)

B.

Torso

I. Posteriorly. complel( panc:med contusion on the upper back on the left side,
cxtending over a 5 l( 4 inch area with evidertce of hemorrhage into the
subjacent soft tisSUI:
2. Posteriorly, linear contusion, ex!cnding from the middle of the lower back to
the right posterior lllIillary fold. II x I inches
3. Posteriorly. contusiOl\-abrasion, middle ofthe back on the Icft. I inch in
maximal dimension
4. Evillcnce ofhcmorrllage into the cervical paraspinous soft tissues posteriorly
S. Evidertce of hemorrhage into the soft tissues overlying Ihe right and left
scapulae and associated fraet~s of the right and left scapulae

MEDCOM 0834

ACLU Detainee DeathII ARMY MEDCOM 834

AUTOPSY REPORTl(b)(6)
ABDUl, RAllIM, Moham",ed II.

J

6. Anleriorly. diseontinuOtls linear patterned contusion, extending front the
right shoulder and upper chest, KrolS the middle of the upper chest and onto
the left uppcrchest and shoulder, 22 inches in length, with width varying
from 1·]/4 inches up to 2·112 inches associated with
a. factures oflhc Slernum and righl ribs 2 - 4 atlhe costo-stemaljunction
b.as sociate4 evidence; of hemorrhage inlo the adjacent soft lissues oflhe
antcrior chest wall
c. eviderK:e ofadvenlitial and peri-advetllitial hemorrhage adjacent 10 Ihe left
anterior descending coronary artery
d.m inule (up 10 0.2 ern) I~rations of the postenor Ilotta
e. evidence of hemorrhage inlO the adjacent paraspinous soft tissues
f. left hemolhorax (SO <:c)
C.

Extn:mities
1. Left upper extn:mily
a. faint contusion, posterior elbow. 4 x ] irK:hes
b.f raclUre dislocation of the left elbow
2. l,eft lower extn:mity
a. linear superficial abnlsion, proxim.althigh, anlcrI)·medially. 2-112 x 112
inches
b. superficial abnlsions surTOl.mding the knee, I inch and 2 incites
respe<:tively
c, complex, discontinuous contusion. anterior surface of the distallhigh and
knee. 1 x S illChes
d. linear conlusion proximal thigh posteriorly, 2 x ]-112 inChes
e. diffuse erylhema (contusion) ova the popliteal fossa. 8x S inches
[ evidence of hemorrhage into Ihe soft lissue of the popliteal fossa
k. multiple penetr1lting wounds. extending over Ihe anlerior surface of tile
leg, from the proximal leg to the dislalleg. ranging from 112 inch up to I
inch in maximal dimension
I. superficial penetraling wound. dorsal surface of the foot. 3/4 inch
m. fraClure of the proximallibia
n. fracture oflhe distal tibia and fibula
o. fl1lClure oflhe distal fibula at the lateral malleolus
p. multiple fractures of the bones oflhe left fool including: the cuneiforms
and the 1st and 3td meutarsals
3. Right upper extremity
a. incised wound Ihrough Ihe skin of the anlccubillli fossa, 2·112 x 3/4
inches and evidence of injury 10 the subjacenl neurovascular struclUres
including the brachial &nery and antecubital vein
b. fraclure dislocation oflhe elbow
4. Right lower extremity
a. evidence of hemontlage into the soft tissue of the righl bullock
b. linear contusion. proximallhlgh. postero-mcdially, 1 x 1·112 inches in
muimal dimensions

MEDCOM 0835

ACLU Detainee DeathII ARMY MEDCOM 835

Al!TOl'SY REPORT (b)(6)
ABDUl, RAIIIM, Mo~ ..... td II.

4. Right lower e~1ranity injuries (conI.)
e. linear contusion. po$ICro-lmral pIOximalthiah c~tendin. Into thc
popliteal fOSSll. 8 ~ I inches
d. c~idencc of hmlotrIlagc into the $Oft tiSS\le of the popliteal fossa
e. discontinuous contusion, anltrO-lateral surfllCe of the proximal thiJb.
cxtending o~cr a 6x S inch area
f. diffuse cl)'lltcma (<:Gntusion) surrounding the kntt, cxtends over a 6..1 fl
x S,lfl inch area
a. superfieialabrasions, right knee. 112 ~ 1/4 inch and I x )/4 inch,
respecti~ely

h. discontinuous contusions, anterior surface ofthe leg, extend over an area
10 x 41n<:hes
i. superficial in<:ised wounds, anterior $IlrfloCe of the Jeg. range up to I fl x
112 inch In mlltimal dimensions
j. fracture of the dislill femur
k. comminuted flllCtures of the prOllimaltibia and fibula
I. fractures of the disllitibia and fibllia
m. mulliple fractures oftlle bones of the leg includina proximal and distal
tibia and fibula
n. fracture of the lateral mallcolus of the riaht ankle
o. mulliple frlCwres of the bones of tlte right foot including: the na~ieular,
cuboid, )"'lllld 410 metatarsals and the proximal phalanx of the greal toe
II.

Evidence ofMedlcallntervelltion
Uncqui~ocal e~ldcnce of medical illlervention is IlOt Identified

Ill,

Evidcnee of l'rc-e~btinll Disease
Well heaJed. variably pigmented scar e~teods obliquely o~er the surface of the
rightlowcr abdominal quadrant (<:Or1sistent with an appendectomy scar)
Dense pulmonary adltcsions extending from lhe aU visceral pleural surfaces to
the adjaeenl parietal plcW'll1 surfaccs
Dense fibrous adhesions fuse adjacent loops ofsmall and large bowel lOgethcr
Mild to moderate atheromatous narrowing of the left anteriordc$Cending
coronary artery is noted within I em of its orillin
Evidence of historically remote, healed fracture oflhc right humerus
(rad iogra ph lea Ily)
Evidence of bilateral spondylolysis al LS. (radiographlcally)or descending
coronary artery is noted within I em of its origin

II.

B.
C.
O.
E.

F,
IV.
1\.

B.
V.

Identifying Mark.s
Iluled surgical scar. right lower ab<Iomcn
(Radiographic) healed right humeTSl helUl'e
TOllK:oIOSY
Ncgative

MEDCOM 0836

ACLU Detainee DeathII ARMY MEDCOM 836

,

AUTOPS\' REPORT (b)(6)

ABDUL RAHIM, MolIamm'" H.

VI.
A.
B.

PosI-moMm Cllan~
R~lyin& rigor mol'lis
Mild liyidity ryKknl pomriotiy
EmR""iAL EXAMINmON

lnjuric:s will br 6r:sI;ribrd In <kU.il in a 5q)lIf1Itr loCdion, and will OIIly be: brirny
aUI.llkd 10 in lhr rrmailllkTofthr report, for purposc:s of orirnunion IIId tompltkrlc:liS.
Thr body, ImClothN. is that or. wrll«Ydoprd, 67 incll troll, 162 pounds male ..'hose
apprarancr is consimnt with the I'qlOflrd aer of30 yws. Ljyidity is po$trrior and
fj~cd. risor is resolyina, and Ihr body is cooled to rem&ff8lion Irmprrature.
1l'IC! SUlI" is coycred with closely ltirnmrd blM:lt.lllir in thr normal malr
distlibution and a fun, blM:k moustaehr and closely trimmed full, blllCk bc:anl are presmt.
1l'IC! t:O<nrU are mildly OI*iflCd, the UIllkrlyinll irilles are brown. Thr sclel'1lot: are clear.
TIle r.., are unremarkable. The narc:s are patent. The injuries 10 the IT>Ql.rth lIayr bo:cn

-"'.

The nr<:k is straipl, and the IfKlIea is midlinr and mobile. The cl\rsI is
symmrltic. Thr abdornrn is nat. Thr lIenilalia an: those of a norma.l circumcised ~Ull
male. The I(Slrs m desundcd and free o(masses. Pubic hair is pre:senl in the: usual
mille distribution. The injury to the rig.lll buttoelt hu been noted. The anus is wit/'lolA.
eyidence of trauma or othrr lc:sion. i\p&n from llx injuries noIed, the upprr and lower
f:"uemitiu are symlTlrlric and without dubbin& or edema.
CLOTHING AND PERSONAL EffF.CTS
There are no ilems of dothhl& -eeomjllln)'ing the remains. There an: no penonal rffecu
aecompanyinglhe remains.
RADIOGRAPfiS
A complete set ofpostmOl1tm radioaraPlIs is obtained and demonSlralC:S W following:
• Fra«ure of the bones ofw etllmoid sinus, nasal bones and maxilla
• FfKlures oflhe strmum and eosto-sterN.I fraclUI'e$, righl ,ib$ 2 - 4
• Fracture dlsltx:ation of the left rlbow complu
• FTlltture dislocation oflhe riillt elbowcompk~
• Fraeture, remotr-healcd. of the right lIumet'Us
• FfKlureofllledistlolrightfemur
• Multiple fTllttu,u oflhe righl Ira, inehldinll tIx pro~imal and disal tibia and
fibul .. and tM Ialeral malleolus of the ankle
• Multiple fnletures of 1M borIrs ofthr riihl foot including: the naYKular, cuboid,
3~ and 4" melatarSllls and the proximal pllllan" oftlx ifelll toe
• fractures of the lell leg lnchlde tIx pro~imallibi.. the diSlal tibia and fibul.. and
the lttrral mtJleolus of\h.e ankl~
• Multiple fracluru of lhe bones of the left foot including: tllr cunrifonns and tllr
1st and 3rd meta\.lll'llis
• Absencr ofradio-<lpaqur foreign material

MEOCOM 0837

ACLU Detainee DeathII ARMY MEDCOM 837

AtrrOPSV REPOK-rt(b)(6)

------J

6

ABDUL R,\lfIM. Mobmm'" H.

EVIDENCE OF INJURY

Scalp i'liuries include a 1-11'2 em lacmllion of the venex of the scalp associated
with underlying. an adjacenl 1_1/4 inch superficial abrasion and a 11'2 inch superficial
abrasion oflhe occipital scalp. Facial injuries include a 3/4 inch contusion lateral 10 the
right eyebrow, a 3/<1 inch contusion over the right check and a through-and lhl'O\lgh
laceration of the chin. Injuries to lhe righl eye include two penetrating wounds of\hc
upper eyelid (lIS up to 3/4 inch), and a penelrating wound of the lower eyelid (118 inch).
The left eye has been enucleated from lhe sockel and lhe oplic nerve severed. The extr'll_
ocular muscles of the eye have been laceraled, as have the upper eyelid (two penetrating
wounds. 1-1/4 and 3f4 inches in maximal dimensions respectively) the lower eyelid (a
3f4 inch penelT1l1ing "''(lund). A 1 inch abl1lsion is Pf<'5eJlt on the mucosal surface of the
lower lip, and inferior to this, a 3/4 inch lacemtion is continuous with lhe lacel1llion to
the chin. Teeth 9 and 10 arc avulsed from their sockets in the maxilla. and toolh 8 is
paniallyavulsed. There is evidence ofabundanl hemorrhage into and around lhe
associated SOCkets. The anlcrior one-third of the longue is absent. Radiographically
idenlified injuries include Fractures of the nasal bones, lhe bones of the righl elhmoid
sinus and lhe maxillary bone.
Torso injuries include: a complex ~ x 4 inch patlemed conlusion of the upper back
on Ihe left side; a linear 8 x I ineh contusion. exlending from the middle of the lower
back 10 the righl posterior axillary fold and a I inch contused abrasion in the middle of
lite back on the left side. Anteriorly. a ribbon-like, discontinuous linear panemed
contusion. 22 inches long, extends from the shoulders onlo the chest. Direcl
examinalion of the subjacenltissues discloses underlying injuries ineluding: hemorrhage
into the soft tissues of the anterior cllesl "'all (associated with fractures listed below);
evidence of advenlitial and peri-adventitial hemorrhage adjacent to the left anterior
descending coronary ane!)'; minute (0.2 cm maximum) lacerations of the posterior BOMa;
evidenee of hemorrhage into the adjacent paraspinO\lS soil. tissues. and a left hemothorax
(~O cc). Additionally. lhef<' is evidence of ltemorrhage inlo the CCTVical paraspinO\ls soft
tissues and into lhe soft tissues overlying the right and left scapulae. Radiograpbically
defillCd 10rso injuries inclt>de fractures of the right and left scapulae, and fractu~s of lhe
slernum and the right second throogh founh ribson the right. at the: cosIo-sternal
ju~ion.

left eXlremily injuries include: a contusion around the elbow. 4 x 3 inches; a
fracluf<' dislocation ohhe left elbow; complex, a linear superficial abrasion of the
proximal thigh (2-11'2 x 11'2 inches); superficial abrasions sutTOundillg the knee (up 10 2
inches in maximal dimension); a discontinuous eontusion, anterior surface of the distal
thigh and knee, 7 x 5 inches; a linear contusion posterior thigh (2 x 1·1(2 inehes): a
contusion oftlle poplileal fossa: evidence of hemorrhage inlo the soft tissue of the
poplileal fossa. and multiple incised WO\lnd!; oftlle leg anteriorly (ranging up to I inch in
maximal dimension). as well as a superfICial, 3/4 inch ineised wound of dorsum oflhe
Foot. Radiogl1lphically defmed lesions ofthe lell lower eXlrCmily include fractures of:
the proximal tibia; the disUiltibia and fibula; the lalcral malleolus; lhe cuneifonn bone~
of the mid foot and the first and third metatarsals of the Forefoot.

MEDCOM 0838

ACLU Detainee DeathII ARMY MEDCOM 838

,

.-.UTOI'Sl' REPORT (b)(6)
.-.BOllL RAIII!~". ,\loll.",,,,... II.

EVIDENCE Of INJVRy
(eonl)
Right clltremity injuries include: '" incised wound of the anteeubital fossa (2-112
inehes in millimal dimension) assoeialed wilh injuries 10 the underlyinl tnchialllrtcfy
and antecubital vcin; a frteturc dislocation of the elbow; evidence ofhcmorrhqe into
the bullOCk; a lil\Cllr conlusion of the posl~mcdiaJ surface of the proximal thigh (7
inelles in muimal dimeTl$ion); a linear conlusion of the postero-Ialeral surface of the
proxill1lllthiih, which extends into the popliteal fossa (I inches in maximal dimension);
linear contllsion posterior thigh (2 x I-Ill inches); superficial abrasions oyer the anterior
swface of tile right knee, 112 x 1/4 inch and I x 314 inch. respeaivcty; a _lllsion of the
popliteal fossa; cvidence ofhemorrha,e into the soft tissue of the popliteal fossa: a
discontinuous ~ntllsion of the antero-lateral surfac:c of the proximal thi&h which extends
over a 6 x j inch am: diffuse erythema surroundinlthc knee which extends OYCT a 6-11l
x j-Ill inch area; diseontinllouseonlU5ions OYer the anterior swface of1M leg.,
exten<!ing over a lOx 4 inch arca; ~d supe:rf~lal incised wounds of the anlerior surface
of the lei (up 10 III inch in maximal dimension). Radiollraphically defined lesions of
lhe leA lower extmnity include fractures of: the distal femur; the proximal tibia ~d
fibula; the disultibia and fib\lla; the \alcral mallcolllS, and mlllliple bones of the fOOl
including the navicular. the ..ubold, the 3"" and ,,- metatarsals and the proximal phalaru:
of the l!'Calloc
IJIfI'ERNAL f.XAMINATlON
IlEAP;
lnjllric$ to the scalp and face have been dc$:fibcd. The blood vessels overlying the 1570
8l'1TI brain are engorged. The sulci and Il)'ri.e \lIlrcnta/1(able, and on cOfOlll.I sections,
the lkmIrUtion betw«n while and gray mailer is distinct. There is no evideno:e of
hemorrhage or COlllus;ve injury. The venlneles are of normal siT.e. The basal prllllla,
brainstem. urebellum, and arIcrlall)'Slems arc free of injury or other abllOi nlllilies.
Thcre 1ft no skull fractures.

t!GQI,
The anterior strip musclcsofthe neck arc IIOinogenous and rcd--brown. without
hcmorThaie. The thyroid eartilllle and hyoid bone arc ;nlaf;l. The larynx is lined by
inlacl while mucosa. The lhyroid gland II symmetric and red-brown, without cystic or
nodular ..hanie. Posteriorly. there is evidence ofhcmorrhage into the $OA lissue
sutTO\lnd;ng the OCTYical $pine. The anlerior third of the lOngue is absent

BOpy CAy!IlES:
Hernortllage SUtTOllnds the lTIcturcd $1m1l1m and fracllII'CS of the ~Slo-slCnUll joints of
the 2'" through 4- ribs on the right. Dense fibtous adhesions extend between the lung
surfacts and lhe parietal plellral surfloCC:S. Bi~1 pneumothoraces arc presml
(radiographically). Approximately jO oc of blood il presenl in lhe lell hemithoru.
There is no U U " nllid in the righl plC\lnll space. Noe:<ccss blood or nllid is present
either in the pericardiat SlIl:, or in the peritoneal cavity. The orgam orthe thorax,
abdomen and pelvis occupy thcir lIsllIl anatomic posltionl.

MEDeOM 0839

ACLU Detainee DeathII ARMY MEDCOM 839

J

AUTOPSV REPOI/.r'(b}(6)

8

ABDUL RAHIM, Mohlmnad H.

INTERNAL EXAMINATION
(eont.)
RESPIRATORY SYSTEM:
The right and left lungs weigh ~80 and 460 gm, respectively. The dense fibrous
adhesions over the pluralsurf~s bave been noted. The pleural surfaces are otherwise
unremarkable, and on seelion,!he pulmonary paralcbyma is unifonnly deep purple,
without evidence of mass lesion or areas of consolidation. 1llc proximal airway is
unremalkable.
CARDIOVASCULAR SYSTEM:
'!be 280 gm heart is contained in an inlllCt pericardial sac. Adjacalt to !he pulmonary
lItIery. along the posterior surface oftkc base of the Ilean. is II 0.6 em contusion. 11Ie
epicardialsurfllCe is OIherwise smDDlh, with scant fal Investment The coronary aneries
are present in a normal distribution. Petechial hemorrllage permeates !he epicardial fat
sun'otmding Ihe proximal segment of tile left anterior descending coronary ancry. There
is no evidence of an athc:romatouslesion or thrombus. The remaining coronary anerial
vessels are unremarkable. The myocardium is homogenous. red-brown. and firm without
evidence offocallesion or injury. lltc valve leaflets arc thin and mobile. The walls of
the left and right ventricular free walls are 1.0 and 0.2 cm thick, respeclively; tbe
intervallricular septum is 0.9 em thick. l1Ic el1docardium is red-brown and without
evidence offocal lesion or injury. The aorta arises and is distributed in the usual paltem.
IIcmolThage into the soft lissue adjacent 10 the thoracic veneb""l column emanates from
seve",,1 minute (less than 0.1 em) lacerations in the posterior llDnie wall. The ralal and
mesenteric vessels are unremalkable.
UVER & BILIARY SYSTEM:
The 1400 gm liver has an intac!, smOOlh capsule and a sharp anterior border. The
parenchyma is lan-brown and congested, with the usual lobular architecture. No mass
lesions or OIher abnonnalitics are se<:n. The gallbladder contains 8 ee of grecn-black bile.
There are no stones. The mucosal surface is green and velvety. The eXI""hepatie biliary
tree is patent.

SPLEEN;
The 180 gm spleen has a smooth. iniac!, red-purple capsule. The parenchyma is maroon
and congested, with distinct Malpighian COI'Jluscles.
PANCREAS:

TIle pancreas is finn and yellow-tan, with the usual lobular an;hitccture. There is no
fDeallesion or evidence of injury.
ARRENALS:
The right and left adrenal glands arc symme1rie, with bright yellow cortices and grey
medullae. No m~s or areas ofhemonhage are identified

MEDCOM 0840

ACLU Detainee DeathII ARMY MEDCOM 840

"llTOPSV REPORT

(b}(6~

9

"SDUL KA.H1M, M"t....I1....t H.

INTERNAL EXAMINATION

(conl)
GENITOURINARY SYSTEM:

The right and left kidneys weigh 100 and 120 gm, respectively. The external surfaces are
intact and smooth. TIle cut surfaces Ilr<' red·tan and congested. with uniformly thick
conices and sharp conicomedullary junctions. TIle pelves are unremarkable and the
ureters are normal in course and caliber. While Itladder mucosa overlies an intact bladder
wall. 1lle bladder contains approximately 30 cc of clear yellow urine. The prostate is
normal in size, with lobular. yellow-tan parenchyma. The seminal vesieles are
unremarultle. The testes are free of mass lesions. contusions. or other altnormalities.
GASTROINTESTINAL TRACT:
The esophagus is intact and lined by smooth. grey-white mucosa. The stomach contains

approximately 40 CC of partially digested food. There are no pillfi'agmenls identified.
The gastric wall is intact. Tile colonic segmenls and loops ofsmall howe Iare fused
together by focally dense fibrous adhesions. Otherwise. lhe segmerlls of the gaslfO.
intestinaltracl are intact and unremarkaltle. The appendix is absent.

MUSCUlOSKELETAL SYSTEM:
Muscle development is normal. Apan from the recent and remote (healed) injuries noted.
no hone or joinl abnormalities are noted.
MICROSCOPIC EXAMINATIQN

Small sections of formalin fixed tissue are retained for microscopy as 1KCCSS3f)'.
ADDITlONAL PROCEOYRESIREMARKS

• Documentary photographs are taken by the OAFME staffphotograpllers.
o Specimens retained for toxicologic te5ling and/or DNA identification are: blood,
vitreous fluid, bile, urine. gastric contents, brain. myocardium. lung, liver. spleen.
kidney. adipose tissue and skeletal muscle.
• Full body radiographs are obtained and refleo::t injuries deilCribed above.
• Selected ponions oforgans are retained in fotmalin. without preparation of
histologic slides.
o Fingernail parings are obtained from both hands, sealed in marked evidence
envelopes. and custody maintained by Army CID.
o The dissected organs are forwarded with the body.
• Personal effects are released to the appropriate mllftuary openllions
representatives.

MEDCOM 0841

ACLU Detainee DeathII ARMY MEDCOM 841

AUTOPSY REPOMT~(b)(6)
~
ABDUL RAtu:\t,Mo .",,,,", H.

10

OPlNlON
According to initial investigalive repons'lElli!L
was brougtll
to !he C/lmp gUllrd shack by othudetainoes who found him uneonscious and bleeding.
On lranspon 10 thc facility hospillli. il is reponed that he was pulseless, withoul blood
pressure and lhal his pupils WCTe fixed and dilated.

Al post-mortem exam. it is found that the decedent suslllined multiple blunl and sha.r1l
fOrl:e injuries. Individually, lhese injuries are sub-lethal; in aggregate however, the
injuries caused loss of blood sufficienl to result in death. Additionally. the inlensity of
the pain associated with the combined injuries would generate immense sympathelic
nervous system stimulalion such that a possible connibulory cardiac dysrrhytlunia C/lnOOl
be excluded.
Finally, multiple dense pulmonary adhesions lIS well as bowel adhesions (indicative of
prior inf«lious diseases) suggeSl thall!\e d«edenl may have had a diminished reserve
capacity to wilhSUnd injury and the pain induced w!\en the injuries were innicted.
l1Ie manrlCr of death is homicide.

MEDCOM 0842

ACLU Detainee DeathII ARMY MEDCOM 842

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

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MEDCOM 0843

ACLU Detainee DeathII ARMY MEDCOM 843

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MEDCOM 0844

ACLU Detainee DeathII ARMY MEDCOM 844

ARMED FORCES INSTITUTE OF PAnlOLOCY
Office oll"~ Anarei f'orus Mediad EUlIliMr
14lJ Researeh Blvd•• Blda. 102

Rockville. MD 20lS0
1-301-319-0000
AUTOPSY EXAMINATION REPORT
NllII'I~: Mustafl. Muhavman J.I.I
ISN: (b)(6)
~

AillOpS)' No.: (b){6)
AFIP No.: l(b)(6)

DroteoIBirth.~{b)(6) [1990
Drot~ of Dntl (b){6) --: 2001

PllCCorDc.Ih:

Rank: Dc1.lnee

DrotelTime 01 Autopsy: 16 JUl2001f0930
Drotc ofRcport: lJ AUG 2001

or

I~

Iltopsy: Po" MOl'tIlafy
Dover FB, Dover, DE

PiKe

Cin:ulIlll.DnS of Dalb: This l6-year-old maJ~ dCl.inte WIS inlerned.t CunP Cropper
1'*1. Initial investigative repons indicalC III.llhc unresponsive body of (b)(6)
was
dnqed 10 the compound a.-l~ by tltrec unknown llUIles who ncd the _ . Despite
cmereenc:y mediad inlerventiorl(b)(6}
succumbed 10 his Injuries.
AlllborluliOll C.... A.topsy: .... rmed Forecs Medical Ex.lIminer, per 10 U.S.

Cod~

1411

Idtnlifiealioa: PTesumpliw identification by Kl:omplrtyin; repons, identification tass
and docummllllion..... po:sunon~m dall.l C'Jllmirllllion, postmor1cm fingerprint
C'JIImir\lllion. and. postrrIOfIcm DNA SlIlIplc.e laken Cor profile purpose$ should
c>rcmplm t-omes ....il.ble for positive idcnlirlC8lion.

CAUSE OF DEATH:

Mulllpl~ blunt

MANNER OF DEATH:

folft ilIJllriti

Homldd~

MEOCOM 0845

ACLU Detainee DeathII ARMY MEDCOM 845

AlTtOPSY REPORT(bH 61
MUSTAFI, Mu".y_1l J.I.I

2

EXTERNAL EXAMINATION
Injuries will hi: described in dnailln ~Evickncc of InjuryM,.nd will only hi: brieny
alluded to in tI'Ic: rt:maindcroflhe n:port, for pwposes oforicnlltion and eomplctcncu.
The body is lhal ofa well-dcvclopcd, well-nourished appearing. adull male, wlMne
appearance is colUlslcnl with the reponed 'ie of 16-yclar$. The: body is rcalvcd
wnsppcd in a vcen zippered nylon ilia and clad in a pairofbody nuid Illincd ....tlile
boJ«:l'shorts. lk rt:mains are 6& Y.-inchcs in Icnl:th, and weigh lS4-pounds. Lividity is
present and fixed on the poslerior surface of the body except in artl5 exposed 10 pressure.
Risar Is presenilO an equal dcarcc In all txlmllities. Thert: is Irccnish discolonlion of
lhe skin of the abdomcn. MlCtl'lllion and skin sliPlJlie Is noted on the upper extremities.
The IaTIpcralurc of the body is lhl1 oflhe rt:frilCflllion unit.

The head Is OOl'ITlOl:cphalit, and the scalp is covemi wi1h straight bll(k hair lTK'llIurinll
up to I Y.-Inches. in. norma] distriblllion. Fl(lal Mir consists of. trim black beard and
mousll<;he. The: Irides arc dark. The OO~ are hazy. The conjuncllvae art:
unremarkable. The pupils an: round and ftIual In diameler. The sclerae an: white and
without pctt<:hial herTlOfTt1'i:e. The elttemalauditory canals, ex1cmaJ IlAlft. MId oral
cavity an: frft of fort:;i:n material and abn0nn81 sccn:lions. The tar1 and lips
dcmonsuatt no non-1l11umatic abononnalitics. The narq are palcnl. The nasal skeleton
and maxillae: arc plIlpab!y intact. The uninjured tee1h ~pcar natUl'll1 and in load
condilion. The neck is straigh\, and the trachea is rnldlint and mobile.
The chest is symmttric. The abdomrn is flal. The lIenlllllall/'C those ofa nanna' adult
circumcised male. The lesles an: descended and fn:c of maucs. Pubic halr is ptCsentln a
nolTTlll male distribution. The bUllOCks and anus are unremarkable.

The upper and lowcrexlremi11es are symmetric and wilhoul clubblna or tdtmll. The
fingernails art inLlICl and the nailbcds cyanotic.
CLOTHING AND PERSONAL EfFECTS

The following clothing items and personal efTt<:llare received with or Ire on the body at
lhe lime ofautopsy:
• A blood Dlld body fluid .stained shan slccyc undtrshin cut from the front collar
to lbc hem
• A plIir of body nuid Illlncd wilile boxer shorts
• A arecn cloth baV c:onllininl personal errecu is arrllled to the ri&hl wrist.
contcnu of which have been photoaraphed and invcnlOried on fDml DO 1016.
MEDICAL 'NIERVE!'!TIQN
No evidence ofrnedicil intervcntion is In ploee IIlhe lime ofaUiopsy.

MEDCOM 0846

ACLU Detainee DeathII ARMY MEDCOM 846

AUTOPSY REPORT1"'(b"')("6'-MUSTAFI, Muhay..an Jalal

)

RADIOGRAPHS

A complete set ofpoSlmortem radiogmplls Is obtained and demonstrates the following:
•
•
•
•
•
•

Fractull: onlle len mllllilhuy sinll!l
Fl'lIC1ure of the 1" mel8CarpIII of the lell hand
Fracture onhe dislal rishtfibula
Fraclure oflhe poslerior spillOUS prtKn5 0 lhe 2011 thoracic vertebra
No intmllll melal identified
No pneunlOthol1lll idenlified
EVIDENCE Of INJURy

The orderins of the following injuries is for descriptive purposes only, and is not

Inlended to imply order ofinllietion or relalive severity.
I.

Multiple blum force injuries
A. Blunt force injuries of the head I.Ild neo:k
I. Obliquely orienled (alonlllhc 4to 10 o'clock lIllis) laceration lbove the riabt
eyebrow, 2 xiII 6-inches to periosteum (l18·in<:hes)
2, Vertically oriented curvilinear contusc:d IlICCration oflhe l1l$8.I bcidge. I lIS x
1/16, lIS-inches deep
1, Obliquely oriented (alons the 5 10 II o'clock axis) IllCeration on the righl
oet:ipitAI scalp to subculancoll$ tissun
4, Obliquely oriented (1lonllllle 110 7 o'clock axis) laceration on the len
occipito-parielal scalp, 2 % x 1/16-inches 10 periosteum (l18·inches)
5. Horizontally orienled laccnllion on the len parietal scalp, posterior to the left
ear, 1 1/16 x 1/16-inches, lIB-inches deep wilh undermining of the superior
ISpeC1 ofille wound
6. Superficial Ibrasion on the posterior pinllD of the left ear, 318 x III-inches
7. Inter.leCtina lacenllions orthe posterior len pa.rietlll scalp measuring 2 1/4 x
1/16-inches (alons the 5 10 I I o'clock axis) and 1 lIB x lfl6-inches (alons the
7 to I o'clock ax,s), both lIB-inches in depth
8. Obliquely oriented (lIonS the 1 to 7 o'clock axis) sliperfocialllccra!ion on the
len temporal SCDlp to subell\al1C(lUS tinue, 5JlI x 1116-inches
9. Obliquely oriented (llonllthe S to II o'clock oxis) loceration on the midSlsitlal frontal snIp, 2 % x 1/I6-incfles 10 periosteum (llB·inc:hes)
10. Obliquely oriented (1lonlllhe 7 to 1 o'clock oxis) laceration of the left fronlal
scllp II lhe hairline, I \') x I 1/16-inches \0 a depth of III-inches
11. Obliquely orienteO (alona!he 7 10 I o'clock axis) laceration orthe left temporal
sealp Utendinil onto the forehead and eonlllSion oflhe !kin of the inrerior
marsin oflhe wound, 2 "" x I1I6-inc:hes to adepth of lIS-inches
12, Left periorbilal contusion with asSOCialed superliciallaeerations of lhe lateral
len eyebrow (l) mcliluring up 10 7/B·inchcs in &reatCS1 dimensions I.Ild a
horizonl.DlIy oriented laceration oftlle laterul len eyelid, I "" x 1/16-illChes

MEDCOM 0847

ACLU Detainee DeathII ARMY MEDCOM 847

,

AlITOPSY REPORT '(b)(6)
MUSTAn. Mubay..an J.t.l

13. Obliquely oriented {alonglhe 2 (0 Bo'clock lllti5) tontl.lSCd !Keraticn ofthe left
cheek measuring I 1/6 x 1/16-ioches witll a deptll of y..in<:hes and lSSOtia1od
fRl:turt of the Id\ maxillary sinus
14. Contused loceration of the lell. upper lip (518" II8·inthes) exlending inlo the
oral tavily witllasso<:iated fl'lCtUrt of lOOtII 110
IS. SubgaJeal hemonhage lU$lXialed with the above 5l:IIp lac:erations
16. No gross or radiogJIphic evidml:eorrractu~ ohlle calvarium
17. Diffuse sub&ratllnoid hcmonilage involving the convexities of both ()C(:ipi~l
Iobe$. bnIinstem. and both c:crcbellar llemisphcres
Ig. Diffuse hemorrhage ofthe riglll stcrnocleidomastoid muscle and focal
IIemorrllaae of tile riiht sternollyoid muscle
19. Intlll:l lIyoid bone. thyroid ClIl1i1age. and Il'ICheal canilage
20. Conical contusions of the inferior aspect of the left fronlal and right ,,"ipital
poles ortlle brain. each mcasuringlcssthan lI8-inches in grcattst dimensions
21. Laocratioo of lhe right lateral aspecl of tile IOIIgue, !I. x I/B·iru::hes
B. Blunt force injuries oflhe (O~
I. Superficial abrasion oflhe medial right clavicle, 1 Yo x 3/16-inclles
2. ClllSler (I Yo x Yo-inches) ofsuperficial abrasions overlyingllle rigllt
IIl:romioclavic:ular joint. JIB to Yo-inches in greatest dimensions
3. Curvilinear contused abrasion overlying tile middlt third of the rigllt clavicle, 4
x ·;'·inches
4. Contusion ofille rightlatcnll thest \nil (B x 6 Yo-inthes) wilb. centrally
oriented lriangular sMpcd patterned abrasion, I !I. x I 118-ioches
S. Multiple (2) drwlar superficial abrasions above the right inBuinalli8JlTlCllt
measuring \l,-inctr.es, each
6. Contusions on the la\cnll right hip, I Y. x SI8-inches
7. Superficial abrasion on the &Dlenor right hip, Yo x 318·inches
a. Obliquc:ly oriented (along the to 10 4 o'clock uis) pallcmcd contusion on the
upper back to the leA ofille 6~
cervical vertebrae, 5 11.0 x I-inches
9. Obliquely oriented (along the 10 to" o'clock lll(is) patterned contusion above
the superior border of tile Iel\ scapula. 6 x I \l,-inc1le1
10. Contusion (2 'A k I !I.-inches) on lhe posIeriw left sIloulder with superficial
marginal abrasion al the superior margin ofllle wound measuring 3 x 1/16inches
II. Contusion in Ihe poslerior left uilllll)' fold, 2 x I-inches
12. Trapezoidal shaped panemed abrasion (2 %;i( 'I..inthes) above: lhe posterior It II
iliac em;1 with a centnllly placed l1-incll circular area ofsparing
13. Obliquely oriented (a1oni the I to 7 o'clock uis) linear COIIlusion ofthc upper
back at the level of tile 4' tlr.onlcic vertebrae, S 1'. x Y.·inctr.es
14. Circular I-inch conlusion on the upper medial borderoftbe nallt scapula
IS. Re<:ta.nau!ar tonlusion on the posterior right shoulder, 2 k I·inclles
16. Horizonlally oriented abrasion on the righl posterior axillary line: al lhe Itvel of
tile 8" thoracic vertebrae. I Yo x III-inches
17. Parallel (I·incll scplUlltion) supe,f..:ial linear abrasions (2) below the tip of Ihc
rightSCllJlllIa. 2 x II16-inches. eacll

and'"

MEDCOM 084B

ACLU Detainee DeathII ARMY MEDCOM 848

"uropsy REPORT (b)(6)

S

MUST"", M.Ia.y_. J....

II. Obliquely orienled (alonllhe 2 10 I o'clock Dis) recWlgular COfIIUSioll on the
righllower bKk. 7. I-inches
19. Fracture of\he spinous pi'"
Oflhe 2"" lhotlek "ertebnlc with bmlorrilagc
inlO the 5WTOUndina parasplnal muscles
20. MlIlliplc rib fractures (Iataal riglll - 1·9. posterior rilhl - 9-10) with as.soc:ialcd
50ft liDue hemorrlll¥C. 6 x S·inches
21. E"idcncc of hernonhlgc inlO the 111ft liullCli OYerlylnlthe rieht seapuIa
22. £Yidcncc ofhelnom\atC inlO the $OR liIslIes UIOCillcd wilh the ronlUlions and
.bralions of the lono. IS dclaibcd above
C. Blllnt foree injllries of !he cxuemiliCli
I. Riaht upper cxlremily
a. HoriwnllUy oriented lupcrficiall8CCl'8lion of the di.5tal posterior righl ann. \l,
• III·inches
b. Obliquelyoricnlcd (alonllhe S 10 II o'clock Dil) 5UpCtf~iall_ralionof
the rilhl clbow, 1 • V,·inches
c. ClusleT (2 x Yt-inchel) oflOpcrlieiallDOClalionl and abrasions on ,he
proximalllllW Upecl ofthc riaht foreann mtuurina up 10 2-inchel in
JIaIIClI dimensions
d. Connuenl contusion ofthc l.lCrlI ri!:hl arm. do".1 righl forearm, and dorsum
of lhe nabl haftd
e. ConlL15ions oflhe plIImar _face oflhe rialll hand o~ lhe heads oflhe 4·-S·
rnclKarplls (I % I I-inches) and herod oflhe 2"" metacarpal (1 • %-inches)
2. Left lIpper cxlremily
.. Connuenl eonlL15ion orthc di5la1Illcralleft ann, dorsal left rorearm, 4l'Id
dorsllll'l of the left hand
b. Conlusions orllle p.lmar 1IIpe<:15 oflhe 4d1 and S· digils oflhe left hand
c. Connuenl conlusion of the left palm, ) Y•• )-inchc:s
d. Fl1lCture or lhc )~ mct.Ilc:II'plIl oflhe len hJ.nd
J. Right lower exlremity
.. Horiwnlally oriented contusion on lhe Interior righllhigh. 2 x %·inches
b. Conlusion .boYe the lalcral righl palell.. I v.. J·inches
e. Circular conlusion orlhe medical right knee, I·inch
d. Contusion below lhe t.tcraJ righl pltclla, I %. l.illChes
e. Lacerations (2) on lhe proximal and middle anterior rightlello )/1~incbes
~h

r. Connuent conlusion on lhe dorsum ortbe ri~llI foot and Iatcrall.rllmor ri~ht
ItaU2.) \i·inches)
g. Contusion 'Ilhe lateral rillll a1111C11 crease, I y,. V..lnches

h. Mlilliplc obliquely oriented (a!on& lhe I to I o'clock axis) $llpcrficial linear
contused .brasions on the posterior ri&htlhigh measurina up 10 J inches in
~test dimensions
I. Contusion OYer the head oflhe right libula, I Yo x 'I.-inches
j. Multiple ()) IIlCCrllionl on the riahlilleral malleoills, 7116 10 J.inch in
a;ralesl dlmtnsions
k. FrlCtlft of lhe dillal rialll fibula

MEOCOM 0&49

ACLU Detainee DeathII ARMY MEDCOM 849

AUTOPSY REPORT (b)(6)
MUSTArJ. Muh.ylU. J.lal

6

4.l,.eft loweru~mily
L Superf.ei.1 .braslon (I It Yrinelles) witlllWTOundins contllSion (1 Y, It I Yo.
lrelles) on the IIllerior left lIdall
b. SuperfICial IlCeftlion on the superior I.lmll left knee. % x 1/16-inches
e. ObIiqUl'ly orienled (.Iona the 4 to 10 o'cloclt ub)contUKd llbruioll below
the left knee. 4 Vox 'Irlnches
d. Superr.elalllttfalion on the ~imall!llerior left leI. I x'lrinc:hes
e. Contusions (1) orthe miGcile and diul anterior left Ie&. 2 % 10 .... l~ in
llJ'UkSI dimensions
r. Multiple contusions and .I:nsionsofthe poslerior left thiBh and latc:rallefi
alulal ause.1I16 10 J-indJCS in &mIlest dimenlions
I- Mul1iple IUperfici.1 c:ol\ftlJions. .bmions, and laeuatiom of Ille left c.lf and
wenll mlI1leolus. \(, 10 I '/,·Irehes in ,,"lest dimensions
S. No evidenee oflipture restnint il dernonslrllCd

INTERNAL EXAMINATION
BODy C,WITIES:
The body il opened by the ulual thorac:o-.bdonIil1l1 incillon and the chelt plate il
removed. The ribs. $1emum. and wrtelnl bodiea 1m visibly and palpably inlael No
adhe$ions or .bnol1'l\ll cOlleclions of fluid are present In the pleunl. pericardi.l. or
perilOnell eavilies. All body orpns are pRSaII in lhelr normal.natomic: po5ilions.
TheTe II no inlemal evidenc:e ofpenetrllina Injury to llle thoraco-abdomlNIII resion.

The SUOCUlllllCOUI f.1 l.yer of the .bdominal wall is J/4-inc:llea thick.
HEApANp CENTRAL NERVOUS SySTEM:
Injuries to the: sc.lp and flCe have ocen described. The sc.lp is reflected. The c.lvarium
is inlaCl, II is the dun lIWIler benealh Il There arc no epidural or wbdunl hemorrllages
present. The leptomeninges are thin and deliCllle. Sulxnchnoid herTlOlThDge.nd injury
to lhe fionlalllld QCeiplt.llobes hive been dncribed. The lnin weiahs 14J01lraml.
The eerebtal hemispllcres are symmetrical with unremarkable &Yri Bnd sulci. The
IIl1.1ClUres .1 the base of the brain. including elll'li.1 nervel and blood vessell. are intact
and unremarltable.

Coronal 'l:Ctions demonslrale IhIlJl demarcalion between while and arc)' mailer. The
venlriclel are ofnormDlli~. The: basal ganglia, bflinllC:m. «:rebel1um. and .t\Crial
1)'lIema are ITee of non-lraumatic .bnormalieies. The allaneo-occipital joine il lLab/e.

=,

1\ Iayerwise dissection of lhe neck demonslmlCl lhe: injllries deacribed above. The

lhyroid c:arlilage and llyold bone are intact. The IDrynx is lined by Intacl wIlile mucosa..
Incision and dissection of lhe postmor IIttk demonstraln llle Il'\iuriCI II described.
There ilno evidence ofcmllcal spine fractures.

MEDCOM 0850

ACLU Detainee DeathII ARMY MEDCOM 850

"""-

AUTOPSY REPORT (b)(6)

7

MUSTAFl, Mull,ylftl" Jalll

Incision and dissection of the posterior neck demonstrates the injuries as described.
There is no evidence ofcervical spine tTactures.
RESPIRATORY SYSTEM:

The upper airway is clear of debris and foreign maten.l; the mUCOSll!surfaees ~
smooth, yellow-tan and ~Ible. The ple1,1rat surfaces are smooth, glistening and
lIIIJ'eIIl8Jkablc bilalcnlly. The pulmonary parenctlyma is SII1mon pink, diffusely congested
and edematous, exuding slight!O modcnlc lmOunts ofb\ood and frothy nuid. No mass
lesions or areas oftorLWlidation are present. The righl and left lungs weigh 410 and 370.
gmns, l'e$pCClivcly.

CARDIOVASCULAR SYSTEM:
The pericardl.! surffIC:CS are smooth, aJisteningll1d unrcrnlubblc. The 31O-gram hear! is
coolained in .... inlaa pericardial sac

tree ofsignilieanl nuid or adhesions.

The epicardial

surfaee is smooth, with minimal rat InvcstmellL The coronaI)' anerics llrise IlOrmally,
follow !he lL1uaJ distribution in I right dominant pIlllcm, are widely petcnt, and witllout
evidence of thrombosis or significanlalherosclen;lsis. The myocardium is homoaenous.
red-brown, finn and unrerna:kablc; the .trial and ventrk:ulu septae an inlact. The walls
of the leA and right ventricles are 0.& and O.2-eentimeters thick, respec:tivcly. The valve
leafleu are thin and mobile. The lIOl't8and ils major br&nct- ari!it normally, follow the
\lSual eo\ll'1e and lII'e free ofsi,gnificant atheroi\l:lerosis or other ab/Iormalitin. 1hc: vellllC
cavae and its major tributarin return 10 the bean in lite usual diSfribution and are free of
thrombi. The renal and mCSCnlerie vessels arc ulll'el1\ll'i(able.
HEPATOBIUARY SYSTEM:
The hepatic eap5ule is smooth. glistening and intaet, eovering dark red-brown,

modCl'ately congcsted plIrenchyma. No mass Icsionsorollter abnormalities lII'e noted.
The pllblllddtr contains 4.Q.mil1ilitm ofgreen-brown mucoid bile; Ihe mUCOSll is
velvety and ullrtllUlrl:able. The extrahepatic biUary tree is plItent and without evidence of
calculi. The liver weighs lJ7Q.grams..
GASTROiNTESTINAL TRACT:
1hc: esophagus is in~ and lined by smooth, grey-lOtililc mUC()5!.. The ga.wie wall is

intact and the s10mllCh contains apPrOximately 7S-miUiliters ofthic.... daJt brown fluid
willt partially digested ri«. The gaslrie mllCOSl is II'TUIged in Ihe \lSual ",pI folds. The
duodenum, loops ofsrnall bo"".,] and colon are unremarkable. The appendix is present

GENITOURINARY SYSTEM:
The n&hl and left k.idneys wciah 130 and 11Q.anTnS, I'ClIpcctivcly. The renal Clpsules are
smooth and thin, semi'll1LlLSparcnt and strip willt case from the underlyilli smooth, redbrown cortieal surface. The cut surfaces are red-ten and oongestcd, wilh uniformly Ihid
cortices and sharp corticomc:duihuy junctioru. The pelves and calyces are unmnarkable.
The urcters arc normal in eoursc and caliber. While bladder mllC051 overlies an intact
bladder wall. The bladder contains approxirnalCly 2S-milliliteTS of clear yellow urine.
The prosII~ is normal in size, with lobular, yellow-tan parenchyma. 1hc: seminal

MEDCOM 0851

ACLU Detainee DeathII ARMY MEDCOM 851

AUTOPSY REPOR~(6)
MUSTAFJ, Mubayman JaW

•

vesicles an: IlIlI'C:IT1lIrbble. The testcs are free of mtlSS lesions, contusions. or other
abnormalities.

LYMPHQRETICULAR SYSTEM:
The 160-gram spleen be I smooth, inllCt capsule covering maroon, modefltely finn
pllenchyml; the lymphoid follicles m WlrCmarkftble. Lymph nodes in the hilar,

periaol1ic. and iliac: regions are not enlftrged.

ENDOCRINE SYSTEM:
The pituitlly gland is lIIIl'elJWkable. The lh)'l'Oid is S)'mmetric and red-brown, without
cystic or nodulI!" change. The plllICI'CIS ill firm and yelloW-lin, with the U!UaIlobuiu
aKhitcl:ture. No mass lesions or othr:t abnormalities are noted. The riallt and left adl'ellll

glands are &)'lTUIIelric, with bright yellow col1i"s and grey medullftt. No 1TII!l$CS or llmIS
of IIemoltllage Ire identified.

MUSCULOSKELETAL SYSTEM:
Muscle dcvelOpmellllppear1 llOrmltl. No oon-lrilumatic bone or joinllbnormaJities are

""",,ADDITIONAL PROCEDURES
I.

2.
3.
4.

S.
6.

Docwnenuuy photognlpM arc taken by OAFME staffphowgflphcrs.
Specimens rdlIined for toxicolOj,)' testing and/or DNA identification are: Blood,
vitreoll$ fluid, urine, gastric contents, bile, heart, spleen, liver, lung, kidney, bntin,
adipose tlssuc, and skclC1l1 muscle
Full body radiographs arc obtained and demonstrate the ftbove findings.
Selected portions oforgans: are retained in fonnalin.
The disscl;led otpns are fOl'WlU'dcd with the body.
Personlll effects are released to lhc mortuary affairs rcprescnlalives.

MlCROSCOPIC E;(AMINATlON
Selected portions of organs are l'C'taincd in formalin, without pTeparation ofhistoloaic
slides.

MEDCOM 0852

ACLU Detainee DeathII ARMY MEDCOM 852

•

AUTOPSY REPORT (bl(6)
MUSTAFI. Muba)'lllUl Ja..T

FINAL AUTOPSY DIAGNOSES:
I.

Multiple blunt fon:c injuria

A. Blulll force injuries oflhe he.ci and neck
I. Cortical contusions of the left frontalllnd riiN occipital IobcJ oftlle br-ill
2. Di~ sub&n<:tlnoid hem",",,-&e involvina tbc coovnities of the occipi~1
lobes, both cerebel\.u hemispheres and the brllll5ltm

3. Superficial hcrnorthq;e into the dl'19 muscles of the anlerior neck
4. Multiple IIallp and &cial contusions, abrulona, and lacentions
B. BIWlt fOfU injuries ofllle tol'lO
I. Multiple .superficiallacmll.ion•• atnsions and contusions of the chest. beck,
and pelvis
2. Multiple rib frlCturcs
3. FnctlR ofltle spInous process of tile 2- thofacic verubrl with associated
hcmorrllalle into the puupilllli muscles
4. Ncar connuent hcmontvolle inlo tile supcr(lCull muscles of the b.ck
C. Blunt force injuries oflhe extremities
I. Confluent contusions of the posIcrior arms, dorsal foreanns, and anterior leas
2. Multiple contusions, abruioru. and lac:erltiOllll of all extremillcs.
3. Contusions of tile~ms ofbolh hands
4. F~uleS orlhe 3 mCltocllrpe1 oflhc lcft Iland and lhe dbtal rillht fibula
S. No evicknoe ofre:strlinl hkntified
11. No natunl diRUC proc:cSICll idcnti fled within the limilltions oftlte enmilll.liun.
III. No evidence of mediclll tltcl'lpy is In plllCC at lhe time of autopsy.

--

IV. POSl-moncm ctlanlles
A. Lividity is filted on t!le postcrior surface of the body exocpt in areas ClCposed to
8. Rigor is pIftCTItlO an equal dCIlfCC in all Clltrem.lllcs
C. Om:n dilCOlontion of ll'lC skJn of the abdomen I, pt'CSCllt
D. Maccnllion and skin sliPJl8&e ofthc ClCtremities
V. ToxicolOi)' raullll: ncllllive

MEDCOM 0853

ACLU Detainee DeathII ARMY MEDCOM 853

AUTOPSY REPORT'~(b"')(~6"-­

10

MUSTAFI, Muuymaa Jalal
OrlNIQN
This l6-year-old maledetainee.(b}(6J_

.]WU intenlef' Al ('.Amn Cm,wer
Iraq. Initial investigative reports indicate thallhe unresponsive body ((b}(6}----.-Jwas
d,.gged 10 lbe compound gate by three IIJlknown male detai~JNho fled the: scene.
Despite emergency medical intervention al the scene(b){6)
succumbed 10 his

injuries.

'

Autopsy examination revealed that lhe decedenl sustained multiple blllllt force injuries.
'The moSI seven: injuries were 10 the head and neck resulting in conlmions and
hemonbage oflhe brain. The n:maining injuries, allhou&h individually sub-lethal in
IIlIturc and not injuring vital structures, in 19a;replc would have caused signlficanl loss of

.-

PostmOl1em analysis oflhe body fluids Wl$llCgltive fOTlhe ~ce ofethanol. screened
lIlediQltions and screened dl'\lgs of lbu.se. ~ was no evidence of signiflClnt natulai
disea.se processes noted It the time of IUlOply.
The manner of death is homicide.
(b}(6)

(b){6)

",::i,;:·~Oo'''Examiner

(b}(6}---"M..

{b)(6'C _ _IMcdiClll ExamillCl

MEDCOM 0854

ACLU Detainee DeathII ARMY MEDCOM 854

II
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1,'1,11

ACLU Detainee DeathII ARMY MEDCOM 855

il

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

OlSPOSrTa-l OF RalAJNS

NI'\'.n,lJI"l;I:..... I:.I~'f

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IN:>T "LtA IIUN OR "'ODHE:>::>

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LOl,;... T10NO~l;I:.M

1l'f'E OF DISI'oSTlQN

DATE of UISI'VSTIUN

REGlSTRAllON OF vrrAL STAnsnc8
REGISTRV (Tawn _C<Juntry)

FilE NU....BER

o"TE REGISTERED
ST...TE

NMlE OF FUNERJoJ. DIRECTOR

OTHER

...OORESS

SIGN...l1JRE OF ...UTl1ORIZEO INOIVIOU...L

DD FORM 1064, APR 1977 (BACK)

USAPA VI.OO

MEDCOM 0856

ACLU Detainee DeathII ARMY MEDCOM 856

ARMED FORCES INSTITtTI'E OF PATHOLOGY
otnee oltbe Anaed Feme. Mfllk,J Eumhter
1413 Resem:h Blvd., Blda. 102
Rockville. MD 20850
301·]19..(1000

FINAL AUTOPSV REPORT
NlIJT1e: Amllcd. RaClIh-Abdul Al Kader
lSN..(b)(6)
~
Dale OfBirtf~(~f~93S:
Dale of DeaIli(b)(6) 2007
o.telTime of AutopsY: 09 July 2oo7@1000
Date of~port: 23 Aua 2007

Autopsy No,!(b)(6)
AFIP No·l(~)(6)

~
I

Rank: Dct-inee
Place of Death: Iraq
PI_ of Autopsy: Port Mortuary, Dover DE

o(l).utb: This 69 )'CIlI"o1d Iraqi dClaincc WllS admined to the Theater Internment
Hospital, Camp Bucca, on 07 JIIIIC 2007 and wu beins l1elIted for. reported tuben:ulosis infection.
His condition deteriorated and he was transfemd 10 the intensi~ ClIIl: unit. He was prollOlIIlCed
dead of(b}(6) 2007.
Ci~u ....tllncet

Authorization for Aut.pay: Anncd FOfl:eS Medical Examiner. per 10 U.S. Code 1471

Ideotlliutlo,,: Presumptive identificallon is esaablished by review of all paperwolt in the case file.
Postmonc:m fingetprints and a specimen sui",ble (Of" DNA analysis lIIl: obulined.
CAUSE OF DEATH:

MANNER OF DEATH:

MEDCOM 0857

ACLU Detainee DeathII ARMY MEDCOM 857

AUTOPSY REPORT (b)(6)

2

AMHED. Wah Abdul AI Kader

EXTERNAL EXAMINA'[IQN
The body is that of I well-dc:velopcd, well-nourished male. The body wcia,hs 194 po"nd" is 66
Ind'Ics In qlll and IppcaB eompl.tible wilh the 1CpOr1Cd I,e of69 yeus. The body is cold. Ri,or
is prc:$C1lI1O In eqllli dclfC'C in 1I1 exlfcmitiell. Lividily is prescntw fixed on the posterior SUffice

ofthc body, cxcepc in IIn:U expo5Cd 10 prc$$1n.
The head is normoc:ephalie, IUtd the sealp hair is I"IY and one inch in lenlth. Flctal hairCOl'lliSlS of
mouslIChe 8fId bclll'd. The irides Ire brown. The comcec lin: clClUdy. The eonjWV::livv are
llrlJ'eltWbble. The sclctIC lin: whit*llow. The cxtemal.lIditory elnlls, ClllemallllreS and oral
uvily are free offo~ian mllCriaI and .bnorTnll sccl'Clions. The CIt lobes lin: not pierced. The lIMIl
skeleton and muilll arc palpably inlll:t. The lips are without evident ilIjwy. The leeth ItC IIIIhll"ll
and In '-Ir condition. ElWnilUltion of the neck tCYCtol. no evidence of injury. The~ i. I I Indl WI
plpuJe on the left check.
The chat is uruemlfbble. No evidence ofbllury ofthc ribs or the sternum is evident cxlCrTlllly.
The abdomen is soft and .llghtly prolubcranL HClled suraiCllI SCIn are not noted. The cxlcrnll
genlllila arc those oft nonMlldull male. Thc~ is I superficial decubitus ulctl'on!he mid-lower
bIc:k.2 Yo x 2 inches. The anlll is withoulllOlC.

The Clll~rnilics show the jlfClotl'ICC of. few healed ICIrt on the shin and I few conlusions, bUI no
evidence Ofn.clurcs.llcenl1ions or deformities. T1Im: is pilling cdcml of both leiS and fcct. The

fll1&CmIIlls are Inllcl. TIIlOO5 lin: not noled.
CLOTHING AND PERSONAL EFfECTS

•

No clothinl or personll effects ICcompany the body.

MEDICAL INTERVENTION
• Triple lwne:n Intnvcnous CIIthetcr on the riaht side of the neck
• F~lcy CI1hcter with collection Ilea willi bra...." urine In the bIa .
• EKO Ic.Id on lhe. rip side of the beck
• CIClt dressing on the mid-lower b1ck
• Contusions on the Ibdorncn IlId uppcrextmnilles; l$$OCi.tcd with needle punc:lW'C .tel
RADIOGRAPHS

A complete set ofposunortem radiographs i. obtained and OcrnonstraleJ no fraclUfCI.

EVIDENCE OF INJURY
Then: is no cvidcnc:e of rccc:nlsi,nificanlinjury.

MEDCOM 0858

ACLU Detainee DeathII ARMY MEDCOM 858

AUTOPSY REPORT(b}(6}
AMHED, Rafah Abdul A] Kadef"--

l

INTERNAL EMMlNtJlOl'i
BODY CAymES'
The ribs, sternum. and vcrtebl1l1 bodies lie vilibly and palpably inl6eL No adhesiOllSare present in
any of the: body cavities. T1ICft is approkimately 250 ml ofserosanguinous nuid in UlCh of the
pleural cavities. All body organs are present in normalanatomk:al position. The subo;u\ancous fat
layer oflhe abdominal wall is I inch thick.

HEAD AND CENTRAL NERVOUS SYSTEM;
The galeal and subgaleal soft tissues oftbe sealp are free of injury. There lie no skull fracturcs. The
dura mater and falx eerebri are intacl. ~ is no epidural or subdural hemorrhage present. The
leptomeningcs are thin. delicate and .distllly opeque. The: crrebl1ll he:mispltercs arc: symmetrical.
The SlNetures at the base of the brain. ineludina eranial nerves and blood vessels lie intael. Clear
eerebrospinal fluid surrounds the 1420-aram brain. wltk:h has unremarlcable gyri and sulci. Coronal
sedions thrtlugh tbe eerebl'1.1 hemispheres reveal no lesions. T~rse sections thrtlugh the brain
stem and eerebellum are unremarkable. The atlanto-oe:eipitDljoint is stable.
NECK:

The anterior strap muscles of the neek are bomoienous and ted-brown, without hemorrhage. The:
thyroid eartilag:e and hyoid bone arc: intact. The larynx is lined by intact white mucosa. The tongue
is free ofbitc marts, hemorrhage. or Other injurics.

CARDIOVASCULAR SYSTEM:

The 400-aram heart is eontained in IlII intact perieanlial 51(:. The epieanlial SunKIe is smooth, with
minimal fat investment. The eOl"llnary aneries are present in a normal distributlon, with a rightdominant putent. Cross se<:tions of the: vessels show no signUieant atherosclerosis. The
myocardium is homogenous, red-brown, and firm. The valve leafleu are thin and mobile. The
endoean:Iium is smooth and glistening. The aorta gives rise to three inla<:l and palent arch vessels.
The mlal and mesenteric vessels sn:: unremarkable.
RESpiRATORY SySTEM:
The upper airway is dear of debris and foreign material. The mucosal surfaces are smooth, yellowWI and lIIIfC:ITlaIbble. The: pleunll surfaces tee eovered witlt purulent exudate bilatenllly. There are
multiple mass lesions palpable in aJllobes of the lung. The pulmonary parenchymn is markedly
eongested and edema.tous. exuding moderate to large amounU of blood and fTothy fluid. Sectioning
reveals multiple llOlI-easeating, llll-yellow mus lesions ranging in size from 0.6 em to 5 x 3.75 cm.
The pulll1OlW1 arteries are normally developed, pnlmt and without thrombusor embolus. The right
luni weighs 1040 grams; the left 790 grams.

MEDCOM 0859

ACLU Detainee DeathII ARMY MEDCOM 859

•

AUTOPSY REPORT (b)(6)
AMHED, Rafab AbdW AI tc.der
HEPAJ'QBIUARY SysTEM;

The 1450-JTIITlliver hu an intaet srnoodl capsuleeoverina W1-yellow, modenltly eonaested
~ There are numcrous tan-yellow Jub.capsuJar and deep mw lesions Meat in tbr; liver,
ranginlin .ite &om L3 em 10 1.6 l S em. The pllbUddcroontail\S S ml of~-brown, mucoid
bile; the mueou Is velvel)' and IlIIl'eIYWbble. The eJ:tnhepltie biliary tree Is patmt, without
evidence of cakuli.
QASTRQ!NTESTJNAL SYSTEM;
The uopIII.p is lined by &:rIy.whitt,s:mooth IllUCOIL The pstric: mUCOSl is amnged in tbr; usual
1\1&11 folds IfId the 1 _ oonWI\S lOll ml OfWl nuld. The lesser and areatereurvlllWtS of the
dillalllOmleh, \be: proxill'\.ll duodenum, and \be: panr:ra.s ate finn and fibrotic. and are grossly
Involved by lilli-yellow _lesion IllCISUrinlIJ x 10 an. The remainder of the IUlIIllllld large

bowel Is~. The Ippendix II ~t.
OENITOURINARY SYSTEM:
The rilhllcidney weiahs 120 1J'IlN; the kft 120 pms. The renal capsules ate s:mooth md thin.
semi·lrMSpU'enllnd 1trippe4 whb ease from the underlying smooth, red-brown oortieal surfaee..
The 00I1eJ: It lllw'pIy delil'lelled ffOll1 the medull.,. pyramids, which ate red-purpJe 10 tanlllld
lIllmTII1UbIe. Theuly<:e1, pelves and ~ are unrematbble. The bladder oomains I Foley
eatl\eter and ~ II 'fIPl'OKinwely SO ml of brown urine in the collection baa- The ~ proswe
aland and Jeminal vetkle$1R: without nole.
LYMPHQREDCULAR SYSTEM:

The 1O-IJMlipleen has I smooth, intact CIpIUle ooverina red-pwple, moderau:ly firm pareoc:byma;
the lymphoid follieles are unrenwbble. Therein: numerous enlarged, tan-yellow lymph nodes in
the ltilar, periaortic, iliae,1IId retmperltoneal regions, I'IJlginlln lIi.7.:e &om S K2.S an to IS x I an.

ENDOCRINE SYSTEM:
The tilyroid Iland b enlarged and red-brown, with dif!\lse eystic ehanae. Then: are no distinetllllSS
lesioM identified. The right and left adrenal i\Inds ate symmelrie. with bright yellow ~ and
!'ed-bn>wn medullae. No areas of hemolriwlJ(l ate identified.
MUSCULOSKELgTAL SYSTEM;

No Jisnifiean.tlbnormalitiell of museIe or bmw; lie identified.

MEDCOM 0860

ACLU Detainee DeathII ARMY MEDCOM 860

,

AUTOPSY REPORT (b)(6)

AMHED, Rafah Abdul AI Kader

ADDITIONAL PROCEDURES
\. Doct.nenl.lry photograph, arc liken by OAFME ,tatr pholographen.
2. Spceimens retained for toxicology ICSllna Mdlor DNA idenlification are: blood, urine,
kidney, JPlecn. liver, brain, bile, pstrie torltenll, adipose tiuue, hclrt.lung. and ~

muscle.
J. The dbteCled orpns are forwarded with body.
4. Incisions oflhe poslerior torso and posterior upper and lower extremities demon.strMe
no evidence ofinjury.
MICROSCOPIC EXAMINATiON

Selected ponions oforpn5 lIl'l: retained in forma/in, wlth preparMion of(7) bistoJoay sli<lcs.
SIj!kKevi
\·2. Reboperit~llympb IlOde:s
)·5. Pancreas. stOll\.ll:h, small bowel
6. Liver
7. LIUli

Lun.. liver. ,~h, pancrc:u, _II bowel, &lid rebopel iloneal lymph nodes: MeWlltic mucinous
adenocarcinoma

MEDCOM 0861

ACLU Detainee DeathII ARMY MEDCOM 861

AUTOPSY REPORT (b)(6)

,

J

AMHED, Rarlh Abdul AI KadQl"

fiNAL AUTOPSY DIAGNOSES:
I.

MrtuUtk mUcillOU,i .duoarclllollUl ofille luliPt liver,
bowell~ IIlU11croultympll lIodn

n.

Evldtllce ofmedlCflJ IlItel"YClltlolI: AI l::iIled lbove

III

"ollUle~, paDerus,

ImaU

POitmOrtcIII ell"ln:
Rlcor mortis Is prulllt 10 I. elluI1 decree III Illutremilili
Lividity .. prcHlll a.d n..cd oa the posterior IUrfl« oflbe body, tllCepllll Iml

A.
B.

aposed 10 prusure

IV.

No idallifyllli mlrkl or IItl_.re k1mlifled

V.

Tol.icoJocT(AFlP):
A.
Volailles: No tllI.nolls detected lD •• e blood Ind al1ne
B.
Drop: Mo~1Dc, metoprolol, lIIc1odopramkle•• nd promel~uJlle Ire chleded
Ia Ibe uriae bUlllIlt lD lilt blood

OPINION

1'Jld 69 year old nulle. (b)(6)
died orlllell$lltie mucinow
adenoc:IrcillOlDL There weR IIlUIIlesions idtntirltd in Ihc: lunp, liYef. paDCreu. $I01nllCh, Ilnd
proxill'lll1lm&ll bowel. in lIddilKm 10 DUIIlCIllUI tnlarzo1 tymp/l nodes. Tbc:re was no evidence of
rubereulosis. 'T1lm wu I)l) cvidcot:e of rcccnt sipirlClDlll'lllmL TOJI:icolOCicaJ lIludies wtI'C
positive f..,. medication. consistent with hospitalilltiOft. The II1IIUlCf of death Is 11&1\l1'li1.
(bf(6T

)")(,,

(b)(6)

(bH6)

MEDICAL EXAMINER

MEDCOM 0862

MEDICAL EXAMINER

ACLU Detainee DeathII ARMY MEDCOM 862

-----

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\ledical Examiner

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MEDCOM 0863

,~

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....

.......1L

ACLU Detainee DeathII ARMY MEDCOM 863

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

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MEDCOM 0864

ACLU Detainee DeathII ARMY MEDCOM 864

ARMED FORCES INSTlTtTrE OF PATHOLOGY
om« of Ibe Annd FolUI Medlell En_liter
1413 Research Blvd., Blda. \02
Rockville, MD 20850
301·31~

FINAL AUTOPSY REPORT
NIlI'ne: BTB Salin, Khatib AlwIId
Dcwnce Numbcr;(b)(6)
Dall: of Birth: 11nknnwn
DIIl:eofDcalb!(b)(6) 12007
DIlll:lTime of AUIOPSy~b)(6)J2007Hb)(6)
Dale ofhpor1; 3\ July 2007

r

Autopsy Nn.J!bf")(6"l_
AFIPNo.:ll b}(6}

RMk: Civilian

Place of Death: Iraq
PI," of AutoP5Y: Pon Monu&Jy, Dover AFB,
Dover, DE

Cln:uaullbca ofDeJllb: This Iraqi civilian wu ~ly Shol multiple times by US Army
IOldlcrson 23 J~ 2001. He wu transported 10 the 506" Expcditiollll}' Mcdiea1 Sqllldron where
he underwent surgery for aunshot woundo-.He wu transferred to the 3~ CombBl Suppan Hospital
fot further treatmefll, whm: he died onl(b){6) 2001.

A,lb.rizltiOb for AUIOply: Armed FtmeS Mcdieal Examiner, per 10 U.S. Code 1471

IdCIIlllicattH.: Prnumptive identification is established by examil'lltion ofpapcrworlt in the case
file. Post-mortem fingerprints and a spc:c:imcn $llitable fOl" DNA analysis are obtlincd.

CAUSE OF DEATH:
MANNER OF DEATH:

HOllllclde

MEDCOM 0865

ACLU Detainee DeathII ARMY MEDCOM 865

AUTOPSY REPORT(b)(6)

]

2

8TII SAUH, KNlab A!WId
EmRNAL EXAMINATION

The body is lhat of. _ll-devdopcd, well-novrisbed unclrod nWe. The body -iabs 21) pounds
tnd is 7{) inehes ill lmath- The body is cold. Rigor is tblcnL Uvidily is present tnd fixed onlhe
mlcrior md poskrior IIIIfIlCe oftbc body, ncept In lIeU expoted to pressure.
The hetd is nonnoeephtlic, and Ibe xtIp hair is I ineb in Jenllh. strIight and bltc:k. F-=i.. hair
conslstsofmollS!lcbe and beard. The Irides lite brown. The COlllele are cloudy. The conjunctivae
lite eonleswl. The selene an sliffused. The e:lIemtl auditory etntls. extetNllIIf'elI tnd on.! etlvlty
lite free of foreign materi.. trod abnormal secm.ions. The nIIIi skeleton Iftd nwtllt.. are peJpebly
intICI. The lips are wilhollt evident iJlillt)'. The teeth are rw.tIIral md In good condition. Examination
oftbe neck reveals DO evideDce ofinjlll)'.

The dlest is lIIVerlllVkable. No evidellCe ofinjlll)' of the ribs or the sternum is evident externally.
The abdomm is 10ft and slightly protIIberanl.. Healed lIIfJicallC&I1l1li not noled. The exte:mal
senita/ia are !hose ofa norm" Idlill circwncbed rnaIe. TIle anllS is wid'lollt nok.
The distal phalanx oftbe left 3'" dilit Is aNenl. The fingernails II'I!i inlaCl. T'here isedema oftbe
IIpper exlr'emilies. There is SkillStlppe.ge of the upper and lower exlr'emlties. There are mliitiple
blillae on the lower extremities, ranginS in size from Y.-Inch to I Y.-inches. ibere are I few healed
scan 011 the shiM. Tilloas are not noted.
Cl.OTH1NG AND PERSONAL EFlECIS

•

No clothing OJ' pomonal effects are received with the body
MEDICAL INTERVENTION

• Triple I\llllCD inlrlvCflOIll etllheter with overlyina dressing, left subcl.vian resion
• Ino-..eollS etltheter puncture site, stemlllD
• Chut lUbe (left sixUt intereo5tal spICC), with 12-inch sutunld incision
• VertiCll incision, 12 112 x I Y.-inchel, extendina from the mldchest to the IIlid.... b<\omen
• Wrapping, gauu, and armboard, riiht &ml trod forearm
• Wrappin, and 1IIW:,Ieft ann and fOreaml
• Oaua dressilli on Ute left side of the Ibdomen
• Intn.vcooua eatI1eteT in the right femoral reSlon
• Foley calbeter with aua.ched eollec:tlon baa
• Multiple SUlJica1 clips noted in the held. torm, and exllcmities
• Debrided wound on the rightsholllder, 2 1/2 x 2·lnches
• SlIrJlcalabsence of lhe left kidney trod rt-6lIIStOmDIis of the des:endinl colon

MEDCOM 0866

ACLU Detainee DeathII ARMY MEDCOM 866

AUTOPSY REPORlj(b){6)
BlB SALlH, Khatab Aswad

3

RADIOGRAPHS

A eomplelc sct ofpc»l.mortem radiopplLs if obtained and dcmonstrltcslhc medical intervention
u described above:. P1euc ~ "Evidence oflnjury~ for further radiologic findings.
EYJDENCt: QF INJURY

The ordering oflhc following injuries is for dc:seriplivc: PIll')lOSC5 only, and is not intended to imply
order of infliction or reLative: sevo:rity. All WOWld pathWllYs arc aiven relative to standard IIII.tomic
position.
I.

Multiple (5) Gunshot Wounds:
A.
Superficial perfo@tingaunsbotwoundo(*belli:
On !.be right cheek is a 3/4 It 5fl6-ineh gunshot entBncc woW'ld with a 1/16-If8.ineh
inferior·medial marginal abrasion. The CC11cr ofthc wound is located 5 ~inehcs below the
topo(the head and 2 %-inehes ri&ht ofthc anterior midline. There is no gunpo\llder stippling
or soot deposition on the S1lTOunding skin. The bullet injures skin and subcutarlCOustistue.
l'bere is a I 114)( Yo·inch gunshot exit wound on the: ri&ht side ofthc face, the centero(
which is located 4 V,-inches below the top ofthe head and 4 ~incltes right of the anterior
midline. No bullet or bullet fragments arc I"OCOvercd. The direction oflhe wound path is
front to blCk, left 10 righi. and upwards. Associated injuries include a 314 It IJI6-inch &rlZC
gumbot wound on the helix of the right car with a 3116-inch marginal abrasion, located 4inches below the: top of the head and 6 'I.·irchcs right of the anterior midline, and
hemorrhagc along the wound path.
B.

GWlibol wound pfthe fq:
On the left cheek is a IIS·inch in diameter circular gunshot entrance wound with a IIS·ineh
C~lIlI\ferential mara;nalabnsion, IocatcO 5·inches below the top of the head and 2 Yoinches left oflhc anterior midline. There is no gunpowder stippling or soot deposition on the
surroundina sldn. The bullet inj\I"C:S skin, subcutaneoldtissue, left zygoma and left rn&ltill..
soft tissues of tile face, sphenoid bone, and the mastoid ploccss o(the rightlenlpotlll bone
(fractured). There is a 3/4 It Yo·inch inegular gunshot elCit WOlald posterior to the daht car
with JIt associated I 1/2)( Yo-ineh superiorabrasJon, centered S 'h-inches below the top of
the head, and 4-inchcs right of the posterior midline. No bullet or bullet fragments arc
rccovercd. The direcliOl'l oftbe wound path 15 front to back, left to right, and downward.
Associated injuries include ript parietal subdural hemon1\age {approximately 2 mil,
contusion of the right parietalltcmporallobc, subencltnoid hemorrhage o(bolh parietal
lobes, the right lernpottlliobe. and riaht cerebellum, (racture of the ri&ht temponl bone of
the calvarium, fractures of the right middle and posterior cranial fossae, and hemorrhage of
1M rilllt temporal;1 muscle.

MEDCOM 0867

ACLU Detainee DeathII ARMY MEDCOM 867

AUTOPSY REPORT (b}(6)
BTB SAL/H, Khalab .....SWId

4

C.
Gunshot wgllDd oftlle blck;
On the lower left beck Is a 3/16-inch circular PUnsbol entlllllCe wound with a 1/16inch dr<:umferential marginalllbrWon, Ioealed 30 'h-inehes below the lOp of the head and 2
"I1-lnc~ left of\he posterior midline. There is no punpowder stippllnp Of soot deposition
on the sunoundinB skin. 'T'he bullet inj~ skin, sub<:utaneous tissue, left psoas muscle,
deseendina colon (surgically re·anastomosed), small bo'ollel (,.,-anastomosed on 231l1l1C
2001 per operative !\Ole), and abdominal wall. The lel'! kidney and lel'! adrenal gland IIl'e
swgically absent and cannot be evaluated for inj\ll')'. There are three gunshot Cllit wounds on
the upper lel'! side of the abdomen. The superior wound is v.·inch in diameler, and is located
23 'I.-inc~ below the lOp ofthc head and 2 Y... inches left of die anteriM midline. The
milklle wound is 7/!6·ineh in diameter, and is located 2S v.-inehes below the lOp ofw head
and 2 'n-inches left of die anterior midline. The inferior wound is 3/16-ineh in dJarne!er, and
is located 2S 'I.·inches below the lOp of the head and 2 v..inehes left of the Il'lterior midline.
A metal m.grnent is IttOvered from the SUhcUlalleOUS tissue underneath the middle exit
WOW'ld. The direction oflhe wound palh is beck 10 front and upward, with no signiflelllt
leftlright deviation. Associated inj\ll')' inehadcs hemonilage along the wound path.
D.

GUMbot WP'Hld oew riAb! ann:

On the anterior righl arm is a 112 x \'.i-inch oval &unshoI entnnec wound with a I x 'A·inch
superior and lalertl! marsinal abrasion, ecntem:l8-inellCS below the top of the shoulder and
'h-ineh left of the anterior midline of the arm. There is no 500t deposition or 8unpowder
stipplina on the SUITOunding skin. The bullet injures skin, soft tissue, and the rightlnlmerus
(fraetured). There is a 3 \'.i It I Y,-inch gunshot elit wound on the posterior riabt arm,
ecn!ered 6 \o!rinehes below the lOp of the shoulder and 3-lnehes right of the poslerior midline
of the arm. No bullet or bullet fraaments are ~ercd. The direction of the wound pdt is
front 10 back, left to right, and upward (with the upper extremity in analOmie position).
Associated i!\iury includes hemorrlll&e aklng the wound path.

E.

GUllSbll! wound of!be left arm:
On lbe posterior left arm is a 3/1~inch in dlame!er gunsltot entranee wound Ioeated 10 "11ine.hes below the top of the shoulder Il'ld 2 v..ineltes left of tile posterior midline oflbe ann.
There is!\O soot deposition orsunpowder stipplinll on the sunounding Ikln. The bullet
injures skin and soft tissue. ThCTle is a 2 \'.i It I l4·inch gunshot exil wound on the medii!
ISpee! of\be left elbow, eCll1ered !4-inches below the lOp of the shoulder 1m! 2 "I1-inehes
riaJtt of the posterior Dlidline of the arm. No bullet or bulle! fragments are recovered. The
direction ofthc wound path is back 10 front, left to right, 1m! downward (with !he upper
ntmnity in anatomic politicn). Assoeiated injury ineludes hemOfThalle alona lhe wound

po".
II.

Additional Injuries: There is a 2 Y, x 2.inclt debrided wound on the: right shoulder. There is I
'l.lt Y,-inch abrasion 01\ the naJtt knee. There is a "I1-ineh abrasion on the antCt'ior rig/liles.

MEDCOM 0868

ACLU Detainee DeathII ARMY MEDCOM 868

,

AUTOPSY REPORT (b)(6)

BTB SAUH, J<hauIb Aswad

INTERNAL EXAMINATION
BODY chymES·
The body is opened by the usual tboraco-abdominal incision and the chest pllte i$ ~ed. The
ribs, slernum, and vertebrlll bodies are visibly and palpably intact. There is SO ml of!efOSAllguinoUli
fluid in !be righl pleurli ~vll)'. 'There is 50 ml of se/OSlll&uillOll5 fluid in !he peritonelll cavily.

1bm are billlleral po$Ierior pleural adhesi0rt5. All body organs ue presenlln nonnal atIIlomiCII
positiQll. The subcullneouS fat Ilyel' of!be abdominal WIll is I inch thick.
HEAp AND CENTRAL NERVOUS SYSTEM:

See MEvidence oflnju'Y". The scalp is reflected. The calvarium oflbe skull is remo~. The dlll'8.
mller IIId flllx cerebri life inlllCl. 'There i$ no epidunl hemorrhage pre;ent. The leptomeningel Ire
Ihin and delicale.. The cerebl'll hemispher=: life syrnmeuiCLl. The SllUl:lUres 1Il1be base ofthe brain,
includina aanill nerves and blood vwels me intlel. The brain weighs 1480 i~. Coronal
sections throuih the: em:brIl hemispheres reveal no non-traumalic lesions. Tl'IlISverx secLions
lhrough the brain SICm and cerebellum In: unremarkable. The lIlWtlo-occipitaJ joinl is suble.
NECK:
The anlcTior strip muse]el of the neck

life homogenous and red-brown, wilhoul hemon1Jaae.. The
lhyroid CIltila8e and hyoid bone are inlllCt. The III)'lIlt is lined by intatt while mucosa. The \Oniue
is free ofbilc marb, hemorrhage, or Dlher injuries. Incision and disseclion oflhe posIerior lle(:k
demonstnltes no deep plI'IICervical musculu injury and no cervical spine frIetures.

CARDIOVASCULAR SYSTEM:
The 390 gram heart is contained in lID intact perieudiaJ

!lIC. The epiClll'dial swfaee is smooth, with
minilTl.l1 £til investment The coronary arteries are presenl in a DOIltIlII disuibulion, with a righldominant plltmt.. Cross sections of tile vessels show no signHieanlatheroscletosis. The
myocardium Is homogenous, red·brown, and linn. The cndoeanlium is smooth and ali$lening.
The aorta gives rise 10 three inllet and patenlllll:h vessels. The l'Cnal and mesenteric vessels life
llllremarkllble.

RESPIRATORY SYSTEM:
The upper airway is clear of debris aDd fOlei&/l material: the mucosal surfaces life smooth, yellow>
llIJI and unremarkable.. The pulmonary parenchyma is dil'fuscly consested and edmLlltous, elludill&
moderale 10 tatgC amotIlI!S ofblood and frothy nuid: no fDCIllcsions In! noted. The pulmonary

lIr1eries ue nonnally developed, patenl and wilhoullhrombtu or embolus. The right lung weighs
980 grams: !he lefl8S0 iI'IffiS-

MEDCOM 0869

ACLU Detainee DeathII ARMY MEDCOM 869

AlfTOPSY REPORTI(b)(6)

6

BTB SAlIH, Khatab Aswad
HEPATOBIl.JAAY SYSIEM:

The 1610 gram liver ha$ an intact smooth capsule covering darlt red-brown, moderately COllgc:sted
parmchyma with no focal lesions noted. The gallbladder con~RlI 10 ml of ~-broWll, mllCOid
bile; the mUOOSll is velvety and un~markable.The utrahepMic biliary tree is patent, witllout
evidence ofcalculi.

GASTROINTESTINAL SYSTEM:
See "Evidence of Injury". The esopllllgus is lined by iJ1ly-wtUte, smooth mucosa. The gastric
mUC0S8 is ImIflged in the: usual rupl fold.s and the lwnc:n con~RlI 30 ml of WI fluid.
No non-traumatic les.iORll of III<: small bowel and colon arc identified. The pancreas lias • Il()l'Tl"II,I
pink-tan Ioblllaled appeannce and the duclS arc clett. The appendix is praml.

GENITOURINARY SySTEM:
See "Evidence oflnjury". The right kidney weighs lllO grams; the left kidney is absent. The renal
capsule is smooth and thio, semi-t.ransparent and stripped with ease from the underlying smooth,
mi-brol/r'l1 cortiell surface. The cortex is shafply dclinea&ed from the medlllllll)' pymmid.s, which are
red-purple to WI and unremarkable. The calyx., pelvis and ureter arc unmnarkable. \\!hite blllldder
mUOOSll overlies an intael bladder wall. The bladdereonwns lIplW'Oximately 20 ml of clear,
yellow/dalt urine. The teste!l. prostate gland and seminal vesicles are without note.

LYMPHORETICUbAR SYSTEM;
The 210 gram spleen has a smooth, inlaCl capsule covering red-purple. moderately finn
parenchyma; and the lymphoid follicles arc unremllbblc. Lymph nodes in the hilar. periaortic and
iliac: regions are not enlarged.

ENDOCRINE SYSTEM:

See "Evidmce oflnjwy-. The thyroid gland is symmettic and red-brown, without cystic or nodular
change. The right admlaI gland is symmetric., with bright ~now cortices and red-brol/r'l1 medullae.
The left IIdrenaIIlJand is absent. No masses or areas ofbemo~ are klenlified.

MUSCULOSKELETAL SySTEM:
See ~Evidcnce of l'liury". No non-traumatic abnonnaIities of muscle or bone arc identified.

MEDCOM 0870

ACLU Detainee DeathII ARMY MEDCOM 870

AUTOPSY REPORT (b)(6)
81'8 SALlH, Kha1ab Aswad

7

ApplTIONAL PROCEPURIS

1. Doeummtlry pholoaraphs arc Iaken by OAFME stalT photOI"lpbm..
2. Specimens mained (or tox.icoloaY testing and/or DNA Identification are: vilrCOlIS nuid,
blood, minc,llplcen, brain, bile, pslIW contents, psoas mutele. hean,lung. IiYCr.
kidney, MIl ldipo$e lissue.
3. The dissected orpns are (orwarded with the bod)'.
4. Trace evidence is collc:eted and maincd by Special Aaml lb )(6) US Aim)' C1D.
.5. Incisions of the poslerior 1011O and poslcrior upper and IOWCTexlrenlilies
ckmQnstnle no evidence ofinjwy.
MICROSCOPIC EMMINAIION
Sel~ portions

ofora- are re..ned in (onMIin, withoul preparation of hlslOlol)' lUGes.

MEDeOM 087\

ACLU Detainee DeathII ARMY MEDCOM 871

AUTOPSY REPORT{b)(6)

8

8lB SAUH. Ktuotab AsWlld
FINAL AUTOPSY DIAGNOSES:

I.

MIIllpJe (5) cuolbot wouadl:
A.
Superf"I¢'-1 petfo~lI.IIItDlbol wOClad oftbe head:
I. Enl~oce: RIabl cbeek; 1tO.clOt or l'"lpowdcr IttppUna 011 the Ikln
1. Illjury: Skin lad labculiMOulluue
J. E:J.il: RIcht Itde ortbe face
4. Recovered: No balld or bullet fTqlftellll
S. Wouod pllb: Froal to blck, left 10 riPl, and upward
6. Auoel.led illjuriet: Gruc (IIIIlIbot wOllod oflbe tigbt car and ltcmorrll'le
alo0llhe wooDd pltb

B.

GlIolbol wOllnd oftbe bcad:
I. [otraoce: Left cb«k; 00 fOOl Of' cuopowder 11Ippllnf; on Ibe Ildn
1. IIIJury: Skin, lOft 11II1Ie, Icft Z)'IOIIII ad IIIUml, Ipbfllold bone,lad riabt
...told proecu
J. EsJI: POllerior 10 the riPl Clr
4. Recovem: No build or build fralllleoll
5. Wound p.tb: Fronl to back, left 10 rip" lad downwud
6. Auocl.ted InJuriel: S.bdural.Dd lobarachnold beDlorrb'le, Ikull
ftllcfatCI, lad eoallilloDl oftbe brala

C.

GUlllbol wouod oftbe blck:
I. Entrance: Lower left back; DO _lor pnpowlkr ItlppUol all nle ,kin
1. InJlIry: Skin, labclltaAeOu llulle,left plOllS mUICIe, deicodllli colon,
111I111 bowel, Ind Ibdo.inal wall (11M: left ItkIney lad adrenlilland Ire
lurgkally IblCOI lad c.oaot be ev:alulted for injory)
J. idll wouodl (3): Upper left Iide oflbe Ibdomea
4. Recovered: Met.1 hlDlCOI from Ihe IlIbcutlnfllUi tillue oftbe left lide of
Ibe Ibdolllca
5. WOllad pltb: Blck to fl'Wlt lod upw.rd, wilbout Jllolfkuu IeRlrlaht dev'-lioa
6. Auoct.led Injury: Hemorril.qe lloaClbe wouod pllb

D.

GUlUbol wound of Ihe ripl ItIII:
I. Enl~ace: Allttrlor riPt Ina; 110 1001 or lUapowder llippllag 00 rile lkia
1. Injury: Skin, lOft tbllIe, .od rtabllllllllCrua
J. Edt: Posterior richl .....
4. R_nrcd: No buUd or build fnlpaeoll
5. Woaod pllb: Proat to blck, left to ripl, lad up"'lnh
6. Auocl.led Injury: HelDontlllt lloollbc wooad p.th
GUDlbol wouod oftbe left a.na:
I. Elliraoce: POllerior left ItIII; 110 fOOl or lunpowdcr IlippUnl on Ihe skin
1. lojury: Skill lad 10ft tklue
J. Elit: Medllllcft elbow
4. Recovered: No ballet or buRet '~amCIIIs
5. WOllad palb: Bltk to frool, Icft 10 ri&h" .ad downwud
6. AslOdlled Injury: He.orrlulae .10111 tbe wouad p.lb
MEDCOM 0872

ACLU Detainee DeathII ARMY MEDCOM 872

,

AUTOPSY REPORT[(b)(6~
BTB SALIH. Khllllb Aswad
II.

Additlolll.llnjuria:
A.
Debrided wotlad orlbc ri&:ial Ibouldu.:Z 1'1. II :z-t"d1cs
D,
Abl'lliioal ortbe rlabllowe:r uh'emlty. f'lqinll" Jiu!'toID III 10 314 II ~ Incli

III.

No Ilpllka,,1 "llul'IIl dinaH II k1eatlfled wlthl. 1M I.illlllal\oll' orlbb IgIOps}'

IV.

Evideaee: orMtdicallnlerveutlo,,: P"'ItfII ... dacrlbed lbovc

V.

Poal.morle:1Il ellltiCes: SllJa IllppaCt ortbe .. pper I"d lower ulftmllm alld multiple
b.llat or lbe lower exirelllftiel

VII.

ToIiallol)' (AFIP):
A.
Volatllel: No e:lhlnolll deleded In Ihe blood lad 'Oilreou. nukl
B.
Drup: Miduolllll II dd«1ed I.. n,e: urille Ind qlllatlhlled In the: blood II I
eoa_lntion ar 0.027 mgIL. l·Hydroil)'lIlldazolam II dd~ltd III lbe .. rille: bUI
"ollbe blood. Morpbl"e: II dncded hi dlc arl"e: alld qUllltlhll1/d lalhc blood II
I eo,,"atl'lll6oa or 0,49 mJ/L.
C.
ClrbO" MOllodde: The arboI)'bclllopbla ..tDl'lltiOIl III Ibe blood II Ie.u IIwl

1%
D.

Cylaide: No "Ialde II dec«ted In Ibe blood

Ol'INIQN

This haqi detainee, 8TH (b)(6)'----:Jdied ormulliple (5) gunshol wowids orlhl: IIcad (2).
Illl'S(l (I). right upper extmnity (I), and kft upper extremity (I). Gunshol wowid (A) of the hcacI
was I superficial perfol'llling wound and injured skin and lubc:ullneoL15 tiuue only. GlIlI5hot ""'OW>d
(B) of the IieBcI injumllhe.soft tisslles ortbe face and was associated with skull fractUl'C! and injury
to the Main.. Gunshot wound (C) of the back iTliUJed soft tissue, small bowel, and the descending
colon. The: left kiclney and adrenal gllllld wen: suraically Ibsent and could not be evalll&ted for
injury. The ttlree exit ~unds associated with gunshol wound (C) are c:onsistent with bullet
fTagrncntatlon. Gunshot wound (D) of the right arm lnjuted sofllissue ancIthe ripl hUDlC!\ll.
Gunshot wound (E) of tile left arm injured soft timle. There wu no evidence of dose range
discharge of. fiteeml on \be skin 5UITOUIllfutgany of the Illllllloot entrance wounds. A meta.l
fragment WIl5 recovemilWOCillted with llunshOi wound (C). placed into I labeled e'Oiden"
container, andl'!:tained by Special Aaenlltb)(6) US Army CID. TOllicologiea! finding, did not
contribute 10 the I:III5e and manner of dulh. 'The manner of Gealb is homicide.
(b)(6)

1
~'b~"~"'==3ME:D1CAL EXAMrNER

----l

l(b)(6) --')MEDICAL

EXAMtNERj_'b_"'_'

MEDCOM 0873

ACLU Detainee DeathII ARMY MEDCOM 873

J

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MEOCOM 087..

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__...........

ACLU Detainee DeathII ARMY MEDCOM 874

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

048f'08rTON OF REMAINS

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REGISTRATION Of VITAl. STATISTICS
REGI

RY (

OWl!

.na

OO<llI)')

!>ATE REGISTERED

FILE NUMBER
STATE

NAME OF FUNERAL OIRECTOR

OTHER

ADDRESS

SIGNATURE OF AUTHORIZED !I'IDIYlllUAL

DD FORM 2064, APR 1977 (BACK)

USAPA VI.GO

MEDCOM 0875

ACLU Detainee DeathII ARMY MEDCOM 875

ARMED FORCES INSTrrtrrE OF PATHOLOGY
O~ oftbc: A"IIed Form Medklll Enamer
loll) RcsutCh Blvd~ Bldg. 102

Rockville, MD 2<lISO
1.]01.] 19-OOIXl
PINALAUTOPSV EXAMINATION REPORT

Name: (BT8)Al·UMARl, Abd AI-iWlman M.
lSN:(b)(6)
o.leofBinh: (BTB1.ill(6) 19n
Dale of Dulh: (b)(6)
2007

Dale!runc: 0( Autopsy: 01 roN 2007@ 1230
0."" of Report: 20 roN 2007

AlilOpsy No.: (~(6)
AFlP No.: (b)(6)

Ronk: Civilian-Delainee=-J

P\aee of Dwh: Camp v.
Guam-mo 8lIy, CubI
P\.Iee of Autopsy: GUllltarlllllO Bay,
C,,"

Clrc••ltlDces of Dnlb: This lS·year<lld mtk civilian dclaince 01 Guontuwno Bay,
Cubit ...... flUId hanain, by his ned. in his cell with llipturc made ofbraidcd sbips of
bed sheet. By report. similu fabric bound hil htndlloo!ely ~hind him. A11hou&h
ACLS protOCOls wat followed, he eollld not be rnusciwed.
Alllboriutloa for Alltopsy:

omcc of the Armed Forces Medical ElIaminer,lAW 10

USC 1471.
IdeQlUkatloa: Positive identifiCillion ofille ISN number is cstahlishcd by com..,uon of
a postmortem DNA sample and antemortem DNA m:ords.

CAUSE OF DEATH:

HANGING

MANNER OF DEATH:

SUICIDE

MEDCOM 0876

ACLU Detainee DeathII ARMY MEDCOM 876

FlNAL AlITOPSV REPORT:I~(b~){~6)
AL-VMARI, Abel AI-Ra.man M.

J

FINAL AUTOPSY DIAGNOSES
I,

Evk!t!l(e or Hanelna
A. The suspected ligature ltad been mnoved from Itlc body prior 10 examination.
[I is availlible (orinspeclion and consists o(a 22-II2-inch. three-stnnd braided
lipl~ eomposed o(white oouon malerial. The Iigat1.ll'e measures on
aYeRKe, ¥.-il'll;h wide and 'It-ineh lhk.k. At one end of!he liplute is a loop
(ormed by tying the ligalure to iuel(. Eight inches from the loop end is a 4inc:h area ofsoilina wilh attached dark hairs.
B. A brown 10 llJ"Iy -Ian, 9 1f8-il'lCli discontinuous lipltue furrow is on lIM:: skin
oflhe netk and is direcled obliquely upwardal approximately 4S-d~ on
both sides oflhe ~k
C. The ligalure furrow ~ros:ses lIM:: IIllperior third of the thyroid canilage, 9 lflinches below lhe top oflhe head and lhen eJF:t~nds $Uperiorly on bolh sides of
the neck. ending I_inch below the lobe orille righl ear and passing 2-inchcs
below !he lobe of!he left ear.
D. The highesi point of the furTow ;sloc.ated on !he back of the neck, 6l1>-inches
below the top orllle head and on the posterior midline
E. The widlh of the lipture furrow ranges from Yo-inch 10 JIB-inch.
F. The depth of the furrow ranges rrom less tltlil III6-inch (posterior) to Ill-inch
(lel'l)

G. There is a I Y. x SIi-in,;h abr1tlion on lhe ri&ht side o(!he ne<:k
H. A layer-wise anterior ~k dissection shows 110 injury to the underlyina soft
tissues or hemorrtlage into the $Irap muscles. The hyoid bol'le and Ihyroid
culi1aae an: inlllCt
I.

II.

Associa1ed injuries:
I. The face ia suffused with scattered petechiae on lhe skin
2. Petechiae on the bulbar and palpclnl c:onjunetivae, bilateral

OIlier I..jurles
Supo:rfi~ial.

incised wound on the riihl second (fore) linger. liS-inch
B. Superilcial. incised wound on the left second (fore) linger. y...ill(:h
C. Abnsion on Ihe righlthumb, 118 It IfI6-inch
D. Clustcrofabrasions on lhe posterior right forearm. ranging ill size from
punctalc 10 V. x 1/16-inc:h
A.

III.

Then is.o evideDce of pb)'ljea,labut
A. A complete skeletal survey is negaliY<: for fnlctures by radiology
B. RaliolVlPhs oflhc cerviCll spine lW negaliY<: for fl1lCtureS or dislocalioll5
C. Posterior neck dissection is negative for 110ft tissue or bony
D. Posterior inc:isions oflhe tolSOand eJF:trtmilie! are negative for soil: tissue
lnJ\If)'

E. There is no soil: tissue e¥idelll:l: of recent bindins around the wrists.

MEDCOM 0877

ACLU Detainee DeathII ARMY MEDCOM 877

FlNAL AUTOPSY REPORT: (b)(6)
AL-UMARI, Abd AI-R.II.111 M.

'"eJ of.

IV.

Nll.lplncsllllllluni dluua or p~xbfiat:cODdlllolu Ire k1eDllficd
wilitia lite Ilmllllloll. o( Ilib nlmlllifloll

V.

Evldellu o( MedlCiI Tltentpy
A. Endlltraehellllube (properly placed)
B. Cardiac plCing pads on the anterior IIId left chest
C. Multiple el~frocardiogBtD electrodes on !be anterior lona IIId bolh lU'TI15
D. Needle 5tiek-marb in bolh anteeubi..1foUK and on lhe dorml surf.ee. of the
left hind IIId rigltl (001

VI.

Foal-Mortem Chlllia
A. Rigor i. passing Illd equal in all exlremities
B. Lividity i. posterior and fixed n;ccpt in atea5 n;posed 10 pressun:
C. The bod)' temperatun:: is cold to touch. stalu! post refrigeration

VII.

Idelllity_, Bod)' Muks
A. Puckered, dR:ular ICII" on the medial riaht WtUt. I-inch diameter
B. Puckered SCIt on the medial left wrist, I Y; K I Yo-inch
C. PiBJnCllled papule on the right blc:k, lIB-inch diameler
D. Pismenled papule on the rislll bultock. 1/16-inch diameter
E. Linear pismm..tion on the left bUlloCk. 11. x 1/16-inc:h

VIII. TOJ.lcoIOlY

A. The blood and vitreous fluid are U!SIed for C1fwIoI and none i. fOlllld.
8. The urine is ncplive for ~ncd medications (including Mefloquine) and
drugs of abuse and nolle IJC found.
C. The blood is tested forcarbon ITIOllOJ.ide and c)'anide and none Is found.
EXTERNAL EXAMINATION
The body is that ofa _ll-developed. _II-nourished ~aring. thin, 66-ineh. 140polmds (C!timated) mile whose appearance is )'OUnger than the repot'led age of3S-)'eII'S.
Uvidit)' is poslerior and violaoeous except in areas exposed to pressun::. RililOr is full and
equal in all eXll'ellIitiC$. The lemperllUre of the bod)' is IILII of the refrigeration unil.

The head is normocephalic altered and the scalp is covered with dark hlIir in I nonnal
distribution. The skin ofllle face is c:oogested and suffused with scanered petechiae,

FaeiaJ bair COl\Jisu Dr. full beard and mollSllChe. The irides are br'oWll, the COfllCllC are
hazy and the pupil. are l"OIInd and equal in diameter. The cortiunc:livac have pdeehillC
scanered on both the bulblt and pllpebnllsurfaees, bilatenlly. The eXlernal ludilOry
can.rJ, are patent and free offo~iil'l material. The CIrS Ire UlIl'emar'uble. The nares Il/'C
palent and the lips are atrauntllK:. The nose and maxillae Il/'C palpabl)' stable. The teeth
appear fllltwal and in good condilion.
Injuries 10 the neck are described below (see MEvklmec oflnJWY"). The neck is straight,
and the ll1Ichea is midline and ITIObilc. The chesl is S)'Ttlll'1etric and the abdomen is fill

MEDCOM 0878

ACLU Detainee DeathII ARMY MEDCOM 878

FINAL AUTOPSY REPORT:1(b)(6)
AL-UMARI, AM Al-Rabmln M.

_

The postcriortOfSll is unrcmmable. The genitalil ~ those or. normalldult mile. The
peni$1IppeaI'$ to have been ci~ulTll:ised and lhe testu aJC descended and ~ of ma.ues.
Pubic hair is $/Javed, but present in a normal distribution. The bunoc:ksand anus are
unremarbble. There are pigmerwed papules on the right back (1I11-inch diameter) and on
the righl bunock (III 6-inclt diameter). There is an area oflincar pigmentation on the left

buttock that

meBSW'eS ~ II:

Ifl6-inch.

The upper and lower ell:lremilie$ arc symmetric and without clubbing OJ edema. The
fingernails and toenails are trimmed - ' Intact and arc otherwise IU1mTIaTklble. The
followina minor irijuries are noted on the extremities: There 1$ a superfK:ial, incl!ied
wound on the right seoond (fore) finger thatlT"n$UfeS JIll-inch and a $uperfiti.l, incised
wound on the left second (fore) finger that measures V..-inch. There i$ an abrasion on the
righl thwnb (111I x Ifl6-inch) and a eluster of abrasions on the po5lcriorria/lt foremn,
ran~ng

in si:= from punl:U1e 10 V. x 1I16-inth. A pue~, ti~ular scar on the medial
right wrist (I·inch diameter) and a putkered sear on the medial left wrist (I Y, x I V..inch) are noted.
CWTHING AND PERSONAL EFFECTS

The following clothing items and petSOll81 effe<:lf are prescnt on IIIe bod)' al the lime of
autopsy:

• Brown sham
•

An identifitllion bnlulctlltCOmpanics the mnain.s. bUI ill not al1ldlcd to
llI'1 extremil)'
MEDICAL INTERVENTION

•
•
•
•

EndotlXhealtube (properly Ioc:atcd in the tm:hea. .bove lhe tIl'illl)
Cardill<: peting pO are located 01\ the 8IIIerior righl t/le$t and the left
literal chest
EleclrOtlrdiogl'llll electrodes are on the llI'1lerior 101'$0 and the ell:lmnities
Needle stiek-mm$lTe located in both anle<:ubital spKcs, the dorsum of
the left hand, and the <lorsal right fOOl
RAPIOGRAPIIS

A complete.set of postmortem radiogTIphs 1$ obtained and dernollS!J*JCS the: following:
•
•
•

No flKtUml ofllle skull, fol(ial skeleton or long bonn
No metaJlic: forei~ bodies
Medical therap)' (cndottlltheallube)

MEDCOM 0879

ACLU Detainee DeathII ARMY MEDCOM 879

FINAL AUTOPSY REPORT~(b)(6J
AL-UMAIU, Abd A~llIllIlIlla M.

,.sor.

EYIDEMCEQf INJURy

Evldtllfe olH.IlPI
The SU5pel:Ied tiplUft had been mnoved Crom Ih£ body prior 10 examination. II is
.vail.ble Cor inspeetion.M c;onsisu 01. 22 v..1nch, Ituft..strand braided liplure
eomposed ofwllile cot1on mtteri.1. The lipture meuures, on.Ycn&e. Y.-inch wide and
\lr-inch thid:. Alone end of the liJilure is • loop formed b)' tyinj the IiplUf'e 10 itself.
E1aJtl inchts from the loop end Is • 4-inch area ofsoilil'li with embedded dark IlliI1.
A brown 10 I"'yo\lll. 9 III-inch ditcOlUinUOllS lilllure fum:lw Is on the skin of the ncck
and is etireckd obliquely up-o.l approximllcly 4S-dq.rccs on bach sides of the ncck.
The liptuft furrow Cf'QSSeS lbc lUperior!bird oflbe thyroid canil. 9 311-inchel below
ltIc lOp of !he head. and eJ[lends !Upcriorly IIlI bolh sides of the neck, endina j·inch below
the lobe oCthe riJht ear IlIId pusina 2·lllChes below Ille Iobc of the left ear. The hi&hcst

point oflhe furrow is located on the t-:k oCthe nedc. 6 li--illChes below tile top oCtile
hctld and on the posterior midJine. The width of the tipwre film)w I'U\&CS t'rom 'I.-inch
10 Jll-inch, and the depth of the !\mow I"IlIIJCS t'rom Icss than I1I6-ineh (posterior) 10 IIIinch (left). Thm= is lOme noticeable periodicily in the funow, which ~ndlI with
the suspected liptun:. TIleR: il' I I4l1; Sfl.-inch abra5ion on the n,ht side of the neck
that illUOCillCld with the liptwe furrow. There ~ no seratches or oontlISions on the
~,

Thm= is no injury 10 the underlyinllOft IiIlUCS or hanonttaie inlo the IU'Ip mllSlCles by
layer-wise Inlerior neck dissection. The hyoid bone IlIId thyroid cvtilap are intKI
Othef injuries _iated with the han';lIlI include: The face il R1ffiasaf with scanered
~iae on thc sltin and there are fXUChiae on the bulbar and palpebral eonjllllClivac,
bi1aleBity.
INTERNAL EXAMINATION

BODY CAYITIES:
TIle ribs, 1ImIum, and venetnl bodies 1ft visibly and palpably int.ct. No ell;Qe5S nuid is
in the plCW1lI, pericardill. or peritoneal cavities. The orpIlS oceupy their us~ analOmk
p:lSitions. The abdominal f.ll1yer is SIII·inctl thick .1 the umbiliCllS.

HEAP AND CENTRAL NERVOUS SySTEM:
'The plea! and subplcal soft u- of the ~p arc Cree of injury. 'The calvarium is
InlaCl." is the dun lIWer beneath il. Cle.twebiOspinal nuid SUITOllIlds the 1,47Solflll'l
bnin, which has IIlmnarkablc ayri and SIlk!. Coronal sections demonstnllC sharp
~tion between while.,.j &nlY IlIIller. wilhollt hemonhaee orconlU$ive i'llury.
The venlricles 1ft ofnormallix. 'The baa! pnall&. brainstmt, ccrcbelllim, and arterial
Iystems _ free of injury 01' other .bnonmli~. 'The pilulwy &land b normal
.ppearinl. TlIerc ~ no akul1 frKlures. 'The IIlanto-oceipilll join! it stable. The spinal
eord Is llIlrenlllbble,

MEOCOM 0880

ACLU Detainee DeathII ARMY MEDCOM 880

REPORT:I~(b~){~6),=~==

FINAL AUTOPSY
AL-UMARI, Abd Al-RabllUln M.
NECK:

Injuries 10 tile neek are described Ibove (see MEvidence of Injury,. The anterior snp
musclcs of the I'IC'Ck are homogenollS and mJ.bI'own and without hemorrbege by layerwise dissection. The tIIyroid CUlilage lind hyoid bone are inlatt. The IIIf)'TlX is lined by
inllllCl While mllt05ll. The longue is fteeofbite marks. hemorrhage, or other injuries.
Ineision and disseerion ofll\e posterior neek demonstrates no deep paraeervicaJ mUl(:ular
injury and no cervieal spine fl'lletUJ'eS.

RESPIRATORY SYSTEM:
The right and left lunp weiih 42' and JOO-grams, respeetively. The external swf_
are smOOlh and pink to red-purple. The plllmonaJy parenchyma is dilTlilely congested
and edemlllous. No IlIllSIlesions or IImlI of_lidlllion are ~nl.

CARDIOVASCULAR SYSTEM:
The 2SQ.gram hell'! is eonu.ined in an inllet peri.cardilll6e. The epi<;ardial surflltC is
smooth, wilh minimal fll inveslJTlenl The eoTOlWY arteries are present in a normal
diltribution, wilh a right-dominant pattern. Cross sections of the vessels show widely
patent lumens. The myocardium is homogenous. mi-brown, and firm. The valve leaflets
are Ihin and mobile. The foramen ovale iseloscd. The walls ofthc left and right
venlrieles are 1.0 and O.J-eenti~ thick. ~spectivdy. The endocardium is smooth
and aJiscening. The IOftI a.ivC$ rise 10 three intad and palent arch vessels. The renal and
mesenteric vessels are unremarklble.
HEPATOBILIARY SYSTEM:
The 1,400-gram liver Itu an intact, smoolh eapsulc and a sharp..,te!ior border. The
parerlthyma is tan-brown and congested. with lhe usual lobular an:hileetLJre. No mus
feions or «her abnormalities are seen. The p1\bladder contains IS·milliliren. of green.
brown bile and no stones. The mueosal surl'eec: is;run and velvety. The exlrlllRpatie

biliary tree is patent.

LYMPHORETICULAR SySTEM:
The 12S-gram spleen has a smooth, inlae1" mJ.purple capsule. The ~hyma ~
maroon and COIIiested., with distil'K:\ lymphoid ro\lkles. Lymph nodes in tile hilar.
periaortic and iliac regions are not ~Iuged.

ENOOCRINE SYSTEM:
The thyroid aJand is symmel,w and rcd.bI'Owrt, without eystlc or nodularchanse. The
pantTeIIJ is slighlly MllOlytie and lIJIies in Ippt:arar'll:e from hemorrllaglc to yellow-tan,

wilh the usual lobular ~hi~tlltt. No mass lesions or other abnormalities are seen. lM
right and left adrenal glands are symmetric. wilh bright yellow cortices and gJ1IIy

medullae. No masses or II'taJ ofhemorrbage are identified.

MEDCOM 0881

ACLU Detainee DeathII ARMY MEDCOM 881

"NAL AUTOPSY REPORT:~){6)
AL-UMARI, Abd AI-a.b.ln •

Pqt 7 orB

GENITOURINARY SYSTEM:
The rightlllld Itft kidneys both weighlOO·grlms cacl1. The exlcmal surUces we intact
and lmOOth. The CUI sllrf-.:es ~ red·tan and tolliested, with uniformly thick conices
and sluLrp cortiro-mc:dullftJ)' junctions. TIlt pelves we unrtmlllx.ble and the Ul"e!eB are
normal in COlll'Se and caliber. Gray-pink b1lldckr mucosa overlies lIJI intact bladder WIllI.
The blllddtr contains IpprollillUltely 50-milliliters of yellow urine. The prostate itIand is
normal in size, with lobular. yello.....-.tan pti'mCtlyma.. The scmilWlvesicles we
llIU'elIWkablt. The testes we free ofrnass lc:siollS. conrusions. Dr other abnonnalitics.
GASTROINTESTINAL SYSTEM:

Thee50pllagus is intaci and lined by smooth, gray-white mllCOSL The stomach contains
Ipprollimately 35·mllliliters of pink-brown fluid. The gastric wall is inlaCt. The
duotlenwn.loops ofsmlll bowel and colon Ire unrenwbble. The appendix is present
MUSCULOSKELETAL SWEM:

There is no l'IOl\-b1\UltIlUK: bone or joint abnormalities. Skeletal muscle development is
normal. SuperfICial incisiOl\! alona the posterior midlines of III four eJtlremities and !be
back ~ made and !he skin reflected \l) the lIJIterior midlines \l) eJtposc the underlying
subcu!aMOUS tissue and muscle. Areas ofhemorrllage associated with ~uscitldon
efforts are noted.

MICROSCOPIC EXAMINATION
Selected portions of otllans are retained in formalin. without preparation of tliSloloaicaJ
slides.

ADDmOliAL PBOCEDURES,'MMA8.KS
•

•
•

•
•

,-

DocumentarY
tDgT'lphs are liken by AFMES stalTpllolograpller (b){6)
(b)(6)
Observed by (b){6)
~ediall EIIaminel(b){6)
_

1
I

Spccimc:ns retained for toxicologic lesIinl and/or DNA identification are: heart
blood, vilrtOll5 fluid. &Ulric contents. urine. bile, spleen. liver. luog, kidney.
brain. myocardium, and skeletal muscle
The disse<:led 0lillJlS are fDr\\oVlled with the body and lhe body is 5uluRd closed
withDUI ernbalmina
Personal etreets are released 10 the ITIDnuary llTairs representalives

MEDCOM 0882

ACLU Detainee DeathII ARMY MEDCOM 882

FINAL AUTOPSY REPORT:!(b)(6)
AL-UMARJ, Abel AloR_bm_a M.

PaCclon

OPINION
This (8T8) JS·yeu-old civilian detainee, (818) ~b)(G)
~ied of
hanging. InVC:lltilllllion reveals lhllt II ruor blade frotTl_ razor was used lO cUI5Irips from
one or more bed ~ lind II ligature was fashioned by bniding these slrips losethcr. A
sliding noose WII5 fonned by tying II loop In one end of the ligature and briOSinlllllc
opposile end throIlld! the loop. The l'ree end of the ligatUre was secured 10 II ventilation
opening, 1IllIl~(G)
_ jiltely stood on his bcdroillo place the noose over his head.
II is not knoWii If lit was f...ny or partially stlSpcnded when fo\ll'ld. The subject's face was
congesed with petechiae: it is likely thai he Wt\5 partially ilU5ptTIded (DiMaio and
DiMaio, Forensic Pathology. rEd., CRC Press, 2001, pp. 252-253). Some perioditil)'
was noted in lhe ligature fulTOw IIlIIUlOpsy which corresponded with !he suspetted
liplllre. There was IIlso an abrasion on tlte righl side oftltc neck which co=sponded
with the loop III the end of the ligature. II WIIS reponed thai lhc hands wen: bound loosely
behind lhe body when found and no evidence ofeonstrielivc binding ofthc wrists was
present IItllutopsy. Complete body rzuliogr1lphs and multiple skin incisions oftbe
posterior bile" and cxlfCmilies f.iled to revealiiny evidence ofphysiealabuse.
ToxieolollieaJ tC$ling fot ethanol, earbon monoxide, e)'llllide, mediclltions IIlId screened
dl\lgs of.bLl5C was nt'gIIlive. The ITIlIIIJ\Cf ofdeath is suicide.
(b)(G)

(b)(6)

MEDCOM 0883

ACLU Detainee DeathII ARMY MEDCOM 883

FINAL AUTOPSY REPORTII(b)(S)
AL-UMARJ.Abd
M.

.....Ion

AI-P'''.''

OPINJON

I

ThiJ (8TB) lS-yeat~ civil. . dc\.aInec. (BTB)~(b)(S)
died or
hancina. Investiptloa reveals tIIIl I _ bIlMIe from I razor was URd 10 CUlIlripl fn>m
0IlC or~ bed JIIcetJ IJId Illptun: wu Whioned by lnJdina tbcsc tlr'ipl .........,.. A
IIldilll_ wu formed by 1YI"i I Joop in _end oftbe lipture IJId bri"lina die
opposilcend,throuIIb.tbe Ioqp. The frftend oflhl: Ilplllnl _ _ lnlIlo I YelllIWiaci
opcni... MIl (b)(S)
'iuly .lllOd on hi. bcdroIllo pl&ce the IlOOIO OV... hIJ IlacL
Ills IIDl knoMl irbe \VII fully or pIrt!IIly IUIpelIded whIn fouml The tubjeet'J race wu
COfIIeIled with pclOChlIe; ill.lIkely Mile was per1iI.lIy IIiipCi 1ed (DiMaio MIl
DiMaio, Fomuk PQI#Iology,
CRC Pfta. 2001. pp. 251-1S1). Some periodicity
WIt JIOIed In Ibe Iiptunl funvw IlIlllOply wbic:h eormponded with the "'''P''ded
HpIIR. Thm _1110 IIllbnsion on tbe r1abtlide oflhl: neck whlchWiNIj.'n.....,
wiIh Ihl: loop a
orthc liplure. II wul"llllCllfcd lhllibe 1wldlI_ bound 100Iely
behind the body when round IOd IlO e¥\dmee ofconsarialve blnd.ina ohhc wrists __
praentlllUloply. Complcle body nldiopp/lland muillplc skin incl.ions oflhc:
poIIerior t.::k and extremllics failed lei reveal .y C'\Iidcllcc of pb)'lic:ll
Toxlcol!l8k:alltSlillll foT ethInoI. eIIbon monoxide, cyanick. rnedic.tions IJId W(ened
drop or.tJuse was MJIlive. The
or dalh II lIIicidc.

rEd.

_end

.w.c.

,nil".

(bItS)

{b)(S-'-

(b)(SJ--~iMC"'~,",=Ex_illa"--

MEDCOM 0884

ACLU Detainee DeathII ARMY MEDCOM 884

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DD.flIllt 2064

MEDCOM 0885

ACLU Detainee DeathII ARMY MEDCOM 885

-I

ARMED FORCES INSTITUTE OF PATHOLOGY
Office oftbe Armed Fof'Crs Mcdkal Eullllllcr

14lJ RcseareIlBlvcI., Bldg. 102
Rockville, MD 20850
1-301-319-0000
FINAL AUTOPS'V REPORT

N~:Mr:::~~·~N~
.~.~~::~·m"J
.
ISN:~b}(6}

Dale of Birth;(IY.!?)
1954
DatCofDealh(b)(6)
2007
Dalcl11mc of Autopsy: 2 jWIC 2007

@<l7lO

J

AUIOJlS)' No.:1(b)(6)
AFlPNo.: L(b){6)~
Rank: Iraqi detainee
PllUofDeath: Iraq
Place of Autopsy: Port Mortuary, Dover
AFB,DE

Date ofRcpon: 28 jlll\C 2007

CirclUlJl&DCCS o( Du.th~ This 53 yeu~ld Iraqi detainee ~ponedly collapsed while
speaking with his son. who is also a detainee, al Compound 2B, Camp Remembnnce II,

ThealR: Internment FlICility, Camp Cropper. Bagdad., lrIq.
Aallloriulloa for Au.topsy: Office of the Amled Forces Medical Examiner. lAW 10

USC 1471
fdClltUk.aUoa: Aeeompanying docUl'MntatJon establishes presumptive identifical.ion

CAVSE OF DEATH: HypniclUlYe Itberotckrotle canlloYlUcal., d1leue

MEDCOM 0886

ACLU Detainee DeathII ARMY MEDCOM 886

AUTOPSY REPORTf(b){6)

2

MQlDllUd, Nalfa Ibt8him.

FINAL AUTOpsY DIAGNOSES
I. HyperttlUln alheroaclerolk: elrdlonacu.lar disuse:
A. CorolU\l)' artery calcifying atherosclerosis
I. Left corollD)' &IteT)' with 9S% sIcno!is (iJOSlI ClbservaIiOll)
2. Left anterior descending artery with 99% steoosis (gross ob$crvalion)
3. Left circumflex artery with 7S% s1enoW (gnm ol),ervation)
4. Right COrol"llll'}' lItery with 9S% stenosis (gross observation)
B. Transmural. cardiac myocyte replllCatleDl fibrosis, anterior wall of the left
ventricle, I.S x 1.0 x O.S centimeters
C. Cardilllllegllly (SgO grams) with cardiM: myocyte hypertrophy.
D. Hypenensive clllUliu ll(the kidneys
II. Evkleace of medical lhlrapy:
A. Endotracheal tube appropriately positioned IDd sa:unxI with llIpe
B. Five electrocardiogram pick ups lin the &rUerior torn>
C. Two ddibril\alor pads approprilltdy positioned on the IlUlriCll" IOrso
D. lntrlvcnous catheter in the right anta:ubilft1 fClSSl ~unxI with purple llIpI
E. Puncture mark 10 the left IUlteeubitel fOSSIl
F. Bilateral anlmllr rib fractures
III.POII·lDlllUm chaaga:
A. Lividity (IXed on Ihc posterior sUJface llfthe body except where exposed 10

,==

B. Rigor PB"ing tll an eqUilI degee in 11I1 extremities
C. Body cold
IV.ldelitify iJI c ..... r1u:
A. Brown pap1.lle an the right upper cheek, liS-inch
8. Well healed scar to the lateralllld upper surf_ of the: right !high
C. Well healed scar above the righl knee. ,.11'2 x I-inehes
D. Firm, raised subdennal nodule 10 tile anterior surface of the rigllt foot, ~inch
B. Missing right S· toe
v. TODcOrlllJ':
A. Volatiles (blood and vi1mxlS fluid): Nll ethanol dc\Cl;\ed
B. SCIt'Ined medieations and screened drop of abuse (blood): None detected
C. Carbon monoxide (blood): c:arboxyhemog)obin Sllruration less than 1%
D. Cyanide (blood): None detected

MEDCOM 0887

ACLU Detainee DeathII ARMY MEDCOM 887

AUTOPSY REPORT (b)(6)

3

M.... lDoud, N.fT.lbn...l.
VLMktweopy:
A. Heart: ClIlc:nsi¥c tranSmural myocyte Tqllal:mtcnl fibrolb; mild myoc:)'Ie
b)'pCtUOpby
B. CoroIlBfY ¥cS5els: calcifying atheromaJ. with Olle section dcmonstnllllll90 %

......

C. Kidney: obsolcKcnl glolllCnlll; Il1crose:lerosiJ; anerlol_lcro5il; InteQtitiai
fibrosis
D. Luna: vaseular conpion, OthcrwiiIC U1U'aTIaJublc
E. Liver: vll$Cular conge$lion, othcfwise lIl\fell18tbble

MEDCOM 0888

ACLU Detainee DeathII ARMY MEDCOM 888

AUTOPSY

REPORTI(~b}~(6~)===

•

Ma.ltmolld, r'l!.fJ. Ibrahim

EXTERNAL EXAMINATION
The bOOy is that of. well-developed, well·llOIlrished 'Ppeltilli Male whose ~
is cons:istmt with the reported Ige of S3)'e11'S. The bOOy is 68 inches in len£lh IIld
weighs 178 pounds. Lividit)' is fixed on the posterior aspect of the bod)' except whet!:
exposed to pressure. Rigor is equal in all exlmlliteis. The bod)' temperature is cold.
The held lAd the flK:e are alraum.tic. There is. II8-inch brown papule on the left dim.
The: _Ip is covered with closed)' shaved brown Md grt)' hIir with male paltemed
baldness. The irides are brown, the comCIIC are clC8l", the conjWlCtivlC are unremarbble,
and the .sc1CI'IIC are white. The extema!.udltory CPIa1s If'C wvenwkable. The ears are
wvemarbbJe. The IIII'eS IIf1d the lips IIR WlrCIJIIlbble. The no:se and mIltilllCll'C
palpably inllet. The teeth are natural with multiple mnotely .bsent. The neck is SU'lighl,
and the tflJChea is midline and mobile.
The clltst is UIlI'mIarIt.ble. The .bdomen is soft with no palpable masses. The genilllia
Il'C ~ of. nonn.l .dult circumcised male. The testes are pRlent and free oflTllSstS.
Pubic hair is present in. normal disulbution. The back is unremlUkalbe. The buttocks

and IRUS Il'C IlllI'emarkablc.

The upper Il'Id lower clttremilies Ire symmclric and without c1ubbina or edema. There is
a I-Ifl x 1.1/4·inche well healed scar on the upper I.teta! surface of the risht thigh.. A I·
In-inch x I-inch well healed scar on the right knee. A V..inch firm flesh colored nodule
is on the 60rsum of\he fOOl. The right s" toe is absent.
There is. personal effects baS secured 10 1M Icft wrisL A paper identification tag is
secured to the right wrist. The left wrisllw IIf1 Of1II18e band with the words "Insulin
Dependent Dillbetic." A Dover Pon Mortuary identifiClllion t.a& is secured to the left
ankle.

CLOlltlNG AND PERSONAL EUECfS
The following clothina items and pcnonal effo=ets llCcompany the body.t the
.utop$)':
• White shirt, previously cut and pII1ially wrapped arowxl the right mn

•
•
•
•
•
•
•
•

time of

Yellow trousers
White boxer shorts
1hrec pusports
FoW" picture idenlifiClltions
Five misccllllllCOlIS D&DCr5
Watch ill5CribeciS(b,,),(6")=c;-~
Compact disc with piclured cover
Various medications in plastic bigs: with dosing instnlClions, to include:
o PlIltil 20 mlllig,rams
o UsinoprlllO milligrzuns
o Olyburide S milligrams

MEDCOM 0889

ACLU Detainee DeathII ARMY MEDCOM 889

J

AUTOPSY REPORT!lb}(6}
Mabmoud, N.rr. Ibrablm

l

o
o
o
o

Tvnsutosin 0.4 milligmns
Multivitamins
I..asix 20 millignms
Metfonnin SOO miJligJams
o AspirinSl milligrvns
MEDICAL INDEM:.NT1ON

•
•
•
•

•
•

Endotnchealtubc appropriately positioned and JeI.:\Il'ed with white I.Ipc
VlISCul.cathcter in !he riptllllteeubil&l fO$5& secured with pwple I.Ipc and
oonnceted to IV tubins
Puncture site in the left antecubital fossa
Two defibrillator pad on the lIIIterior tOt'SO
Five electrocardiognrn pick-ups on both shoulden and the left upper thiah
Bilatcnll an(cr1or rib fractures
o Ri;hl arolcnor 3td lhtouab Sill
o Left anterior 3"'tltrough S·
RADIOGRAPHS

A complete set ofpostrnortem radiOSnlphs is obtained and dcmOll$lndcs no lnIumlUic
Injuries.

EVIDENCE OF INJURY
There is ~ evidence ofrceenl il\iury. A complete dissection of!he bade, buttocks and
posterior ex~mltics reveals no intramuseular hcmonilage.
INTERNAL EXAMINATION
HEAp;

The pica! and subsalelll soft tissues of the .scalp are free of injury. The calvarium is
inla(:t, as is the dUI1l mater bcllCllth it. Clear CCTCbrnspinaJ fluid lumnUids the \520 gram
blain. wIlich IllS unremarkable llYri and sulci. COronalICCtiOllll dcmolllllrlote sharp
dclnarcation between while and IlfIIY maner, without hcmorthllge orcontusive injury.
The ventricles are ofnormaJ size. The basil ganglia, brainslem. and «rcbellum are fMc
of injury or othct abnonnaUtics. The Il'lcrial system is I.nIltomicaJly normalllld there Is
mild atherosclerosis of the internal carotid arteries. There are no skull fraclura. The
atlan~ipil&ljoint is SlIIble.

t<='
Layer by layer diSS«lion oflhc anterior neck is pcrfonned.

The anterior stnIp musclcs of
the neck are bomOlenous and rcd-Orown, without Ilcmonhaac. The thytl)id cartilasc and
hyoid are intact. The larynx is lined by intact wflile mllC05l. The thyroid is symmetrie
and red-brown, without eystic or noduillt chBnac. The tongue is me of bite marks,
hctnorrl1age. or other injuries.

MEDCOM 0890

ACLU Detainee DeathII ARMY MEDCOM 890

1

AUTOPSY REPORT (b)(6)

M.b.moud. Nlff.lbnb..... - - - -

,

BODY CAymes:
The ribs, stemllEll, and vertebral bodies ~ visibly and palpably InlaCt. No cxccst tlllid b
in \he pleural, pericardial, or periloneal cavities. The organs occupy their lllIuaI anatomic
positions.
R6Sf:lRATORY SYSTEM:
The 0sltl and lefllungs weip 890 and 700 iJW1lS, respe<:lively. The external swfaces
are smooth and deep ~-pwple. The pulmonary parenchyma is diffusely congeated and
edanalOllll.

No mass lesions or llftU of COll!Olidation are pre!Cnt.

CARDIOYASCULAR SYSTEM:
The 580 gnun heart is contained in an inlftc1 pericardial sac. The epicardial !Wface ill
lIIllOOth, with moderate fal lnvalme!\l. The coronary arteries are present ill' nonnal
distribution. eros! !eC1iona of the vessels show 95 % calcifying atherosclerotic stenosis

of the left coronary artet)', 99% calcifying atherosclerotic steno!is o{lhc CfltiR: left
anterior descending met)', 75% calcifying atbero$clen»ic slCD05is of the proximal ieft
cimuntlcx artery and 95% calcifying a1berosclcrotic slCllOlis of the right coronary anery.
The myocardium of the anlerior wall of the left ventricle is replaced by nnsmura.l
fibrosis, 1.5 x 1.0 x O's'<cntimetm. The valve leaflets are thin and mobile. Theanterior,
lateral. posterior md Interventricular walls of the left ventricle are O.g-eentimeter, 1.2_
ccntimclCTS, L4.ecntimeters and I.J-«nlimeters fCSpCCtlUlly. The righl ventrieular wall
is 0.2~meten. The endocan1iwn is smooth and glistening. The aorta giva rise ID
lluce intact and patent arch veae:1J and IllIIII diffuse calcifying athemmas. The renal and
mesenteric vesselJ are unremarkable.
UVER &. BILIARY SySTEM:
The 1640 gram liver hu an intact, smooth capsule and. sIwp anterior border. The
parenchyma is tan-brown and COngesled. with the usual lobular an:hiteclul"l:. No IlIUIi
lesions or other abnormalities are seen. The gaUbl.sder contains S-milliliters of green-

black bile and no stones. The mucosal surfaoc is llfCen and velve!Y. The exltabepalic
biliary t/'CIC is palCnt.
Spt '36N:
The 300 pm spleen bu a smooth, intact, R:d-p~le capsule. The parenchyma is
marooll and congested, witll distinct lymphoid follicles.

PANCREAS:
The pancreas is firm and yellow-tan, witll tile usual lobular an:hite<:lure. No mass lesions

or other abnormalities are seen.
ApRENALS:
The right and left adrenal glands are synunctrie, with bright yellow cortices and redbrown medullM. No ma.ues or..-cas ofhemonflage are identified.

MEDCOM 0891

ACLU Detainee DeathII ARMY MEDCOM 891

AUTOPSY REPORTI{b}(6}

l\tlb.Olld, N.rr. IbrabJlD

J

7

GENITOURINARY SYSTEM:
The righl and left kidney! weigh 140 and 180 grams, respectively. The external surfaces
arelnUlCt and diffusely granular. The cut surflIcea are red-tan and c:ongaled, widl
uniformly thick cortie:es and sbarp corticomedullary junctions. The pelves are
unnmarlcable and tile urelers are nonnal in course and ealiber. While bladdu mul:OS&
overlies lIlI in!llc:1. bladdu wall. The bladder c:ornains approximately 30 millilitera of c:lear
yellnw urine. The proswe i, normal in size, with Inbular, yelJow..wt parenc:hyma. The
xminal ve.li<:les an: unremarkable. The testes an: free of III&S5lesKms, eonlusions,or
other abnonnaIitiell.
QASTRQrNTESTINAL TRACT:
The esopi'Iq\la i, ;nlac:l and lined by smooth, 8Jey-while mucosa. The: ,tomacl! c:onWns
approximately 300 milliliter of tan viSCOUll fluid with wbclle black beans. The gasCrie
wall is inlact. The duodenum,loops of small bowel, and colon are llJInmarkable. The
appendix is psuent.
MUSCULOSKELETAL:
No noo-traumalic abnormalities of muscle or bone are identified.
MICROscOPIC EXAMINATION
•

•
•

•
•

Heart: extensive lranSnIurai myocyte rcplaoemenl fibrosis; mild myocyte

hypertrophy
Coronary vessels: eakifying alhefOlTlU, with one lOCtion demonstrating 90 %
stenosis
Kidney: obsole$CeRt glomeruli; aneroselerosis; arleriolosclerosis; interstitial fibrosis
Lung: YI$\Ilar congestion, otherwix IIIll'mWtable
Liver: vascular eongestion, otherwise unR=mllritable

TOXICOLOGY
• Volatiles (blood and vitreous fluid): No ethanol <!ele(:ted
• Saeened mediatiOllllllld 5Cfeenec! dnJpofabuse (blood): None delected
• Carbon monoxide (blood): <:IIfboxybemoslobin aaltntion less thlIlIl%
• C)'Mide (blood): None detected

ADDITIONAL fROCEPL!Pf1!
I.
2.

3.
-i.
S.
6.

Doewnentary pbologJllphs are taken by OAFME staff pholographers.
Full body radiOgnlpha and eomputed tomoglaphy are obtained.
Speeimens retained fot toxicology testing and/or DNA itlentifiation are: Blood,
vitreous fluid, bile, urine, &Ulric: eonIenlS, brain, heart, IllJl&, liver, sp~n, kidney,
adipose tissue and psoas muscle.
Thedisseeted organs are forwarded with tbe body.
Selceted ponions of organs are retained in fonnalin.
Personal effects are released to the appropriate mortllary opetlllions representatives.

MEDCOM 0892

ACLU Detainee DeathII ARMY MEDCOM 892

AUTOPSY REPORT.I~(b;::)(6:-' _ _
M,luaoud, NllIf,lbrdhll

8
OPINION

This 53·yetr-old Male ffllQi detairlJ<b)(6)

ijied from hypertensive

UheI'OSCIe~OI.ic cud.iovll$Cular disease. The decedent had documented insulin dependent
diabetes mellitus and essential h)'per1ension. The dewknt had sipirlellllllllTOwUlg of
the eorona.ry arteries,,, prio~ hea.1ed myoaudill infaretion... I&fie heart and chanies 10

the beuT.lllId kidneys consislent with hypertension. Toxk:oJogy analyses are neptive for
ethanol, screened dNp of abuse, screened medication a.nd c)'lllIide. ToxieoloaY analysis
for utbon mol1Qxide if lCSl1 than 1%. The ITUlIIl'Ier of death is Il4tural.

(b)(6)

(b)(6)c-~-=-=rMediul

(b)(6)

Examiner

~

L(b_)(_6)~===J:MediClli

MEDCOM 0893

Examiner

ACLU Detainee DeathII ARMY MEDCOM 893

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MEDCOM 0894

ACLU Detainee DeathII ARMY MEDCOM 894