Aclu Military Prison Death Reports Part1
Download original document:
Document text
Document text
This text is machine-read, and may contain errors. Check the original document to verify accuracy.
AltM Ell fUR( ·K"; INSTrrl rn: I IF 1''\"1"I It 11.1 IC; \'
o m~" "r Ih" AI"tIl"d ~'"r~,·~ ~ ""lint r;:~a",i Iltr
1~1.~ 1C,','..w dtlU"I..IIlJl'_ IU~
R,,,,k \";11,' .•\11 ) ~lIliSIl
I-KOH-').I·I- 7'j 11
,\Il"l'()l'S"
EXA~HX.-\Tl(l.'i lU:I'Oln
"\"~'I"Y 1'1".; ~1~)(6)
;.I:II1It·: CI·h'",'~ ..", ,\I'i,1
SS,\;.I; :\"..\
D"I""flli"lo: 1"·17
MU' 1'1l.!ib)i6)
I~:>,,~: (b)(6)
l'I:oc,' "r I k,u", ,\II,':li"" 1''''1
1'1:,,',' "f . \lIl'~'S.'·' 111,\1' ~I"<ll"",",
_
[)at,.rn"", "I' I kath:Kb)(6)JI~I,~
D:II"- filllt' "I' '\'""PO;.'": ~ I " .... ~INII
11.,~IoJ:ul.
h'''1
(:ir"I1I1"lnnc". "r Ik'i h: fhi_ 1""1; ~J16)
_,li ..1whilc III I .•S. cusl'.,j,·, rIlt·
tk'l"il.s .<utf'",,,,di,,~ Ih..· Ci"'UUlSI'""...·.<:>1 Ill<' linl<: "t' ,1c"11, :11" d;~<.sj!kJ.
ltlt"lilll'tUiun: Vis",,1 hy .1'·
DNA ""',,iIlC,l
'\n"".....1t:a'~,I.y l{cl';II"'IlI.I~I.'1I11,'nclI,IiIl~'11"illl ;",,1
MEDCOM 0001
ACLU Detainee DeathII ARMY MEDCOM 1
,
AUTOPSY REPORTl(b)(6)
MowlOib. Abld MG
fiNAL AUTOPSY DIAGNOSES:
I.
Hitlory of lIllOlheril\i md ehcll and abelominl! oolllFUeuiOll
II.
BJUllI Jbtce u.uma
A. Coatuai_and abr'IIjontOrlhe akin.oo ItlIn liaueofthe.ehat
md ItxIornm with pallemed CClIltllaionl
l. FrKtuJa orlcn ribl3-1
B. Exllllllive 00Ilt\lSi0ns and Ibrada,.. oHhe QlnImitilCl ..ilh
plncrned contIIIio..
C. Minor eonlllllon oflhe.lIClIlp
III.
Canliomyvpatby(6SOgrllmlJ
A. Left verltnelcb)Jk4bophy (1.7c:ml
I. M1O"'yte bypCl1Jtlphy..d intaslitili n
librolill
a
pa;v-e:ular
Mild~.ofl""llll1a
C. Pulmogyedanl(cambined weight- 1350 prna)
tv.
Slalvs plIII c.hoICC)'IIedomy
A. Perihepatic Illd pcricolonic:
lld~
VL
HllplttD B poIitive: (DNA)
VII.
P1llUr1lllld plllll'lOnlf)' ....eaoM
VIll.
Pemplcnie 8dhai_
lX.
Nodulu PR*lIc
X.
£arty dceompolltion
Xl.
No dilpl-=d lhIdatrcI or lIIdiopaqlle projet.tlICi on nldioll'1Phs
XIL
Toxic:olollY neptive
MEDCOM 0002
ACLU Detainee DeathII ARMY MEDCOM 2
,
A.UTOnv UPORT(b)(~)
Mon..... A.bId MG
ImRlf6L IXAMINADQN
The bod)' it that of. wdl-dev~wdl~ appcarina. obcaa, 11 1/2. inch Ial~
250 povndl minllNlm (atlllll.led) ..... whaM "PP'ftl\Ca II conaatcal with tba repoNd
.,e ofS6 ~ Uviclit)' ill postaior IIIld. pwrplc. Tbcfe i.l"adal ..ffilIion andoona-don
oftba conjllndival vaacJl btll no pctcdllac of the C)'ta, race. Ol'" oral 111--' Rip ill not
apparenl. Thera ill_I)' d
fIIp....ltloa
inaoh,_w.marblinl ortbc ...crior
d.."
1"blI_lp iI cowzed "lith . .,...browft hair _rilll I Y. indl ill Ionllb UId In .l\onnaI
dtltriblltloa. ThIR ill • broom bean! and IIlIIIlacIla. TIl. lrida ... brown and alilhtly
obacurod b)' comcal c1oudlll" lb. l:aI1 IIld alom.1 .\lditcwy CUlal. are IlIIremartlblc.
Tbc rtII'Q are patelll and thlIliPl_ ahumItIc. Tho_ and maxllllo . . palpabl)'
.lable. The teeth app-.r 'n.II:11'11 and. ad-rwe In repair. Th...u,. no lnjllrica of Ill. oral
cavily.
Tho QDC\( ilIl1railhl. and 1M tnchcIl. midlillc and mobile. TMdIaIlsl)'lftlftCUic:. n.
abdomOll II JlfOIliborani. The pnitali..... tbaae of a norma! adIl.Il mala. Th. taIIoa ....
dt:aeendcd and he of
Puble hair II ~I In a nonnal dillributlon. Tho
bultockIlIld anua _ d_\opInenlally lII'lrCllIIItable,
111.-.
The lIJlPG' and kIwer utremitiCi -1)'IIllIICIrK wi wlthoul clubblnl or edOlllL FIeJlic:ulT
vrriIt Iica anclrde ach ....r1,1 INl. Ilia'll _1lO usoclaMd abraai_ or colltuaiofll.
.....-Ilrin&.,....
IdcIllil)olnl mub and ac. . inc'~ anobllq.... ~ Inch ac. and 21dj1lCClll obtiqllO
y, incll_1I OlIo lbe riJhluppar qlladtalll of the
(c.holec)'alcctomy). On Iha akin ofthD riJhI patou. II. 1 Y.lnc:h linear KWutd on lllo
akin ofthc len
iI. I Y.lnch Il_acar. 0II1hc poaterior riabt Ibollktcraad arm
.,1 Illdl ICU, • 1 Y, II l Y, Indl_•• 1.,.. incllll_ _•• ) \10 incllllna'lIcar,
and.lll ~lndl_.
1ft."
.wo-
,..eU.
EneirclillJ the rilht wriIt Is • while p1altic IdcntlfiClallon bllld wllll (b)(6)
.-
CLOTHING Nfl) PIBSONAL ImCTS
The lbllowina clothinl itol'fll and pctIOMl efTlICtI ac:cornpaIl.y ltttI body lit the limo of
• !..oDI bIadr: alIirt
•
•
While uncIerIbl.n
Tan holler Ityle IU\dcrplnIl
MEDCOM 0003
ACLU Detainee DeathII ARMY MEDCOM 3
•
AUTOPSY RZPORT(b)(6j
Mow...... AbfdMG
8ADIOCBAPBS
A comp~ . . or poItmMem ~iotI",1I""".Ined Ind ~ tIIo foIlowina:
• No c1iwp! : 1 tr.::lvra
•
No"'~1
fOftli&n objecll{bul"" «mr.pnol)
MORICI OfIMlRX
Thaonilrin, oflhe IOllowilll injurill b rordllcripti.. plIlpOIII only.1IIld 11 IlOl
inlaldcd 10 imply ordIr or ill1lk1lon or Nlllivc onlril)'. AU WOllnd pa!h_)'I _
relotivo to IIlaDdard ~ pooltioo.
p_
DISCIUmon Qr ILIlNI rpRCI INJURIA;
Hpd JDd Hsr'j
On IhI riIN pWieto-occipillllCl!p ill I Ii..l I Yo ifteh pulp" contwlon witholll h::tln
orllM: undatyin,lkull n- II; Iii. I % 1ndI_ ofdilcolon«ion ofthlnpc:rio< belly
ofllM: ri"l omohyald mll#ll wilhou! irIwJ 01 tho f'IUllhdn,lIllericw rtnp m\IIC1a.
DlJlectlon ofthl J*lerior neck and lpiDal cotd it tree of hli"'J'.
Chili IIld Abslgmm;
On tile IlltIrior ripl aide oftht dial"""" to U. ZIlppltl ill S. I Yo indl ~tK
pwpll contuIon and on Ibt 11ft lido ortht IIlleriofebolt il12 V.x I V. inehpwplo
contIIIlOll. On tho mldlinoortho ant.lor abdominal Wln",1 S x) Ii Incb plllJlle
conllllioJl, • tril.qll1lr S Yr. .. linch JIIII1IIt1 contlll!on. Ind lililllllllor 6 ~ • 1; Inch purpk
conlll:lion. On llIoloft lower qllldrant ortho.wollMll\ II • .4 x ) V. Inch purpk conNIion.
Adjacenllo snd admixed with tho IbovccontualONl"'llIImoroIIl elrc:1I111' 10 ovoid rwdpurple oonlllliCll\l raqin, hm Yo to \oS inc:h. On the micllineortho upper back II.) Yox
2 ineb purple conlUJion. On the left eoIIOYertebral enaJe l. . ll1a x ) inch pllJ'PII
contIIsion. On the poslero-Iatcral left rib ~ II • !'Iblt 6 x ) Yo lneh pulpll COllblllolt. On
the rl,h! COI!oymdnl aalle and 1 _ back we I .. Ioh linch plItplo tontulioa IIId • 1
¥. It I Yo inch Jlll'Plo contusion.
ll\illrill wilbin \hoi chIIt inc:lllCll non-dUp1aoed hc!tIr'llI orthe IZlteriCW -.poet oltho S·.
.,.. riba on the loft lide .ul )"~ libl on tho pGIIa'O-lelerall.ft tldo. DiI:Iectlon ortbe
peridal pleura!i'om the lib cap nMI1I bomotr!llp1lll'l"OUlldJ1II 111_ hdww. n-e
~ no i'llllria ofllte Ittnp or~in. 0I'JIIlI oCthe eboItw abdominal ca"'tIeI.
DiIsecl:JOlI orllle Iklll ofth. hick I'llveaIIlCIltaed V. - '" inch ptIlplo conlull_ orthe
IOftl~
P.b;. and Bynz\';
On the ripl butlodr: Ind 11leIldin, ofto \be .unor riJht hlp i. an IlT'IJIIlarly IbIpe4 1)
~ x & Inch dIltt ptIlple conlllaion willi hei.M.!lll&' orthlllllClorlyln'lUbcll~ Ii-.
but w1\bo111 contlllloa or hc:ttn orthe 1Inlkrf1In, Dl\IICIIlotkelellll)'llem. Adj_1o
thia conllllion !III Jl'Iternod eonIlItion c:onslatlttl ortwo ,.nI1e1 obllqlll pttrpIe
~meuwill&)¥.x I \ndland.4.l1 % IlKh willi I ~ lnell _ord_1lI
MEDeOM 0004
ACLU Detainee DeathII ARMY MEDCOM 4
,
AlI1'OPSY UPORT'{bl(6)
..
Maw'. Abld MG
betwll8ll 0 - ~nluioat. 0. tlle left b'llllOdland extend!", onto the JK*crior thi&h _
an 1'"J111arly Ihaped 7 Yo II " :r. lndl pIllJIll cont\Rion and two oblique pllI'aIloJ plI!1Ile
contuIioIIIIm
'ina 5 Va india"" 6 Yo illdxs.
!.pm
Ilxtrem1tja:
On the antmor riabC Ihl.h ill an oblique 9 J. 6lndr..w-puiple con1\.tdon. On the mid
anlc:rior rlabt tIIlp an two panllel pIIIJIle «lIlllLllonlooeup)'in. an ana 6 II 3 lnc:hct with
• JJl.If2 inch are orc:entm claria.. AltiKCllllIO Ihae contIIIiona 1ft: mulllpk pinpoint
nld ab~onI. On the .in overlyillllhe rip: pateUa b;. 2: Yo II I Yo inch purple
contlllion. On tbe. riaht Ulterior 'hill i' .... linch purple IlOnlllSiol\, On the skiD
overlytna the ris/lt l.l~ mall-"IUI in 5 Yo II 2: % indl pwplecQnlaqion mil on thelkln
overlyilla lhe riaM medial malleollll Ui 1m I Yo l " indl purple conlll8ion. On the pllnlar
lUdacc o(!he riahl rooc i•• 2: II I Y. inc:b purple eontusion.ln!he right popliteal (0111 it:.
<1.4 Yo Inch pwple conllilion.
On the 11ft inauinal _ i•• I Yo II 2: % inclI purple conIusion. On thlI uterior ldllhiah
are 2: pwple contlllloni m.surina4 Vox) Yo ildlcll and Yo II Y, Inell, nlIpllCllvol)'. On the
anlaior mcllaln kft IhiIh il • p'llcmcd eontution OXJnUtina: of ltne P*"lld obHlIIlC'
purple c:oMIlIiolla occupyirIJ an _ 6... indlclI wil/l Yo l~h . . . ofciOlrin8 bctw_
contulionl. On the *In overlyin, the Idl: patella mil anterior Itlin b • pIltcmed
conlUtion conailti... oftwo . . .1111, bolizo.llill pulpl, oonllaliOlll occupyllll" _ 6 ...
iDeIlea witb Yo inch ana of clarins beI"'bA, contusions. On the Ulterior Itft Jbin Is •
pallClrned eonlluion occup}'ina In _ 6 1I .. Y.lnc:l1a and COIIIiIIiq orllll irrqvllrly
shaped conl1llion within wllldl_ IWO parallel purplol contulona with • 3/16 indi ara or
elarin;. On tile medial len ahIn il • ¥.1rdI purplo comllllon. On tlIo a1lin oYeri)'inllhe
loft modial malleohll ill J:II 2 inch purpleCOlltlllicn On Ib8 poaIorior Id\ tlIlah ia. j lI'
I'. Inch pw-plo collNlion. On tho 111ft ealfil iIll obliqllO 10 1I 2 ¥.lno;h pllfplll c:onluaillll
with • Yo inell &relI of IlCIIllral dearilt&Upper 2xlJW!lhj,,;
On Ihe lIlIerior and poalerior IeftllTll. elbow, m4 forann II. Il 1'.. II \4 inch_ of
difflue pwple conlulion withoul an 'PPwent ptlUem. Thon il no injlll)' oflho 1IIldorI)'in,
bOllO$. On tho IIIIerior len 'holIldot' ia • 2 Vo • I \10 Ino;h purple contlllion. On tbo 1II10ri0r
rithl &hoIIIdor II ,J Y, 1I Volnch purple colllu&ion. On tho poaIerior ript 1ITII1s. 2 Yo 1I 2
inclt pwple eontllSion. On 1M podorior riJbl dlow iI. lOll II inch purple colltl/l!on
withoul injwy oflho UlllSorlylos borIeI. Thn is IlO liplictnl injUf)' of either htnd llI'
."
•.
.....
INTlRNAL IXAMlNA.TION
The plea.l and aubplelllllR tiasuetoflhe aJp ha'IIllhe Illltecl minor contutlon. 1110
calvwium iI inllct, u ill the dun 1IUI1Cl" t.one-Ih it. Clear uoebl:a-plnaI RuIclIUn'l:Jllnlb
the 1250 am brUt, which Iw IlIlAIJIIIbbIe I)'ri and aulci. Coronal sectlOIIII demonsttal;o
MEDCOM 0005
ACLU Detainee DeathII ARMY MEDCOM 5
,
AUTOPSY REPORT!,'",,)(,-,,_ _
MowhoP, AWd Me I!IIrp demarclllion between whi~ Illd 1"')'1III1la', without h ~ areontusive
iqjlll')'. The ventriclelan ,rllOmlf,l size. ne buaJ pna1i.. lninsu'm, CCIRbeIlum, mel
utcriLll)'ltanlllR be ofinJllI')'orOlher iboonDllities. 1'bele IIl'1: no lkull ~
The 1l1no-occipilll join! i.lIlIble.
=,
The anlerior.ap mlllCl• •rltle neek anllomoJ_ and ftId...brown, wilhol.ll
hlmorrtIqc. There iI • Rx:1I . . of dilcolontioll .fthe tuperior belly or the richl
omoh)')id mlllCk:. The th)'l'Oid eattillop Illd h)'Oid an: inud. Tho Iuynx iJllined by
lnllel white muCOla. The Ihyroid iUiliAlIBlljc.rld ra!·brown, wilholll c)'ltieor nodul.
<:hangs. 1\0
i, fiea ,(bite 1llII'b, hemorthqc, or other ifliuric:a.
aonaue
tnc:lIlon and dj'''';on o(the poIItcrior neck demDllllrales DO deep p ~ mllll:Ul.
iJljuty UJd DO cervlcallpinc hdwwor UJIlMIIl qllf)'. Sa:tions oCIhI cervicallpinal
coni Ire unremarkable.
B9QY CAymES:
'Ibml1ll'1: the noled rib hetwa. No en. . nllid i. In the plcunl, perieanlifl, or
pc:ri\ollQ1 Qlvitlm. The otpnI occupy their ...-lllIaIomic pomti_ with 1UIBic.1
ablalceoCthe pllbladdcr Mil perillepltic.shaiona. Therean bilNnJ IIbrou1 plew,
perbpl.uc, and pericoloal<: 1dbeMoI.
RP$rnv.mJQ'SYSTEM:
Tho riab! and lett IulIp weI&h 650 nl700 I'll, rapec:lively. The e:xtemalllllfacet I n
d~ red-PlQ'P,,1lld hive the noled db 'em n.pulmoncy p8rellChyma iJldlm.cly
oonaated and oden\llolll. No m-.lesiolll or aaa ofeontOIidalion are prefOlll
CAlU!IOVMaJL\R. SYSTEM:
T1I<l650 p l ' - t Is contained in III intId pal k:ai di.l.-:. Tho epic.RdlIlllllfKe III
lmOOlb, wilh exlellli"" fat In...rment. The 00lWIIl')' Irteria m: ~Iln I nomlLl
diltributioa, with • right-domiMllI,.uem. en.. IeClklnI oCIlw _1& _how no
lIpl!tIcant alllerotcleroal•. The 1ll)'VQI'CIlwn is homopmolll, red-brown, Uld finn. The
vII", l..nClllIlllIhin Uld mobiJ.. n.....1I ortbc left IIlld riabt ¥eIlb'k1es 1lll1.71lld
a.kIn thick, rupec:tlvely. The eIldlKll'dilllll i.lmooth md alill-i"a The 10111 Jives
rilll1cl1.hR:o inlIet Illd pltcnt IICIl ve.ell The renalllld -..enteric _111ft:
..........'"
yvp, I. BU 1m SYSTEM:
The 1900
am llWlf gill. iIltIct Clpllllellld I
mup IllteOorborder.
Thcp~ il
Ian·brown tnd CGni I'",. with tIllIllIU'llobu.lItdlilectuJe. No mullulou orolher
Ibnormalitles _ aeen. The pllbJadder illlll'akllly IblcnL
SPLEEN:
The 275 p\ spleen hu the noted perisplenic: Idl\e$IoCIL The pamlCh)'lllll II 1II1n1Cl111lld
ClICIjeIkd. with d.islinct Malp11bi1ll COlpIlICIa.
MEDCOM 0006
ACLU Detainee DeathII ARMY MEDCOM 6
-
AtrrOPSY RlPORT (b){6)
M.",.... Abld Me
7
PANCREAS:
1"be p~ It tlnn Mel yellow-WI. willi the ...."... lobular ardliled_ No 1ft_1eIlanI
or other .bnomu.llll..... - .
ADBgNAU:
The ripl rnd loft IIdrenJl sI-Ia ..... ')"'lCIJic bal &1o/ylIed. No
IlcmoITl\llI" _ldmtiftod..
_01'_
of
QENJTQIlBlNABY SySTEM:
The riahlllld left Iddne)'l
110 lPll ad\. Tho m:tc:rlW -.rfacet _1nlM:l1ftd
.mooth. Tho CllI.ud.ccI ..... f'Ild.l&q &lld flDIlCUIad. with wrilimnly lhid:: cortlca IIld
.11arp ~lcomedalluy jwx:liOllJ. 111& pelves .... IInnnwklble lind lila lIl'lIC1'1 _
_
lin COIII'SO and caliber. Whlleb1addcr InI.lCOD oYCflIa WI InlaCl bllo:ldcr ......L " .
bltoddcr I. eIIlfIIy. Tho prostate isn:mnalln.lleo ...-illl Iobul.., )'Ol1ow-laQ ~yrna Inll
noduw. T'MI-mBIJ vaKleI_ unreIIIlltbblo. The I,*a . . "" of_1erions,
wei'"
c:onIIISi-. or olber abnonmlitH:a.
QAmQ!NIl!SlJNAL TMCT:
'MllI1I:IOptlqUI it iDtac:t and lined by IIlII)OIh, py-white IllI1C01&. 11Io.aom.dl eolllainI
III'fl"Wmately 30 ml o(brvwn liquid. ThcJUlrie Will i.lntKl. The dllOden.um, 100,. of
...-II bcnoIeI. Mel cokln .... ~ .. The.ppouodb is pnAlll'" unremlfkable.
APDm0rw, PRQCJjI)UR'S
-.7
•
DocumenwyoboCOii. . . . . tat..,byTSOTl(b)(6)
•
Speci-l Apnl(b){6)
•
•
•
.'
''d the
1
DC Amy Crimiullnwllipt!YlI Dlvitlon (em)
Sp • lIalI n=tainecll'al' loIticolDsic leIIins UlllIor DNA idenllncation uc: blood,
sph:en, liver. lwta. kidney, bniin,l'Ilrie. and pmu
The m..drl 0fpnI_ forwuOed willi body
PenonaI.rrlCll; .... ",I.ted lCllha",proprielc mortllN)' opt:rIlloni
'cpi laI!MivCl
MlC8OSCOnc WM'NmON
DIllS: Scc:tiona ahow mild - fJlCl J do m)'OC)'le Ilypavopby, ,.;v.seulw n intentitial
fibrotit, and r.tty inftltnllion of Ill. lipa YaIltieI&. 1'oItmort= OYl,:I'JI'llwth .fbld. .
wil!lolllllllnfbl!lnWory 'UF01lle it 1llOtCd.
1.IlIlD: S=tlolD .how lntta-.Molar'" I'hrid, poriYMUClar aDlhncoIla, conaation.
and poflmortem oYWiio"t11 orbKteril w11haut IIIlnfl-..nlllory.hji
pol.,juble fordpa mIlerill b idIiIliAed,
• No
KIdnIx: SectlolilhoWJ y*ullr con.,.aion IIld 11IIol)'IiL No pot.iZlble roc.ipallllMrial
iii IdentIA....
LWr: ~li_lhow
~l ..
~ pl'CllorillMnlly .....oyc:aieu.Lu 11"''01;., l'IIild ,... ..... ta1
and no a1p1nc.nt lnftlmmalioll..
MEDCOM 0007
ACLU Detainee DeathII ARMY MEDCOM 7
•
AUTOPSY REPORT (b)(6>"J
Mo"'lIotb, "bid MG
(
.ll!:ii.n: Section Ihow. no lignifocanl pathologic .bnonnalily.
Right omohyoid myscle; S«1ion all0W3 no aillliliunt pathologic abnomuJil)'.
Contusion oUM nlbl Iwttq;k: sections shows Cll,lIlvasalion of crytlu«~cs withoul •
•isnlllcanllnnllTUllllory fe_poTtle and no sipilkllllll1ernwidcrin deposition by H and E
slain.
SEROLOGY
Poslmoncm serologic lest;nll (or antibodies ro hlllMll immunodeficiency virus (HIV) and
htpllitis C virus wen: llOn-tUct;vc (ncplivc).
Spleen wu pGlil;vc for llcplItitil8 DNA by PeR.
TOXICOLOGY
Toxi«Jlogic anaIysi. of blood and liver ..... nCglIl;vc (<<carbon monoxide, c~idc.
dhanol (.k:OOol). and illicillubllllllCC:li (drugl).
OPINION
Th~
S6 )'ClU·old Iraqi delainec:died ofaspbyx" due 10 ImOlhcrina and dlesl
«Jmpreaion. SiJllificanl findings orllle IUIOJlS)' included rib l'raelUrcs and numerold
colltwlionJ (bruisd). some of which _e paUemed due to imp.us wilh. blunl o\ljeo;l{l).
Anothl!r finding oflha Ililopsy "'.II an mlarscd Ilcart. lhI! etiolol}' ofwhic.h is II_in.
0Ihc:r findinp: included. fillly liver, which can be JeC/1 mOilt commonly willi obesily or
aloohol abuse. The I]lleell was poaitive focbepalittl B DNA bypolym~
~lWn
n:ac:,ion
(PeRl. TIleR we~ sean in the dlesI Clvily mosllikely due 10 an old infec:tioll. San
were noled IIIIlIe abdDmillaJ GaVily d\lll: 10 prior aura:i<:al removil of the gallbladder.
Althougll an enlarged bean rna)' resutL in sudden ckaI.b, llle bistory "'fTOundilll the dcalb
lions with pallcmcd ~lusiOI\l.ndbroken ribilauppol1 a tr:aumatie u"" ofdNtb and
tbeRfore tbe mutlIer of d<:alh ia bell Glassified Ill; homicide.
(b}(6)
{b}(6C]MedieotJ E"aminGr
MEDCOM
oooa
ACLU Detainee DeathII ARMY MEDCOM 8
_.- --_.._-...-....--- -_._.-
elllnnc:An 06 ....... fOWMl.UiI
_0"01_ ..._ _ _.._ _ _ _
~
--
8T8 McwrIhoIh. Abld
-"'-~
"0
•
o.lIlinM in Iqq
---_.--Ii'I
''''
0
...
--•
'.----_. _-- -- -- ._".
-- ....'...--_
_...-... _.- __
-...... .----_.
_
. _----_
..-_.._- .0""._0_. •
_.
-'._---.0- --",,-_----.
__.. -......-..............
_...... ---_._
-_....
__
...
_------- _..... _. -"'-
......1\11
....-
-~
~
...
0 _ .. _ _. -
-..
"
"""
••• •
~~-
UO'- ... _
_OIlGOQ' .... - . . .• . . -... _
-~
.. _
.... _ _ ... ""'I
-'-"''''
and chI'It camprassion
...'
_'0_
-" _
...
O.....
_lCoWf~·
....
'"
-- --
...
--;
.
.--.
~,_.
•
•,
•
--... _'" . __........-.-_._-_.
._. __
_---_.- __..... _----~~-~..",~
._
...._.
_.
....
,_.--_
.
_
....
_.....
..-._.... -..-....
_.-...._................
_----_........__...___.._-_........-_........._
... _...
•
(b)(6)
-,:;-:-
••
~.. _ . _ -
~
aam.1raq""
(b)16~
~""'=
-'';:'.
,...___..._
.•__"'..... •....'...--....0_.__-.... ".1'10_
,._...
IJ'f\.O_"" _ _ .. _
_ OI_""aII
(b)(61
'Medli::al ED",",*"
1..' .........- - ·
"'.. _
;--
(b)(6)
,
•
DD.~.2064
.
"""'
-..._,
MEDCOM 0009
~
ACLU Detainee DeathII ARMY MEDCOM 9
..,· . ; '.
ARMED FORCES INSTITUTE OF PATHOLOGY
Otnee orthe A.-.ecI romt Medltll Enmlacr
\413 Research Blvd., BidS. 102
Rockville. MD 20150
1·800-944-7912
nNAL AUTOPSY REPORT
N.",,,: Al-Jamadl, Manadcl
SSAN: H/A
thole of Birth: Unk
DlIleFouDd:'(!l)(§}_ 2003
Ible of .4.11101)1)': 09 NOV 200)
Date of Report: 09 JAN 2004
Clrnlllltlbta orDeatll: This lnqi Nl1iooa.l male wu eaptured by Navy SealI(b){2)
and died while detained at Abu Ohmib PrilOn in Iraq.
,...
AUlboriadoD for ".101")': Office orthe Armed Fon:es Medical Examiner, fA W 10
USC 141\
,
Idcoilftcatlon: Visualldentificalion as per Invesligllina Agency
CAUSE OF DEATH:
Blunt Force Injuries Complicated by Compromised
Respiration
MANNEROFDEA11I:
Homicide
MEDCOM 0010
ACLU Detainee DeathII ARMY MEDCOM 10
]
..
...
[,6),,}
AUTOPSY REPORT (b}(6")--
,
AI-Jamadi, Manadel
('
FINAL AtTJ'OPSY DIAGNOSES:
I.
stDDt Forea IlIj_rla:
A. Hnd:
L Ripl periorbital coatuJoa alld lubjuac:rtva' belUonhap
IL CoaN.lolla of the rf&bl.lclc: oCrile: raee IUld DaM
ill P.rietallallplal ••d lempol'lllu • .,cl" roatukllU
tv. Lowc:r lip aQd baceol mu~ COamilOIl'
B. Tol"lO:
L Multiple: mma_ _ .....lou _ abrulasl.
U. Aateriar aad pcnkrtor ebesl will etIlihuloa.
liL Sieroll e..hliloa
Iv. Fl'lchlra ofriabt oacerior rill. Y6 aad ieR ••telrior rib•
...
v. Left hlDC coahlriD.
C. E:ltrtlllitia:
L Multiple ntooN'" .bl'll.loQl aad cODiDloD'
IL
Llpt\lre _rlu O(lbe wriIU ud lIIIda
III.
Rc:.aole Gu....ot Wouad ofTona (projectHe ftlnoved (nllll .pleu)
IV.
No dplfkllol .'''1'111 dlleua IdftllUkd. w1ll1la 1.It.tiODI of
en.i.atlon
V.
To:dcolov: Depth'c:
MEDCOM 0011
ACLU Detainee DeathII ARMY MEDCOM 11
·.
(b)(6)
AUfOPSY REPORT'(b)(6)
-
AI·Jamadi, Manadel
)
EmBlW. EXAMINATION
The body is thal ofa well-cl~eloped,well·nourished Sf't lG-incb tall, 16S-poWld
(estimated) CIIucasian male. Uvidit)' is rllted on the posterioraspel::1 oflbc body. Rigor
it present and symmetric on all elCtremities. The templmlture is cold, that oftbe
n:frisention wit.
The scalp is covcrul with brown hairwith temporal graying and f'rontal baJdilli. Facial
hair eonsists of. dose trimmed brown and grey beard and mustaehe. The irides are
brown md the pupils are round and equal in diameter. PetechiaJ bemo"hagcs oftbe
!lClera are not present. 'The: externalluditory e&nIIJs are free of sccm.iClrl!l and blood. The:
ears are unremarkable. The nares are pIlCnt. lJtiurics 10 the !ace will be described below
in the "evidence o(irUury section", The nose and maxillllC are ptJpably stable. The
are nlluRI. Peteehiae oCtile buccal mueosa ~ IXII plUefIt.
teeth
The ned: it straia,ht. and the trachea is midline and mobile. The chest is syrntDetrle. The
Ibdomeo it nat. There is. well-healed 2 x ~inch oblique lIC8l' on the left lower
quacln.nlilfthe abdomen. There i,.j1ued llJeSUlar well·belled 6 x
horimnlll
scar extending fiom the lower left qlladnnt of the abdomen ItroS\I the anterior lateral
aspect ortiz left thigh. The genilalla are me.: oft nonnaI adult male. The tmes are
dcIccnded and fR:o of muses. Pubic hl1r is ~t ill. normal db1ribution. Ano-genital
tmuna is not present and the buttoeks and ~us we othecwige unrmwkablc
2·m
r
-
On the posterior Iorm thef'll is. _U-bcaJcd vertical 3 II Y.-inc:h scar in the midline over
!he Ihor&cic spine. There I,,) x 2-ineh vertica.I_ in the midline of!he lumbar spine.
A well·healed )·x l"-Inch irresularly shaped lIClII" is on the Idl.loW'el' baek, A vertiCIII 'I. If
V.-inch SCIJ Is on tha upper upeet of the right buttoek. A I 'It y.. intb 'Vertical scar is
praent on the leR buttodc. There u an obliqllC) x 14-lneh aear on the lower aspect of the
leR buttock. Injuries 10 the lOrSO will bedesaibed below in the "evidence ofiqjuries"
$Cdion.
The tJppeI" and 10W'el' exlrelllities are syrnmelrie without clubbilli or edema, lnjuricslO the
palms of the hands IIlCI soles of the f= are not noted. Theft Is. venical6 x V..inch_
on the medial aspoctofthc distal left thigh, which extends to the upper left leg. On !he
dorsum of the ripl foot is. Ix ~inch self, On the dorslII apecl of tbe leR fool Is • Ix
~ioch ICII'. lnjurles 10 the exlrelllities will be described below In the "evldenee of
injury section",
CLOTHfNG AND PERSONAL EflECTS
The decrn:-d inllllClId end penollll1 effects are no! presenl with body al!be lime of
autopsy.
MEDCOM 0012
ACLU Detainee DeathII ARMY MEDCOM 12
(b)(6)
AUTOPSY REPORT (b)(6)
AI.Jamadi, M&nIdeI
r
•
MEDICAL J!'!I"ERYENJ1ON
......
RAPIOGWHS
Poso...",1em radiopptlt are obcIined and IUpporl the clinical
dl.iJ""'C'
EVlDINCI Of INJURY
I. BLUNT fORCE INJURIES:
A. Held IDd Neck:
Externally,' dn:umfnmtill periorililll oonflIIioa SlIITOUndIthe rilll1 eye with USOI:ialcd
subeor\lundival hmlorrI1-ee of the eyeMIl. A I Yo II ¥..inc:h contusion ill on the riihilide
of the face,"lUII to ript eye. 'Tbeft, iJ;. Yo r. Y... inch contuJion on the left .ide of the
_ , immediately IdjlCcnl to the left mcdiaI alDthlll. A Yo It Yo-inc:h round contusion i.
011 the ripllowet Up. There ill. lit ~illdu:olllusionon the buc:c.l mllOOSi ofthc lower
lip. Reflection of the ItIlp rcveab bil*nlllUbplal bemonhI.aa or the parieW Kalp
wilh colllU5ions of the riaht wleft te:mponIiII muxlca. lnjury to the skull is I'lOl
Idalliftcd. The tnin.-d tpinII cord are witboul injury. lncbion IDd lIyerwise
diacction of the anterior IDd pl)Ilerior IICd.: ckmonIlnteIJIlI injury of the Interior PCCk
and deep pIraOerVlcal mlllCUllrlisluc:l and JIll oervIcal spirle fi-Ictwu.
8.Tono:
011 the upper 1ItenI &sped oflhe left side ofthc chat iI. s. 2-!neh contusion. On the
upper Q\*IrMl oftbe left Iide oflhe abdomen bin obliqueS II I-inch contusion. Just
inferior to IhiI coll1USioll i. In oval J • 2-inch eonll.lsion. 011 tlle poIlUior 1aefaI aspect
of tile left buttodt
J. I.(nc:h Ii_ oonl1ISkln. On the mid IIpCCI ofthc left buttock
iJ; III oval J • 2·indl contusion.
i.,
lnl=lally, Ibere an contusionr ofllle mllSldes of Ihe upper ri&hlft left cbcsI WIlls.
Posteriorly, there are m~ contusionl of tile riihl upper bIdt. There Ire &adureI of
left IIIlCrior rib! three throu&b .i. and riabllIlICrior n'hl five: mel.ix. Thcn= lire
c:onbliOlll over the mid upoct of the IImlIIllL The left I... ill involved by. S. J<m
oonfUJion of the Interior upect of the uppor lobe ofthc left Iw&-
c.ExtremitieI:
On the poIIerior IIPCC1. of the riabt rorurm ill .I~ 6. 2--inclt contusion with. J. YoiDc:h .bnsion in ilJ center. On tile donumofthe ri&hl hind i•• ). 2-Ulch contusion and
SIlIIlIer oontllSions overtly the dor-.I uped of the tccOnd and third riihl dipll. On the
anterior IIIpCCI of the left upper 11m II, y,. %·indl oontusion. Thit c:onfUSion it
continuous with the previ_ly delcribed injllr)l on the 1,1cn.I aspect of the uppc:r left
dleJL There is. 2. I-inch 00llNIi0n on the medial aspcec ofthc left elbow. On the
posterior ..pcct of\hc left elbow Is. 2. 2-incb COlIIusion. There . . contutions
MEDeOM 0013
ACLU Detainee DeathII ARMY MEDCOM 13
AUTOPSY REPORT (b)(6)
A!.Janwdi. Manadcl
(b)(6)
S
overl)'!na the dorsum of the left hand een~ OYer the follfth and fifth rnetItIrp&I joints.
On the 4Illerior aspect of the ri&hl thlah uellace illICIt horizonlll tonlllSions. The moSl
pI'Oximai eonlusion measwa) x %-inches.limmcdialely inferior 10 this is I 2 ~ II %incb COllnwon and l!le mosc inferior conlUlion. klcalOd II the mid anterior !hiah.
4 x %-inehes. A YCrtkaI611 3-ild! conNlion is 1oca1Cd on !he 4IllCn.or.lalcraI
aspect o(the mid r1aht !hiih. A 4 II )-inctlIXlll~ o'o'Crlia!he an.eriOl' aspecl
oflhc ri&hl knee. On the anterior mid left Ihiah is I I ~ x I·inch conlllSion. The left knee
is to\'~ by.) x I·ild! va1ka1 contuaed-Ibruion. On the anterior 1Sper::1 of\he kft
lea is: I 7 II 2 ~inch imaul.t)' Iblp'd conl\llian. On the posterior upc<:C of the disIIJ
left !hiih, in the midline, is I 2 112·int!l oval eontuskn On the donal aspect oflhe left
fOOl ue Y,·inch oval conbJlilllUoYUl)'!nl the_lid, lhin:I, fourth. aad fifth
rneutlret
mctaurpelphalMlI:caJ joints.
II. L1QADJiE INJURIES:
r
The wrIsb MIt anklell aIIowevidcnee of b!ndina liprurc inj\lries. On the anlCrior aspecl
ohhc riaN wrisl is I 2 II Yo·inch linear h... izOilui contusion and on the back of the riihl
wrbI is 2 X v..incllli_ 1'oOliZOiltai eonNIion. 0II1ee1lons into these wounds Ihow
hel,lOIT_ into !he IUpcrr~ 1'.""'''I...... t i - . On the front orthe)eft ~ on the
laten.! llper::t Is I I x Y...1ncll contusion, n:lenllirc to the left thwnb. On the bedt ofthc:
left Mise U I 2 Y. II ~ild! conNlion, whicll ex~ IlCtOU !he diameter of !he wrist.
C\II tcdions inlO ~ wrill WOInb show hcmormaac into the superficial aspecu of !he
wbcutulcous tistuc:. On the IaICrll aspect of!he anterior" riaht anklo ill ] II )·inch
~ and on the poslerior-laIcnl upceI of the riJbl.ueJe Is I 2 x I·ild!
con..........on. On the Mlerior apoct ofllle left lII!tle Is) ~ x l.tnc!r. I~
conlUlion exlcndina from the lateral '" mid upcct of the )eft ankle. Incision Into these
ankle WOIIllCb allow bcftlOnhqe
the alpCrl1cia!luballlllClOlIS ri_.
mill
III. REMOTE GUNSHOT WOUND Of lHE TORSO:
Dissection oflbc spIem reveals I minimall)'deliwmcd medium CIlIibcr jaeketed projcdiJc
within lIle splenic puenchyma. The pI'Ojeerilc b surrounded by dense fiblolll tiJIUC.
INTERNAL EXAMINATION
HEAD:
l'lfuria 10 !he IUbtaical M)ft u-o(the ~p have been described. The rcmaindcrof
the pica! and IUbpIcaIlllft tiJAIClIarc he ofilijury. 'Thccalvarium b Inlle!, II is lbc
dun maICf bcnWh il. OcarceldJlospilll1 nuid 1UITOUIlds!be 1400 em brlin, which hu
~ble IYri and suld. Cotona! tcetions dcnlonatrme aharp demarcation bet "'een
while IIId JI'CY matter, wilhoul hcmorrbtp 01' eonlUlivc injury. The venlridcs we of
normllaize. The basal &an&lia. brsinstem, ccrcOcllum, and ancriall)'StemJ ate I'm: of
MEDCOM 00\4
ACLU Detainee DeathII ARMY MEDCOM 14
·.
AIJfOPSY REPORT (b}(6)
AI-J..,.[I, M&Mde1
(b)(6)
6
InJury or other ,bnomaIiliea. ThcTe are IlO Iblll flKfurq. 1bc IIl1anlo-oecipiwjoim is
..bl<.
NECK:
The anterior .trIp mlllC!es of !he ned are homo&cnowa aDd rcd-brown, withl>ut
bell-.orrbace. The thyroid c.rtiLace ~ hyoid are 1nDtt. 'The larynx i.lined by intact
while m - . 'The d1yroid 1I1ymmcrrie Illd red-brvwn, without c:)'Ilic or IIOduIar
ehanJe. Thc IOI\IUC Is frec: of bite marb. hemol'l'baae. or other ilIjuries.
BOOY CAVOJES:
InjlRs to the ctse.t have been dea::iibtd. Thc \IUlebnI bodies _ vUl'bly and plllpably
1Dlal.1. No uce:u fluid i, in \he pkural, pcrio::wdial. Of peritoaell cavitia. The orpas
OCC:Ilp)' their UJUaI UIalOmie positions.
RESPIRATORY SysTEM:
Injury to the left Iq hu hem OeIeribed. The riabl and left tunp wtip 650 Illld 485
JIIlJ, rcspcetiYdy. Thc uninjurtd atemal ariaca ue ImOOth aDd deep ~d-purple. The
pu1JnoNry P'R'ndlyrTlol is dlma-I)' conaested and edemlItous. No _Iesions« areu
ofconsoll4alion are pi......ill.
CARDIOYASCULAR SYmM:
The 415 JIll b-11t conl&illlld in l1li intkt pcricardiallK. The epic..tial surfIc:c it
&mOOIh, whit minimal Cat inYeStmenl. The 0ClI'01IN)' arteries Ife praent in. normal
diJtribution, with. riabt-domlnant pIltCrll. CloIiIediOIll oflhe v_I.1bow no
slpdneant .~erosls.There is 30'% *,-is oflbc proximal left Ulterior c!eseendina
COf'OII&fY artery. Otherwise, the remailllqeoronll)' anerics are widely patenL The
myocardium is homoamOUl, rcd-brown, and firm. The valve Je.afleu are thin and
mobile. " . wtJlt of the left Illd ri&hl venlricles are I.4Illd O.<km thick. respcetivdy.
The endocardium I. amootb and alislcniq. Tbc MIrta siva fix 10 throe Intaelllld p&knI
ardI _I.. The m'IIIlnd mcsenterie vessel. ltRl untemarbblc.
LIVER" BIIJMY SVSTf.M:
1bc 1500 am liver II-. an bUct, IfnOOlh ~ and. aIwp anterior border. The
~yma I. Wl-brown and coqested. wilh the lllIual Jobular architecture. No mass
I~ollll or other .bnormIIltles are seen. The p11b11dder contaiN 10 cc ofg:reat-black
bile Ind no $101leI. The mlleOtlll sur&ee ill ~ and velvet)'. The extrahepWc bili.-y
tree il palmI.
SPLEHH;
Recovery of. remole projtdile hu been dilCll J. The 130 I"' Iplcen has • smooth,
inlAel, red.purple ClfWlc. 11Ie parcnch)'lllllllnlltOOlllnd eonaestcd. with dbtinet
MIIplQhian OD'1NIC1es.
MEDCOM 0015
ACLU Detainee DeathII ARMY MEDCOM 15
..
AUTOPSY REPORT (b)(S)
(b){6)
7
A1·Jlmldi. Manldel
PANCRW:
The panttalI is fUm and yellow-tln, with the usual lobular lldIitectu~ No mass lesions
orotha-Ihooinlalities are IeCft.
ADRENAl $,
The riaM and left Idrenalalancb are lynunetriC, with )'Cllow eortiees and Jl'CY medullae.
No maJIeS or areas of hemonhqtl arc idmtifitd.
GENITOURINARY SYSTEM:
The riaht and kft kidneys wei&h lIS and 120 ams. mpcc:livdy. The tlllemallUlf.-.
are intItt IIld smooth. The CUlIW'f.ees arc Iai-wl and conaested. with IZIliformly lhid:
c:ortic:a mil aIwp corticocned\lllary)unctions. The pdYCIIIft llIII'eDIUkabIe IIld lhe
ureteR tIC normalln eoune and ealibcr. White btJdder P1_ overlie. Ul UUcI blacldet
wall. The bIedder conWnI IppOXlmalely )00 cc or yellow wine.. The pmstIle is DOI'In&l
in tizo. with lobular, yellow...., parend'Iyma. The tc:minal vesicles an: IIIlmIWbble..
The _cs are free of mass lesionl, eonl1lSlonl, or olber .monnalities.
GASIB.OI'NJ'ESTINAL D.ACI:
Tbc: ~ it inlKlllld tiDed by IJnOllIh. py-wbite m\lCOSL The I10mIdI COIIWrIJ
lIpprOll.imlIle!y200c:c ofdlrk btown pIrtialIy diaated food. The a-aic wall is inl.et.
The duodenWll, 1009S of Pna!1 bowd, md ooIon are unmnarbroblc. The appendix is
........
•
•
•
ADpmONAL PJlOCEDJIR'S
DocumenwyplxMolflPbsuetakenby(b)(6)
OAFME
Attecld1na!be autopIy is Special Aaent (b)(6)
,AlmyelD.
Speci_ malned for lolt~ic latina and/or DNA ldenllflcation are:
vitreous, blood, Ilrine, aplcen, IiYU, IWllo lnin, bile; ~ and psoa mute:1e
• Tbc: diacleled orpns tIC forwudod with body
MICROSCOPIC EXAMINATION
SdccIcd portions of 0fI1llI arc mainod in formalin. withoul ~ of hiSloloaic
""'"
TOXICOLOGY
AFIP Aewsjoo ,(b)fS)
d..,., 24 Noy2003
Volatiles: BJood·nep!ive forethanol
CymI6e: Blood- neptiYe
Dnip of 1Ibute: Blood-neptive
MEDeOM 0016
ACLU Detainee DeathII ARMY MEDCOM 16
~
.
.
,.
AUTOPSY REPORT (b)(6)
[OiH"Ol'--
_
Al-Junadi, MlInIdel
•
opINION
~)(6)
111I Iraqi National, died willle detained at tile Abu Ohraib pri!Oll
wbete he was held f..... in'...-.1Itinns by eovcmmcnt l&enciCi. A<:o>rdina to an
investiptiY1il report.l{b)(6)
lwu capwmI byNavy Scal;{b)(2j and raided
apprehensioll. ExtemaI il\iuries are comment with injuries sustained durinS
apprehension. Lipture injuries are present on the wrisb and ankles. Frachlm: of the ribs
and a contusion ofthc leflluns imply sirplificant bhmt force injuries of the thonut and
likely raulted in impaired respiration. Aooordina to iRvcstiaatiJta agents, inter/iews
taken trom individuals pracnt at the prison during the interrop!ion indicate that a hood
made ofsynlhctic material wu placed over the held and ncdr; ofthc detainee. This likely
l"CSIIIted in furtbercomprombc ofeffcctive respira.tlOll. Rb)(6)
'wu not under tile
inlluc:lCe of drop of abuse Of' eth.Molat the time of death. 'The cause of dclth is blunt
fora: ilIjurics oflhc torso complicated by compronn-i rcspinttion. 'The manner ofdcadl
is IJomictdc.
(b)(6)
MEDCOM 0017
ACLU Detainee DeathII ARMY MEDCOM 17
_ot_____.. __.. _ _ ..
_.-- -_- -_.- --_.'-----
_ n OI1l>f.ANIO"UU-qj
IITB
_~o.",,,,,
~ ~n8del
--
o•
Detainee in I'&q
.
~
....
""lIOO"""
Ii'I
0 '-"'-
..... ................
--.--.-- _--_""_ot_
_...... _- - - --_
-,......--_._ot..."' ____,._
--_
-_
.. _-----._.._-_.._._
...
.._. _.
--<>,,_
--- -_
_............._--_-............... .. _-._.-.............
_.--..._----.-- --""""'-- ..
-- - T- 1:-......... _...;. . --- _.- __........-_-. -_. _-_.___.-....-----__-- ---_
...._""- ---X
,
.....
_TU'_
~
...
...... _ _ iT...
..I _ ...~
... "
'00-",_"'-10_""
_-,
Blunt
_~
_____
. """',-
...
I~~QOmpliC...., by """""'om
-~
--,
.
...--
...
;~=
"-
~-.
...- _ ...... :;::r""".
__ I
...,.."" ....'"
•
0
_NCU •
.
•
_00",,_ _ _... -
(b)(6)
.N _
•
n __
D9_ 2OQ3
(b)(6r"2&i3"
•_
...
--
~.I....
• _ _ ..."'......
...
.......... _ - " " -
~_
(b)(6)
.,
"""""-0\1'1'1
(b)(6)
""j j .... ,. -{.).eo'1'
(b)(6)
. , _ ,_ _ _ _ _ _ _ .....' 1 0 _
"",","-'
IMedal Examftw
tv' ,llCln?
__----_ _.....- •._- -
'--"""--'
'-"_."_.,,'---"--"
.00
-.... ...
..... 2064
-
.
•
- .
.
~_
··...-... --'MeiJe'!3M"OO1""·_................···-.-...
.. _, ...
ACLU Detainee DeathII ARMY MEDCOM 18
-
,\It:\I~:lll'(mn:s
l,,"STrlVn: OF PATlIOl,O{;Y
Office of tile ,\ rmed Funes ~ !Nlie'" 1':~:lInill<'r
I ~ JJ K''!I~''ll'illlln' .. IlIJg, 1112
K,'I(~\'ilk. '~II)
20S50
J .~t~I.').\J_ 7') 11
,\ UTOI'SV EX,,;\IIc\.\TIOX fU,I'OIn'
1"~l1IdITIl
~"ji~~(bt)~(6~)==
r"k<.l Eh:,d K"ZUlII
,\11101'''>'
AI'\\' >'u...®(6)
Ib,,~: 1".-\
SSt\N:NA
I );,1<: of Bi"h: Ullk'''j",n _
[)"";:n,,,~ uftkath (b)(6)
I'\:lcc "f 11,'", h. ,\Ill' (ill""h Pr)WII,
';:OU,\
l)"ldl"ililC "r i\111"~)': 21 Allg 200}
n:lIc of It"I'''": 'I (k! 200;\
Ir~'1
1'1:.cc or Allio 1's~" em'l' S:llhcr. In.,!
ClI'ell IIlSr"nccs "r Death :_Thc d""'c,kllt \\':'S a I,ri,rlllcr in ,\I,,, I ihl'"ih l'f1son 111 U.S.
('I\~l",I)'. 0" PI' :,hOl'l (b}(S) J21J11~ h," "":IS ,,,,lc,11O I"" I,ul~dc.,,, "",1 "1'"c\e.
C:tnJi"I'"IIIl\lnary n:stls";l:ll'ol>
I..mlll".
-
"":I.' ,1115",,<:\,._,(ul. "fhe", "':IS II"
1''1' 'r ,'uln)'!:""1 or
Illclllmc,"i"n' T~,,'nli\'(: by Am'y Crimi",1 I"n:sligntin" I)ivis"''' I('11)).
denial. fing~rprinl. and DNA prufil~ 1101 avail"l>lc.
"I\I~I1lQncm
•
MEDCOM 0019
ACLU Detainee DeathII ARMY MEDCOM 19
AUTOPSY REPORT(b)(6)
2
Tareb, Eb.d Kanm
FINAL AUTOPSY DIAGNOSES:
I.
Mild-moderate three ve$Se) coronary anerio$Clerosis
A. Ischemic cardiomyopathy ('ISO iTlJnS)
B. Left venuicle hypertrophy{I.8 em)
C. Pulmonary edema and eotlgestion (combined weight 1900 grwns)
D. Chronic pauive congestion oflhe liver
E. Congestive splenomegaly (3S0 grams)
II.
Hemangioml of the liVCl"
Ill.
Mild decomposition
MEDCOM 0020
ACLU Detainee DeathII ARMY MEDCOM 20
•
A.UTOI'SY RE'ORT(b)(6j
)
Tlleb, £bad Kuam
EXTERNAL E)(AMINADON
The body i.lIuil 0(1 well-dcveloped, well-nowilhed appearins. Inll5Cular 12ioch lall160
pourds (estlmlted) male wid! an alilllllied qe of 4O)'UI$. Lividity i. posterior, purpk,
and fiXed. Rigor i. absent.
Thef-e i, early postmortem dceomposition indkalcd by corneal c:loudingllnd early Kin
.lippaae.
IdentiryinJ marb include I Yo inch circular lCaron the anterior len (ore:um and I vertical
J.y, lllth tear on the posterior righl band.
The IUIp i. eoveml with &ray-blatt hair in I nonnal dlstnlMion. Corneal eloudins
obJcula!be irides and pupib. The exlemalludilory callaLJ are unranart.ablc. The ears
UlII'\!m.Irbble. The n.res _ patent and the lips I« ltrIum&li,,- The !lOR and
muill.e In palpably liable. The leclll appear NltUral and ill good repair.
M:
The neck II atra.iah!' and lhe lfachQ. il midlille and mobile.. The chen is S)'ll1tndrie. The
abdomen is n.l 1lle aenil&lia are thoR o(a normal adulllllllle. The testes I n lkscended
and free o(mUlca. Pubic: hair is praml in I norm.l diltribulion. The bultocb and anus
In
unrcm-tabk.
The upper and Iowa cxlfcmities an l)'lI'Imctric:..,o without dubbing or edema.
CLOTHING AND PERSONAL EffECTS
MEDICAL ImSVENTION
No '11~ mcdiCIII de¥iCQ or arti£acu orlhenpy.
EVIDENCE Qf INJURY
INDBNAL UAMINATION
HgAD:
The pIal and subpleaJ IOn lilSUCI oflhe.eatp lW (ree ofinjury. The ulvarium il
intM:t, .. il the din JT\IIler beneath it Clear cerdll'Olpinall1uid IUmllUldIlhe ISOlI I1ll
bnin, which has unremartlblc Iyrl Md sulci and V:llc:ular con&eslion. Coronal $CCIiOM
demonstrate Iharp den\arulion betwun while and arey miller, without hemormaaeor
conlUlive injury. lbe ventrieles are o(nonn,II;:e. The blSal pIIgU.. bnilUllem.
MEDCOM 0021
ACLU Detainee DeathII ARMY MEDCOM 21
•
AITfOPS¥ REPORT l{b)(6)
Taltb, Ebad Klum
4
-
cerebellum. ill1d aneTil1 systems are rrecorinjury or oilier abnonnalilies. There Ire no
Hull (1KIUrn, The ~1J;lIIl0-0ccipi~1joinl is su.ble.
NECK'
The anterior strap muscles afille nock are homogenous llIId !'Cd·brown, without
hemorrllage. The thyroid carlilage and hyoid are inllct. The IlIl}'Ilx ialined by iniac!
while mllCOA. The thyroid is synuTlelric and red·brown, without c)'Illc or nodular
change. Tho; tongue is free of bite marks, hemorrhage, or other injuries.
BODY CAvITIES:
TIle ribs. sternum, and vertebral bodies Il"e visibly alMl palpably inlllCl. No e:JIee5S fluid is
in Ihe pleural, pericardial, or peritoneal cavities. The organs occupy cheir lIsu.llnatom~
positions.
RWiPIRAIQSY SYSTEM:
The right Ind lett lungs ate edematous, congested and weigh 1000 and 900 p,
resp«tively. The extem31 surfaces are smooth and deep red-purple. No TI1llQ lesions or
areas of consoli dillon are present.
CARDIOVASCULAR SYSTEM:
The 450
bean is globular in shape but COllwned in an inlaCl pericardial $&C. The
am
epicanlillsurfaee is smoot!!, wilh minimal fat investment. The COronlry IItCl'ics are
presenl in a nonnal dislribulion. with a righl-dominant panel'll. CcoQ sections ofthc
vessels show mu!tifocal stel105CS orthc left anlerior descendinJ Coronlry anery. The right
cotOnary anery has SO-7S% muJitfoca.l stenoses ofllle proximal and mid segments. Thc
myocardium is homogenous. red-brown. and linn. The: valve leaflets are thin and
mobile. The walla orltle leR and right YelIlricles are I.Slnd O.6-cm thick. respeelivcly.
The septum il hypertrophied meuurina 2.0 em in lhickness. The endocardium il smoolh
and glistening. Thc aorta gives rise to ~ inlacl and pllcnt &reh vcsscla. The renal and
mc:scnleric vessels are lInn::markable.
L(\'ER & BILIARy SySTEM:
The 1900 gill liver has In inlact. smooth capsule with congested parenchyma. The:re is a I
Yo x I Ii inch SUbclp:llllar hemangioma. The gallblsdder colllains a minulc amounl Dr
JI"CeII-black bile and no stones. The mllCOSlllUrrau is green and vclvely. The
extrahepatic biliary tree is palenl.
SPLEEN:
The 3So-grwn spleen hill" a smooth. inlact, rtd·purple ClIpsule. The psrcnchyma is
mllODt1 and congested, with dislincl Malpighian cDTplllClcs.
PANCREAS:
The pancreu is firm and yellOW-tail. with the usual lobular architecture. No mass lesions
or other abnormalilies are seen.
MEDCOM 0022
ACLU Detainee DeathII ARMY MEDCOM 22
,
AUTOPSY REPORT,{b)(6)
T.leb, Ebad Knam
ADRENALS:
The right and left adrenal glands are symmetric, with bright yellow cortices and grey
medullae. No muses or 'I''eaS ofhemormagc ~rc identified.
GENITOURINARY SySTEM:
The right and left kidneys weigh 3S0 am, each. The "terml surfaces are intact and
smooth. The cut 5IIrfacu are red-tan and congcsted, with uniformly thick cortices and
sharp corticomedul1ary junctions. The pelves are unreIllllrkable and the uretel'5 are
I»rmlll in cou~ and caliber. While bladder mucosa overlies an intact bladder WJ.ll. The
bladder is devoid of urine. The prnstate is normal in size, with lobular, yellow-tan
parenchyma. The semina' vesicles are unretJlllricable. The testes arc free ofmass lesions.
contusions, or other abnormalilics.
GASTROINTESTJNAL TRACT:
The esophagus is intact.nd lined by smooth. &rey-while mllCOSa. The Slomach contlill5
approximately 2S ml of yellow liquid. The gaslric WIIll is intact. The duodenum, loom
of small bowel, and colon an: unremubble. The appendilt is present and unremarkable.
ApDITIONAL PROCED.URES
•
•
•
Documentary photographs are Ilken by (b}(6)
Specimens retllined for loxicologic tC$ling and/or DNA identification .re:
vit~1, blood, spleen, liver. brain, &Ulric contenls.1nd p$oaI mu.K:lc
The diueeled organs are fol'W'&«ied with body
MICROSCOPIC EXAMINATION
Selected portions oforglill are retained in fann.lin, without preparation ofhinologlc
slides.
TOXICOLOGIC ANALYSIS
Toxicologic lUlIllysis of blood and vitTCOus ftuid were negative for ethanol (alcohol) Ind
i lIici! sU~IantCI.
MEDCOM 0023
ACLU Detainee DeathII ARMY MEDCOM 23
AUTOPSY REPORT](b){6)
Tileb, Ehd K-um
6
•
OMNION
This Iraqi m.l~ prisoner of war died of arlcrioselerotie eardioYQCular disease:. SigniliclIIlt
lindings of the autopsy included an enlaJ&Od heart and .ignili~ant IUIJ'I"(Iwing of one of the
arteries ~pplying blood to the heart. The lungs. li\'Cr,.nd spleen were (:()n~ted most
likely due to inadcqUlte pU"'llingoflhe heart. An unrelated lindina was il hemllllgioma (I
benign blood Yeasel tUlTlor) of the liyer that did not contribute to death. ThCR! was no
intemll or tlttemal tra.um•.
The mlnJttr of death i. natural.
(b}(6)
MEDCOM 0024
ACLU Detainee DeathII ARMY MEDCOM 24
_..__ . -
_.- --_..,--... .-. -- -_.--. ,
.-.._----_.._-- -- __.-"--"etfl1lOlCll1l 01 OlATH _11l,"1
_""==.•
n .... _ _
BTB Tiled. Ehold, Kuam
0
OI~inn ...
..... '" _
ID_ II."
,
..-,.
lrIq
~-
" "T'( " " . . . . .
111
0 '-"'~
_
......n.-
~-
~-
X C"c·_
....'_10.,.""''"0
"" -..""-
_"" __..... _"e-I ____
.-...
-_.
-_'_."--
-""_
...
_. -----"'QlCaI..n1l"1Hl OM
.......
_---~-
_"".....'...-.:.......-00_...'
... _ _ _ ......,l
_
Me<i(udelotic;
fllOv.IIl....
__-..--- --"".....-"
..-"'_
......
... '-"-.
__
00_
_c-."_.
..-._ .. ....-'-_
_...........
-_.-...
_.....
_----""--'.
• ------ _.....__. _........
-,::-_..
n_=
- ._-- C""""-'" ......-- -__
....-.-_. _-_.
__
...... _... _-_0__.
_.--------'-_..
...... _
. _--...-_--~
._,_.. - ....._
..._.....
...._
... _-_._._.... _----_._
......- ... _.- ..... _.. _...
.. . . _........ _..... ...... ....
....... ,.
-"" .......
•
,
-'''''CD~•
---~--.
(b){6)
_.;:
••
';;'::-£""-'''--
Abu Glnitl PriIoo. II8q
' _ _0 _ _ " " _ " , _ _ _.. _
,.._...
.......... """"'_ _ • _ _ _ ....._ _
__ '-M._
(b)(6)
Mecfcal EJc_lner
1..••.....-..._ ..Oowor AfB. DE IM2._
(b){6)
1 _ _ _ .... _-~,_
...... _
..._
00,'31'/,20
...- -..._
I
.. _ - -
..,
....,.
MEDCOM 0025
""'
~
ACLU Detainee DeathII ARMY MEDCOM 25
-
ARi\lEIl FOltCJ:S INSTITl/TJ: Of 1',\TlIOLO(;l'
omrr or Ihc J\ rrnrd "'urc.,~ ,\ Irdlrlll V.U mlllrr
1-11) R~nl'dllJl\'d .. Bldg..lll~
Rocl,,'ilk, ~1J) :n/)$O
]·800·')44-7') ]2
AUTOI'SY EX,\i\l1NA'no!'o' REI'ORT
Numc: BTB Sp,dl, Dh;ll1l
55A!\!: NA
D'ile or Birth; Unknown
Onlcrrimc of Oe3Ih[(b)(6)
'\lIlOllS)' No,: (bX6)
AFlr No,(b}(6)
Rank: N,\
J'];".:" of O<:alll: Ah" GIlDih
''rison, lr-.>q
J'I2I;e of "'UIOl'~)~ Camp S;llllcr.
20Cl3
O'Il..:fl"imc or AUloJt~)': l5 ,\ Ul; llJO]
O"IC or Rqnll1: 24 Ocl 2003
Clrr" lIlSlllllrn or Uralh:
Thi~
Ir~<l
lr:l'li rnCI1I}' prison,..,. of "'31 "'as an in",atc "f Abu
Gllmib Prison, On 01' ubnul(b)(6)
COI)3 (l?X~
"'liS
bro"l!ht to Ihe l!-"lle by olllC:l"
,kllli ncrs IItlll "'35 tlQl~,IIO b<.·l'"lsckss atld apneic,
-
hlcnunClllloll: I'rcsumpth'c b)' US Ann~' Criminal 1tJ\"CS!iK-"lI;I'C Oi,'is.ion (ClO/.
Anlclllol'tl;1l1 fin~rprilll, deuIlll. lllttl DNA n:conls ' ' ' 1-<:'.\ is....' Ilt.
CAUSE OF U.:" Til: Al'tcriosclcn:nic canliOYMClllar dillC'.I5C (ASCVO)
MEOCOM 0026
ACLU Detainee DeathII ARMY MEDCOM 26
, ..
,
Atn'OPSY REPORT An,(b)C6)
8T8Sp.~.D"'...
FINAL AUTOPSY DIAGNOSES:
I.
) v_I moden,le 10 ~R coronary arlery IlCberoxlm)lic
,,-
A. behemiceardiomyopaihy(525 JI'IIlS)
B. Left venlricullI hypertrophy (1.8 em)
C. Focal bridgillJ oflbe left anIel'iordeso:endini eoron.y artery
(LAD)
D. Pu.1monary conaUlion (1600 anms)
11.
Mild decornpotition
A. Postmof1ent hczc lI1iraet
9. PoItmortcm bile lO.ieo!olY c:onsistcnl with decompoa:ition
Ill.
Fibrous pleural .thesiool
MEDeOM 0027
ACLU Detainee DeathII ARMY MEDCOM 27
·.
AUTOPSY REPORT AnPf(b)(6)
BTB Spa.b. Dbam
]
EXDWL EXAMINATION
The body i,that of. weJl-6tYdopai, thin, musc:ular, 70 inellltU, ISO pounds
(estimated) mile ",hose ~ e i. e:onsislcnl with an esIinla1ed age or~ )'aD.
Uvldily it~. purple, arid fixed. Ri.... it: inddefminale ICCOnduy 10 poslmorlern
treedn... Thd-e;1 mild decomposition consiltingofcloudin& oflhe comeu, early sldn
,lippage, lnlI.liplllJ'ClC'f\ dilCOlort1ion orllle rigbt IowerqUMlranl orllle abdomen.
ldenlit'ying mlltb include I y, It Yo inch llCaJ"on the alcin overlying lhe rialll palCllL
The tealp i. covered wilh atnlghl bllltk hair in I nonnaJ di5lribulion. ComeaI clouding
oblC\Il'CS!he irides and !he pupib. 'The extcrMlaudilOl'y can.l. are unremarkable. The
eI/'J arelUll'alllrbble. The IWt:I an pIItcnlll'd lhe lipt ani alnlllllllic. The nose md
flWlillae '"' p.lpably Itable. The leelh IIppCU "atllral and Idequate.
The
noct j, Ittaiatu, and the u.chQ i. midline and mobile.
abdomen i.
The tl\e$I is symmetric.. The
nat. The geniwil are thole of. norm.l..:lull male. The leila Ilre dclccnded
and rille orll\l.UC:l. Pubic "",It i. present in lllOnnal diltribution. The bunoeb and IllIl5
Ilr1l
Uf\feINI'1(able.
'The upper IIld lower extmniliCi are .ymmctric and witlloul dubbing orellema.
CLOTHING AND rEBSONM lunCI1
None.
MEpICAL INTERYENllON
None.
EViDENCE QF INJURY
None.
INTIMAL EXAMINATION
HgAD:
The p1u1 and IUbpleaJ 10ft liJlUCI oflhe IelIlp Ire free ofil\iury. The calvarium is
inlaC1, as is the dura IJllIler benath it. Clear cerebrol;pinll fluid lurrounds the plltially
ftozen 14S0 am brain, which has unmnarbble gyri lnd lulei. Coronll sectionl
demorutrat~dIarp demll'Cfllion bcllween "'Nle and pey miner, withoul hemolThage OJ
contusive 11\i!A'Y. Th~ VClllrieb are o(IlOl'Tl\II,iu. The bual ganglia, brainstem,
eerebellurn.llKllrtcrilllystems are he ofll\iury (lfOlhe:r -"normllilia. "There lite no
lkull fractum. The IllUl\(H)OCipilal joint i, ItlIbJe.
MEOCOM 0028
ACLU Detainee DeathII ARMY MEDCOM 28
AlTTOPSY REPORT AI'1P(b)(6)
•
BTB Spall, Dilam
NECK:
The anlcriOl' Ill'Ip muscle. of ~ neck
life homoCCllO\l5 and ~. wilhoul
hemontlalO. The thyroid eartilap and hyoid arc inlacL The Iar)'nx illined b)' inlact
while mueoA. The thyroid il aymmelric: and red-brown, withoul c:)'IIie Of nodlll.,.
ehanp. The tonl'le il froe of bite ITlIfb. hcmon'baae. Grolber injuries.
BQDY Ch\fJ'TJP!i:
The ribs,llemllln. and vertebl1ll bodiel arc vilibly Md paIpMIl)' inlacL No exc:eu flllid is
in the plevBl, perleardial, or peritonul uvitiel. Then: arc fibl'OUl ~ON in both
pleural ueitiel. 'The orpIII oecll9Y lheir ~I .",alomic: pasitiOftL
RESPIRATORY SYSTEM;
The ri&hl and Id\ Ilin.. wcip ISO IlIld 7SO gnl. resp«livd)'. The utenal surf-ees are
Ift\OOIh and deep red-purple. The pulmonary parenc:hyma il dilfuael)' c:ongmed and
ocleml~. No.".. lesions or IlU5 ofClOIlIOlidttion are pracnt.
CARPIO\fASCllbAR SYS1Dt:
The S2S I"' hart is contained in In inllc:1 peric:atdialllC. The epic:lnlial surlKe is
1n1OOtft. with minimll fit invellmenl. The COfOIIa/Y Irterie. arc pralftl in a normal
diJlriblltion. wilh a ript-dominant pallem. Cross sectioN of~ YeSSCIs show .so-15%
mlihifotalll_ of~ proximal portion ofthe left anterior deseeodint cofODll)' lItery
with foeal bridaina. a foea! pJ'OJIimll9O% lIenosil with ealc:ifieation and 7S-9O%
mullifoc:al stenoKloflhe mid portion of\he right c:oronary artery. Then ilia foc:a11S%
lIenosilofthe proll:tm.1 left <:ireumnu coronary artery. No ac:llte c:hangea (plaq\IC:
hemonhagc. I'IIpture. or thrombosis) arc noted. The m)'OCMdium is homoaenous. re:lbrown. and firm.. The valve IC:llndl an: thin IIld mobile. The wall oftJ1c left I/CIllric:le il
h)'JJCl'ltOphiecl measuring U em in thic:knca. The cndoc:anIium il smllOlh IIld &:Iillenlng.
The aortI gives rise 10 three inta<:t IIld patent areh v_II. The renal and mesentcnc:
v_ls life unremarkable.
LIVER &. PlUMY SYSTEM:
The 1400 I"' liver hall an inlact. smooth ClplUle and a sharp anterior border. The
parenchyma is laJl.brown and congested, with the usual lobular an::hitecIU~. No mau
lesiOlll or other abnormalities life seen. The p11blldderCOlllains. minute amounlof
arccn-b1aek bile IIld nOltones. 1lIc mllC:Ollll surface i, green and velvet)'. The
eJtlrahcpatJe biliary tree i' Pltcnt.
$PLEgN:
The ISO gm spleen hall. smooth. inlact. ~·purple caplllie. The parenchyma iI maroon
and eongClted, with distincl Mllpigltian colplllClcs. Thc:n: i' an adjacent 10 gram
1C<:aIOT}I,plocn near the hilum.
PANCREAS:
PlllC~lIil fimt IlrlIi )'l:llow-tan, with the llI11lllobular architecture. No m... lesions
orothcr lbnonnalltiCi ~ seen.
The
MEDCOM 0029
ACLU Detainee DeathII ARMY MEDCOM 29
.
.
,
AlTfOPSY REPORT AFI!(b)(6)
BTBSp.... Dblm
AQRfiNAI $:
The right and len adren.l1a1ands are 1)'ITIITICtric, with bright yellow conic:ea and grey
meclulhlc. No masses or areas orhcmonl.agc are identified.
GENITOURJNARy SYSTEM:
The rialll and left kidneys weiJh 200 am each. The external aunaees are intact and
smooth. The cut surfaces are red-tall and congested, with uniformly thick: eonices and
sharp corticomedullary junctions. The pelves are unrmwkable and the urelen are
nonnal in eotne and e.liber. White bladder mucosa overlies an in~1 bladder wall. The
bllddcr is empty. The prostate is normal in size, with lobu/.ar, yellow·lan parenchyma.
The seminal vesicles are unranarklblc. The testes are free ofmU51esioM, conl\lsions,
or ocher abnOl'Tllalilies.
GASlRQINTESTINAL TMCI:
The esophap Is intact and lined by 1mOOlh. grey-white mllCOSL The stomaeh contains
approximately 10 ml of green liquid. The gastric wall i. [n!act. The duodenum, loops of
small bowel, and colon are unmnarbble. The appendix is present and unmnarlt.lble.
ADDITIONAL PRQO:QWU:,S
I
•
DocumenllU)' photographs are lDkal bYI(b)(6}
•
SpecilTlClls R:\.Iincd for toxic:ologjc testing llIdfor DNA identifICation are: blood,
vilnloU5, liver, kidney, brain, bite, and psoai muscle
The dissected organs are (orwarded wilh the body
Peno",,1 effects are releued 10 \he appropri.te mortuary opetatioru
representatives o( the S4- Qulrtcmlutcr CompVIy.
•
•
MICROSCOPIC EXAMINATION
Selected por1iOlll o( orgllll& are retained in (annalin, without preparuion o(hiS(ologic
slides.
TOXICOLOGY
Toxicologic analysis ofbile revealed 1lI ethanol concenlrltion 0(47 mgldL. aee1a1dehyde
8 IJl8fdL, llId traec: amounlS of21'fl)pllIlOl and I-propanol all o(which are consislent
witll decomposilion. No iIlic;llubstaneea Wett detected.
°PlNlON
This Iraqi m.le pnSOnefo(w.r died ofl1leriotclcrol;c coronary l1Iery disease.
SignifiCll1t findings of the ,ulopsy included ICVCre lllITOWing o(1he blood vessels
supplying blood 10 the he8l1 and en1araemenl o(lhc heart. No cxlem.l or inlemallfllul1Ul
was noted.
The manner of death is natural.
MEDCOM 0030
ACLU Detainee DeathII ARMY MEDCOM 30
.. , ...
-
AtTrOPSY REPORT AFIP1(b}(6)
BTB Spala, D)am..
' ..
~
-----.L'---_
6
~(b)(6fIMediCllI Examiner
MEDCOM 0031
ACLU Detainee DeathII ARMY MEDCOM 31
_...'-----_. - - - -....._._
..
_.---.
_
...
-,--•
-------,-.. _.._-- - - ....--_
.. _--'
_
__....._-_ . _
..- .._--"'
_
."_
---_
_------""_.._-_._"'-""
__._0_.
..... -..--- -"'--'''-"""""'.... --'0_.
.
---"'-'-.
.......
_
_.-"'
......
_.-------, .u.nn:,o,lI Of .....' " _'''''1
_ O i _ ~
"""""'-
_",,,,,,,,,• • a-o. _ _
eTa $p8h. Dl..m
•
"" '"
"""-""--
OeUoi'IH In IrMl
~-
Ii'I
0
'-
''-'
~-
"',c'_
.~
...
-"' ..... "'
.........
,.m
"'"
-.,. ...........
:1
c.llllov_ _
-oiMi'". .
_ ......J
..--
,,-
....-_""""'~.
...
.......... _0"' ... _ _
--- - _no..
- ---
.--t.......
,
~-
..
_.
_...
-1;-......·· ......__ .... _"' ....._-_ - ........... ... __ .............. ....------_.- _ _..w • .-.-.
(b)(6)
<bKgr""i&'i3··-·--
__
~~
--""--,,, -
1"'~" - "'"
Abu Ghtdl. Iraq
...
-,.:,c:-
..,.,.
.........
~
,
10 _ _ _ _ .... _ . _ _ • _ _ _ • _ _ ..... _ _ _ _ _
no_~_
.~
1-;-·..........""-- _ ..-I
'-_..
.-. _-_ . _
'_
...
_
.....
_
...
-.--.._._
...
_
...
_.....
...._..
.. __ .....-. -.._.-... .. _----_._....- ..._.-
(b){6)
I~:cel Ex.mlner
Dcwet Me.
(bItS)
"';'~
00.." "2064
oe 19l1O2
(b){6)
• . . . -. . _ _ . . . . . . _
... _ _ _ _ ..........I<CIo . . . _ ......
MEOCOM
0032
ACLU Detainee DeathII ARMY MEDCOM 32
~
_
-,-""",...
....
.
.........
"_.'.~
..
•
ARMED FORCES INSTITUTE OF PATHOLOGY
Oll'kt 01 11M A....-l , , _ Mtdlell Eulllllltl'
141J ~ BMl., Bids. \02
Roc1<\'lUe,MD20UO
1·100 944 7911
FINAL AtITOPSY REPORT
Name: bcfieved_to_Qe AbccLMobaDKd..N.ltIII
.J
SSAN:I(b)(6)
Dale of Birth: Unkno~~tObcS()tr
DmofDeathKb)(6["J2003;{b)(6)
-
Autopsy No;J~(bR)(6~)---1
AFIP No.: ~b)(6)
Rank: nI.
"
Place of Death: Abu Obu~ Prison, Iraq
Place of Autopsy:
S,,·
QM Co.
Baghdad Inti Airport, Iraq
Dille or Autopsy: 24 August20QJ
DalC of repo": 29 Seplember 2003
ClrculllataD", of Delt": Olber prisoncn brouaht the decedent forward to the prison pic
complainini of chest paln. He repot1cdly panicipalcd in. fast thai day. Medics responded within 5
minutes and bepn CPR because u.err, was no pulse or blood pressure. A physician arrived 30
min\llcs Ifter patient presentation and he bcpn inttlvenoll$1l111CIlIon and DS{) solution bee'nsc of.
history of diabetes (taking oral GlibeneK) IS l'CpOf1od bllb)(6} I. prisoner in the camp. By this
lime pupils were fixed and dillted. and the decedent r=T\&11lcd pul.seless throuahoul resuscitation
Iltempu. No body tem~ was reoorded in the m:ords available for review. The remains were
riluaUy WIShed by prisond{b)(6) lprior 10 transpoIt to the mortuary.
Autlloritatkln for AIUOpay: Offiu of the Anned Forces Medical Examin<:r, lAW 10 US Code
1471
Positive identification not established because antemot1em exemplm ~
unavaibbJe. Poslmot1ern denial exam and Xol1l)'5, DNA specimen and finaerprinlli oblainal fOf"
possible future n:ference.
Idellilflutloll:
CAUSE OF DUrn: AtIIerosclerotic cardiovuculardiKase complicated by dilbetes
MANNER OF DEATH: Natural
FINAL AUTOPSY DIAGNOSES:
I.
Atherosclerolic clrdiovucular disease
•
•
10% .stenosis of the pJ'Ollimalleft Mlmor descerw;lins coronary artery
Atheromatous llOJ1a
II.
Diabetes
111.
IV.
Model'IIte decomposition
No evidenu ofll1luma
Toxieolosieal ex.aminallon (in msldL)
V.
A'IlIldchydt
6
s!bmIlI
36
39
IIiSllIlIll
Traee
Tmee
t-nrTlP'MI
•
•
Cavity blood
Bile
Trace
Trace
•
CllVity blood posilive for lidocain<: (drug used in resu5Citalion anemplJ.)
MEDCOM 0033
ACLU Detainee DeathII ARMY MEDCOM 33
.. Mttb"'I1'""-believed to be Abed Mohamed N-.JenI
EXTERNAL £XAM]NADON
The body is that of B well-deveJoped. well·nourished Bppearin8 68 inch tall, 200 pounds
(estimaled), Middle Eastern male whose appearance is an estimaled 50 plus yurs; daJe of binh is
unknown. Decomposition is modenue, consistin8 of skin slippllgc, marblil18. bloatinJ, bloody
purge. foul odor and geen discolotal:iOll of tbe tonG. Uvidity is inaPP'J'CllI. Rigor Is passed, and
tbe temperature is cold.
The 5Calp is cove~ with blllCk strai8lt1 hir in a nonnaI distribution. and the (lICe ha$ a full beard
and muslache. The Iris color is ditrlCUltto ueeruiu brC'uy of cornea.! cJoudin8. bul appeared to be
bnlwn, and !he PJpits arc round and equal In diameter. The extemal illJdilory ClDaIs are fR:e of
blood or abnonnal secretions. The em are unrel'lloBltahJe. The nues are patent and the lips an:
Blraumalle. The nose and mnllla are palpably sable. Tbe teeth appear natural and in poor repair.
The Iledt is SU'lliallt. aDd !he tlKlIea is midllne and mobile. The chest is symmetric. The abdomen
is prolubenlllt. but decompresses followin, the initial incision. TIle cenilatia are those of a oonnaJ
adult male. The leSIes are des<:ended and free of masses. Pubic I1air is pm;ent in a normal
distribution. The bullocks and anus are unremarkable.
The upper and Jowerex.tl'Cmities are symmetric and without clubbing oredema.
CLOtHING AND PERSONAL EtTECI'S
The following c:Iothlna hems and personal effeclS are praent on !he body atlbe time of autopsy:
•
None. tbe body is undlld.
•
None.
MEDICAL INIERyENIJON
RADIOGRAPHS
X-fB)'S are
unBvailable Bl tltis location.
EVIpENCE OF INJURy
No injuries are seen followlna' complete postmonem examination.
INTERNAL EXAMINATION
HEAP:
The entire brain was too decomposed for ~uale examilllliOll, beinl in a semi-liquid stale. There
Ilte no sll:ull frac:lute$. The a1lanlo-occipitaJ joint is W1bk.
NECK:
Plgc20U
MEDCOM 0034
ACLU Detainee DeathII ARMY MEDCOM 34
(b)(6)
ME·(b)(6)
belicYCd to be Abed Mohamed NtJem
The arKerior 5mp JIlllSCles or tile llCCk are homogenous and red·brown, WiUlOU! hemot1'fll&e. The
thyroid cdJap lllld hyoid are intBc'l. The Wyru is lined by inllCl while lRlIl:OI&. The thyroid is
symmeuic IlIId ~n. Wilhout cystic or DOdular chanp. The lonp is
0' bile marb,
~ or otber injuries. 'There i.I; Ill) 100I 5lAin.ing or the larynx or the ll'IChea.
'm::
Incision and dissection of the posterior neck demonsttlleS no deep paracervieal muscular injury IlDd
no cervicAJ spine rra:tures.
BODY CAVOJEs:
The ribs, sternum, and VCltebnl bodies an: visibly and palpably InucL No eJlc:eN fluid is illlh8
pericardiaJ or peritoneal CIlyities. ~ II 100 rnL 0' decomposllion fluid In ellCh hemilhoru. The
orpnl occupy !heir usual aIllItomic posllions.
RESPIRATORY SYSTEM:
The righllllld left lunas weigh 320 JlIl and 2.50 am. telpoc1lvely. The eJlternallurftcel are II'IlOOIh
and deep m;!.putpJc. The pulmanal)' ~lIChym .. ll difl\lscly CIlIIaeste4 and edema.lOUl. No ma.u
lesions Of _
coosoIidalion lIR' presenl.
0'
CARDIOVASCULAR SYSTEM;
The 2.SO grn ~ il contained in an In!aCt pcricanllalaac. The epiea.Rliai ",!face II 1IllOOlh, wllh
minimal fat investment. The coronary arteries are pnseol in I nonna! diltributiOll, with. riabldomltllllll pauem. Cross sections or the yessell show ~ IIeJlOlII or lhe prodmai left AlIleriOl'
descendine coronary artery. The myocardium il homogcllOU5, nld-bmwn, and soft. The Yalyt
IClIflcu are thin and mobile. The wailthickncss 0'1hc left and righl ventriclel are not rneasum;! due
to decompositiooaJ changcs. The endocanlium il slTlOOlh and &llilenine. 'The 101'II aJves rise to
lhree lnlll:l lIIlIi patent Il'C'h ves.sell lIIlIi lias 1IIIlll'lcant Involyemenl wilh IIhctomlloul plaquc.li
throughout ill length, sillliflCll111y worse in tile dillai IlbOominal aorta. The l'Cftallllld mcsemerie
ves.selsille unremlltable.
LIVER &. au JARy S)'SIEM:
The 1240 gm liver hal an inlllCl, Jmooth capsule and I sharp Inlerior bordet. TIlIl p&r1:nch}'ll'll il
ta.n-brown with Aslight yellow disrolOlllllon, with the usual lobular Il'C'hl!cCIuA:. No mass lesions
Tbe gallbladder 0001I111I I minute amount of glttn·black bile and
IlO stOllCS. The IYlIICQII1 surface il green and ydYely. The Cl:lI'Ibepallc biliary tree II pllen!.
or OIlier abnormalities are SCCII.
Si>lEf:N:
The 90 &m Ipleen has • lmOIlIh, in!aCt, nld-purple capsule.
The p&l"Cnchyma is maroon and
diffillClll, witboul dilcemlblc Maipighian corpuscles.
PANCREAS:
The ~ is auto!yz.cd and yellow-tao, with Ihe llsua.I lobular lIclr.itec:nm. No
other abnormaJitlC$ anl seen.
mill
Iulons or
ADBENALS;
The right and left adrenal glands are Iymmetric. with bri&hl yellow c:ortica IDd IUlolyud IRY
medullae. No tnISICS or Ileal or helrllll'rM,gc are loentifted.
hp3of~
MEDGOM 0035
ACLU Detainee DeathII ARMY MEDCOM 35
M!:{b)(6)
~
belicved 10 be Abed Molwntd Nljem
GENITOURINARY SYSTEM:
The right and left kidneys _igh 70 gm and 90 gm, ~pcctively. Thc cxtcrnal 5lUfaces are intacl
UK! pular, with a pigskin IcxMe. 1bere are multiple small cysl$ in each kidney. 'The cut
surfaces arc red.Jan and congested, with uniformly thick cOlticcs and stlarp corticomcdullary
Junctions. 1lIc pelves arc urmmarkablc and !he W'CteIS are nonna! in cOlIne and caliber. While
bllldder mLJal$l overlies an intacl bladder wall. The bladder contains no urine. The pmslate is
normal in size, with nodular, yellow-18n ~nclJyma. The seminal YClIiicle!i Il1ll unremarkable. The
le5Ie$ are free of mll!.$ lesioll$, conlU5iOl\$, or other abnormalities.
GASTROwrnsTINAL TRACT:
The esoph88W1 is intact and lined by s1TlOOlh. py-wbite mucosa. 'The slOfllaCb conlains only scant,
pasty. grey IJI8lerial. 'The gaslrlc wall is intact. The duodaHJm. loops of small bo_l, and colon are
unrernukable. The appendix is present and there are cecalllllllesions.
APDmQN';'L PROCEDURE,<;
•
•
•
•
Doeumentaty phoIOgrapbs Il1ll taken byOAFME phocographer(b){6)
No ttllCc evidence is collected.
Specimens relained for IOX.icologic Ie$ling an¢Ior DNA identiflCltion are; ClIvity blood. liver.
spleen, semiliquid bnlin, bile, and J'$OIIS muscles.
The dissected organs are forwarded with body.
MICROSCOPIC EXAMINAnON
Selecled portions of organs are retained In formalin, without prepal1llion ofhislOlogic slides.
OPINION
This Middle Eastern male, believed 10 be[<b){6)
h,,<ti.JiO b.
(b){6)
.....tln"..... ,l....<ti........... "'..1 ....."""
----,~ed as I result of atherosclerotic
n.e manner ofaeltlh is MIUra!.
Armed Forces Medical Examiner System
1'lI",4o£4
MEDCOM 0036
ACLU Detainee DeathII ARMY MEDCOM 36
l{b)(6)
_._
_.,--.._--- -_.__. -.
_. _. - -.,- -----_.
......._JV1lvo.-,
CUTR::~"01'
_0,1ItCUIlIl .... _ _ _ .. _ - , , _
'ITS Abed. Mohamed. Najem
~_o_
_
--
_
.-_.._-...,-_.-
,,,.,,
~-
Iil
0
........ ,-
......... ... e>o<
""""
- .....
-.._-_
---- _
••
.,~
~
••
__,-'OOI.,...D
. . . . .,0' ...
.,
_-
""'OO'.... ~_I",..
e-o .. _ _ _ _ _ _
___.__..._'
_U'e-I _ _ _ _ _
.......
..lOIC......AT........
c...- .......... _ _ _ _ _ ...
_00_'...
.. .
..........
....
~
~
C"""QC1
.......... .......
--~
,,
Dela;nee in Iraq
x
DUTH (CWFlfS£1ISI
A/h"","clltr01Ic cardiCl'lascular disuse complicated by
,..",...~10_ ...'
dtabel...
--""""-.
_..........__...-.
--..--- .----,",,__..,
==.....:,:9"1
--".-
......................
-._ .......
~to_"....
_ _ '"0
. . ._
"',,-
_.----•
.................
....OI'S'O _ _ _
_ _ "" ....OI'S'O
.
c
x
..
~
.......
'" """"""",
(b){6)
_..-••
--
•
-
."""'-.................... - - .......... _---..... _
........
...'.. . ."""00_
I~"'_TI{
--
-~--
2. Aug 2003
1-.. _
Abu Ghurayt> Pricon, Iraq
,..... _ _ _ ... _OKf.OIfO_ _
_ _ OOCO'.....
n o ~ D . '
..
0
.n
"",..
(b)(6}""1OO:i"--'---
_---_.-
""""-'_ _ ....... OUI'O
........... C'OO'-I
_.-.,. . . . . ." " _
_ . - _ ~
,-_......
I _ _ "_-"._~-_._"-'--"~"-----
-'___.. ,or_
""
(b){6)
0'...
(b)(6)
I
"'j J;m,4i tr-l
-
~ AF~. DE 19902
(b}(6)
,--_.----_
. __._-._.... _.. _-.----_._
....- _., _ . _... _
... _
. . . . . .
0
_
... _
••
.....
_ _ _ . _...
_ _ . . " , _ . ._ , , .
00,""2064 ........,...._"' ..... ,... " .................................-=M ...-.....
MEDCOM 0037
ACLU Detainee DeathII ARMY MEDCOM 37
•
ARMlm rONeES INS'TITUTEOF PATIIOI.OGY
Htfku(tIN A.--.f fo..... Modlnl E""......
141] ~h8M1" Bid&- 102
1tock";lJc. MD WI$CI
1-tl)D.9U·79l2
FINAL AUTOPSY REPORT
NllRlI!: believnllo be IIl1mu II...... Twfeook N~m 8,..17 AI·ZUbydy
SSAN:
"'a. Enemy pwCb)(6j
Date of Blnh: Unknown. -Ppt'an middle.1ed
Dace of Ocalh:(b)(6j
2003 (bl(B)
Date of Autopsy: 24 August 2003
D.1le ofll:por1: 29 Seplember 200]
AUlopsy No:(b)(6)'--_--j
AFIP No.,(b){6)
Rank: nil,
P1aa: of Death: o;.... nl•• baq
Pla:e of Alilopsy: 54· QM Co,
Baghdad lnll. AilpOf1.1raq
Clrwm~lInreli of (k.th: The deadent was an enemy pri.loOller of war detainee at the Biap prison
who was bein,lt1Uuporled in a bus when he be<:ame shan ofbrulh, hypolensive and lal:hycardic.
A medic with .he 115'" MP Battalion admlniSleled an TV bolus, which briefly improved his
sympcoms and sip. bul he StlOl'I anulcd. When e,umined IlIU:. in the day by • ptlysician. rigor
and lividity _rc established. but no visible mlrlingJ. woun<b.lc:sions. dcfonnity" were scc:n. No
body temperalllll: WlI$ m:ordel1 in.he m:ord~ available for review.
M
-
Authonl.lllion for Autopsy: Office ofllle Armed Foroes Medical EJ;.miner, lAw 10 US Code
1471
Identlflutlon:
Poshive IlknlirlCaliol! is nIX established because of a loIek of anlemortem
~·r~ys, DNA specimen and fin8"rprinl$ are oblained for
IXl"sible fUlure reference.
Uemphlrl. PosllI1Of1t=m denlml exam Ilnd
CAUSE 0.' DEATH: Undetermined mlf1lumalic CDUW:
MANNt;R OF UEATtI: NaMaI
t'lNAI. AUTOPSY D1AGNOSK'l:
I,
II.
Ill.
No e"Idc:nce: of significanll\illUrlIl diseaw:. willlin lhe limitalions of lllis aUlopsy.
Noevidenccoflf'lluma
To.o;icological ex.minllion
• Blood and urine were negalive for cllllll\Ol
• Blood was negalive for prescripcion and illicit drugs
t;XTEBNAI. EMI\UNAnON
-
The body is lllal of a well-dc:"elopcd. well-nourished appearing 12 in<:11 l;tll. 210 pounds
(eslimaled), middle eastern male woo IIppcm midllie .ged. (Dale or binI! is unknown.). Uvidily is
inllppan::nl due to postmonem changn. Rip is passed, and lhe lempcratull: is cold.
MEDCOM 0038
ACLU Detainee DeathII ARMY MEDCOM 38
(b)(6)
MI<i{b)(6)
!>c:1;eva! to be l"'mID H,,"";lId Twfftk NaJm Byllty A 1-7.u hydy
•
.. . ,
~ ~a1p i~ covered with black. slraight. long hair in a oormal dimibulion:llld there is a full beard
and mustaclle. The irides life dimcu!! 10 delennine due 10 cloudy COflle;l. bUI appear brown. alld tile
pupils are rouml ood equal in diametcr. 1lIc: eJltemal alHlitOfy canals are free of blood and unusual
secretions. The ellrs are unremarkable. The llilres arc piltenl and thc lip5 "re atrllumillic. l1lc nose
"ml maxillae are palpably .~table. The teeth appeu nlllumi ood in fair repair.
The: rlC(:k is 5lraighl. and the lnlChea is midlioc and mobile. The chesl is symmetric. The abdomen
i.~ 0:11. The genitlllia ltre those of II normal :>dull mate.
The tCStell are descended and free of
~. Pubic h;,ir is present in a norl1lal distribution. The bullocks and linus an: unrcllllll'kable.
The upper and lowcr utrcmitics are symmetric and ....it!lout clubbing Of edema..
CWIIIING AND PERSONA), t:mCTS
The foltowint c104hing itcms and pel1lOnal effccts III'C presenl on the body at the time of autop.<y:
• Green Iulce-leng'lh shin
• Buffcolorctllloxershorts
,\IWICAL INTERVENTION
•
A SOO mL bag of lactatcd Rinter's ~IUlioo connected to an IV cannula th.tappan:ntly feU out
of the righl antccubital fossa
RADIOGRAPIIS
'""
Radiotraptls are unavailable at this loc;ll;oo.
t:YIDENCE Ot' INJURY
There is no e"idencc of injury following a CDmfllete postmonem uaminalion.
Dccon1posit;Dllal cllanges (Xll1S;51. of .kin slippage. marbling. foul odor aoo a green color to the
antcrior thorn lmd ;d)domen.
INn:KNAI. EXAMINATiON
HEAP:
The galcal and subgaluJ IiDftlissues of the scalp.-re free Dr injury. The calvarium is intllCt. a.<;s the
dUfil mater benealh il. CleM cercbrospinlll nuid surrounds the 1400 &Ill brain, Which has
unremmkabJe gyri nnd sutei. Coronal l'CCtiOll$ demonstrate ~hlUJl detnar.:ution between white and
grey maner. without hemorrhagc Of COIltusive injury. The V(lntriclcs arc of normal size. TIle basal
gantli". bra;nsl~m. cerebellum. and arterial 5ystems are free of injury or other abnormalitics. There
we no skull ffilCtures. The atlanto-occipital joint is 5table.
"""',
The anterior 5l.rap muscles of the neck are homogenou~ i1IKJ red-brown. wilhout hemorrhage. The
lhyroid cartilage ;,nd hyoid are intact. The larynx i~ lined by intllCl white mucosa. The lhyroid is
5ymmclric and red·brown. without cysti(: or noduli'r Change. The: longue is free of bile marb,
hemorrllagc. or other injuries. 1llcre i~ no SODI staining of the laryM Of the trachea.
Pol" 2 or 4
MEDCOM 0039
ACLU Detainee DeathII ARMY MEDCOM 39
l(b)(6)
o\n:(b)(6)
Ixlicved to be
"
•
ll~mu
1I11,.,;ud Twfrdr. Najm Oyllty AI.Zubydy
Inci!lion and lliSl'C(1ion or the posterior neck clcmonstrates no dc:cp pllr.ICervical mu~ul:lr injury:and
no cervical spine rl'1l("turc_.
Bopr CA VUlES;
The ribs. Slemum. and vencbral bodic!l are visibly 3IId palpably inlal;f. No ClIce!L~ nuid 15 in the
nlbt plwral. pericatdial. or peritoneal cavilies. lIllhoulb thelt' is scanl clccomp05ilion fluid. The
Drl;ml OCC\lpy lhcir uwailinillomic pcl'iilions.
RESPlBATQRY SYSTEM:
The riJhtlllld leO lunp wcilb 950 1m and 1050 1m. respectively. The c,,;tcmalsurrllCC:S arc smooth
lind deep red·purple. The pulmonary p;m:nch}'lTlil is dirru!OCly rongntcd ilnd cdcm:llous. No mass
Ie~ionl or Ill'alI of conMlIiIlntion all: prt:llCnt.
CARPIOVAscULAR SVSTEM:
The 270 &'" hul1 is contained in :ItI intae:t pcricanlilll sac. The cpicardial surface is smooth. with
minimal rill Invcsunenl. The coron<lry allCl"ics are presenl in il norm.1l diMribulioo. with a rightdomirunt pOlite",. ClOSS M'CIions or the vessels show no sil'lirlClllIt i1thcrosclcrotic criov~h.r
diJeuc.. The myoc:<lnliun. is Ilomogenoos. Rld·brown. and finn. The valve 1c:r.l1ets are thin lind
mobile. The cllllo::lCMdil.lm is SlTlOOIh &lid JJiSlcninl- The aonl gives rise to tb~ inlactalld pIIlent
arch veS$C.Is. The renal and mesenteric: vessels arc unlt'fTIllrkablc.
"
LIVER&: BILIARy SrSTEM:
The 1250 gm liver has an intlet. smoDlh ~ule;and g shilrp anterior borclcr. The pilKncbymll is
tlln-brown and coolCSted. with the usual lobulw :uthltOClu",. No maM Ic.oions or other
abnormalities;arc 5Ct:l1. The p1lbladdcr contalns 15 mL or sm:n-black bile and no stones. The
mucosal sul'f;o;:c: is g~ and velvety. Thc ClIll1lhepatic biliary tree is I*cnl.
SPLEEN;
The 260 gm splcen bas a smootb. intae:t. rcd-pulplc cap!luic. The P"'"'nchyma is muoon and
diffluent. wi,h indistinct Mglpighian COl"pUIoCIes..
PANCREAS:
The pancrell.!l is linn and yellow·lan. with the usual lobulllr architco::turc. No '""" lesions
Of
other
abnormalities arc secn.
ApRENAL.$:
The right and lell adrcnallll'lIId.~ an: symlllCtric. with bricht yellow conitts and &rcY lnedullK. No
milliscs or Melli of bcmorrh.u~ l1te lclcntir1Cd.
GENITOURINARY SYSTEM:
'The riaht and left kidneys weigh 75 1m III1d 7.5 1m. respectively. The utcmal surr:ac:cs an: intact
;and smooth. The cut SUrrllCC:S Me It'd·tan IIlld cOfllcsted. with I.Il1irOllnly thick cortices and stIarp
conic:omcdullwy jUrlCiions. The pelves Ill'e unrem~rkllblc lUld the ureters arc nannal in course:ltld
caliber. White bllllklet m\lCOSil overtiCli an intilc:t bladder wall. 'The bladdu contail\~ IIpproximately
170 mL or hazy. pink urine:. The prosilite i$ normal in size. with nodular. yellow·tan parcnch)'Jllll.
l'qe)oI"4
MEDCOM 0040
ACLU Detainee DeathII ARMY MEDCOM 40
(b)(6)
M,,;(b)(6)
IlC'HrYfll 10 bo: Ilunl~.U Ifnsad Twfrl'k NQjm lI,ul, AI·7.ullyd,
•
~I
The ~minaJ ,,"iclc~ utr unrcm.3lkabk. The
abllOflNlilirs.
trSle~
arr free of
ma.u
lesiQfl~.
conlusions. or othrr
GASTROINTESTINAL TRACT:
The: ~gw i~ intacl and lined by 51T1()(l1h. ,rc)'_whitr mucO$a. Thr _ h eonl.liM
appfOlIimatdy 100 ml of &reY. put)'. P'"~UY dilCSUd. unn:co&niuble food. The pMrlc w~1 is
intact Thr duodenum. loops of ~mall howel. and o;olon arc unrcmarltabk. The: appell<li. is prnc:nl.
AIlUITIQNAI. PKOC":pUKt:S
•
•
•
•
Docummt;u"y photOVap"s are lakrn by OAFME phol01l1lpher (b)(6)
No trw:c evidena: is colkclW.
Specimens n:lainrd IOf to.ic:ololie IrSlinl and!« DNA kJentirlCaiion
spleen, linn.:. pirie conteniS. ""'In. bile.lUId p50Q mlr.<C1a.
The diSS«lC:d 011- are forwarded willi the body.
llrl':
ea",I)' blood. li""r.
MIs:R0SCOPlC t:XAMINATION
$elet:ted ponion5 of orlans an: rcl .. ined in fonnDlln, withoul preparation of lIi~tololieslick~.
OPINION
This Middle EaslC:m malr, believed 10 be (b){6)
.. _J' nf ... lI..k""..... __,''''''",,'''_.'''' llOfIlo.ic eOlUK.
(b)(6)
dkd u
Thc: manner of de;:ll" i, Mtum.
"'ht~
MEDCOM 0041
ACLU Detainee DeathII ARMY MEDCOM 41
_- _..-_ -
(b)(6)
_
..'_.- - -_.- ----..... -- _.--_. -'"
-_.--'- --.- - ------ _
.. ---"" .... "'- _.. _-..... ""-_....
...
.
.......
"'-"'---...
_.. _--- ...
_
...
-__
.. _- _...
_00_.
.
.
.
_... _
..
...
......
_.-- --'-. -.
..---.
_.su. 10_- _._
..............
........
.
......
-.... _- ...--_.
-'--"'-<
----- - _...
.......... _.-.
-- _.CUTJ'OCA'. 0' ou.'" ~~UAIJ
-"'''""- .......
.
3TBHa.rna H.5ad. Twleek Nairn, Bl'l'1y Al-211b)Vy
_
_
A<...............
0
_J
....."'_M
....-
o.tw-IIlI'lq
Ii'I
0 ,,-. ,-
_
~
... J1......
X c"'c·_
~
••
......_10...,....,
....n _ _ . _
"
..._ ..."11_
_-~-
_ZIO _
_ ""- _ _
~'
--~,,,
-~-
....... ""1
iiOO_cn•
..-1O...''''
UndeII<mindeclllrl\lfllllic:: can;e
~
_coo_~_.
-_.~
__10_
,,-
---~,...'
"' .........
~
"
-..
~0
X
-.,.... -..-.
.-
ibi(6)~
(b)(6)
~':"-'"
DiwI..... 1'11<1
"':~
'''_.''
-
••
2.1Wg 2003
.~
~
•_
_
__
_
"'_
. ._
" . ..._
..,_
. . ._
. . ,_
.._
·,_
..... ._
. - ......
_
COUIU
..........
_
h
_M
_
....
_
_
•_
.. , _
.. _
_...
_•
_
_
~
1_-
_ " '_ _ - . c o L _ ... _ _ ..... _ _
(b)(6)
I:"'U"_..AImed FOf~1 MIo(Ibl fumi"...
I=AFa~9l102-"-
(b)(6)
"."..._~-----(b)(6)
._ _ _----_ _-_
""'"
.. _ ."""""__...._. _,_"_
...._. .. .....- ..... _... _..-.... _--.'---"--'
,_
_
00.-=2064
'
..
-I
_--~_
MEDCOM 0042
~-.....
ACLU Detainee DeathII ARMY MEDCOM 42
•
.'
ARMED FORO:S INSTITUTF: OF PATHOI.OGV
Om~e of
rhe Armed Forers "'r!llral Examiner
(41) Re$CMCh Blvd.. Bldg. 102
Ro<:kvillc. MD 2H8S0
1-800-944-7912
AUTOPSY f.XAMINATION RF:PORT
Autopsy No.,,(b}(6~
AFlr No.!(b)(6)
Name: Daballa. Dilar
J
SSAN: nI~
Dale of Birth: unknown
DalcofDealh:l(b)(6) 12003
Dale of Alltopsy: 17 June 2003
Rank: Civilian.lmqi natiOJlllI
Place ofDe:uh: Iraq
Place of Autopsy: Baghdad
1Illcmal;onal Ai'llOn. Baghdad. Iraq
Dale ofRep<:ln: II May 2004
ClrCllmsla nets of Death: This ilpproximately 45 y<:ar..,;,ld ciyilian Iraq malc detainee
died in U.S. custody Ipproximaldy 12 hours afier a reponed escape allclnpl by llle
decedent. Physical ro~e wu r'Cljuircd to subdue the lklaince. and duringillc tesll7lining
process, his forehead hillhc ground.
Allihorh:atloll fot AU101»Y: The Atmtd Forces Medical Enmlnn.I" \\' 10 lISe
1471.
~ntl
Identification: Visual; Finge'llrinls
DNA sanlplcs oblained
CAUSE OF DEi\.Til; Closed lind InJIII')' with
Subdlluillernlltomll
~
Corlical Brn!n Conlnslon lind
MANNER OF DEATH: lIomltlde
MEDCOM 0043
ACLU Detainee DeathII ARMY MEDCOM 43
.
-
]
A.UTOPSY REPORT ME(b){6)
DABABA, Ollar
'
2
fiNAl. AUTOPSY DIAGNOSES:
L
Closed Head Injury
~. Sub~radmoid hemon-fta&e over roin
b. COr1ic;ll brain contusion, righl oceipilal I1:gion. 4 x" x J ~In
i. Inlracortical hemOlThagc witb frtill erythrocytes. fibrin, and
polymorphonuclear leukocytes
II. Ncg:n;vc for fibroblasts. lIlacruphages. c:l1,illary proliferation,
IKmosiderin or iron
e. Right subdural hematoma. 20 ml
i. Fresll erythrocytes. fibrin. ami polymorphonuclur leukocytes
ii. Ncg:llivc for fibroblascs. matrophagcs, capillary prolifmllion,
hemosiderin or iron
d. No skull fractures
c. Left fronlal subg:lleal hemolThage wi\h scalp laceralion
i. Sl:Itus POSI suturing of laceration
ll.
Addilionallnjuries
a. Fracture righllateral gill rib wilh soft tissue hemorrhage
b, MUltiple contusions, abra:sions. and minor lacerations of head. torso, and
utremitics
c. Abrasions and cQnlUsions llI'OUnd wristS and ankles. consisleJ1l with
restraint
d. Hemorrhage of right srernocleidomastoid muscle of neck
i. Hyoid bone intact withrnll hemorrhage or fruclure
Ill.
No evidence of nalll",1 diKaSC withi n r~ limitations ohhe examination
IV.
Toxicology: AFIP
3. Volatiles: 8100d and urine negative for e1hanol
b. Drugs: Urine ~ilive rOI lidocaine: negative fot all other screened
medications and drugs ofabusc
MEDCOM 0044
ACLU Detainee DeathII ARMY MEDCOM 44
.'•
l
....UTOPSY REPORT I\U(b)(6)
DABA8A. Ollar
ExtERNAl. f_Mi\I'NAJION
The bOOy il HI:lI of a well devctO(lCd. wclluouriJlJCd \IIIC:I:llllldulIUIo,Ic. rccciveoJ hi a hl:lC:k
booJy b3g labeled 1'0';111 a \.38 "BTB; (b)(6)
The body wci~
approximately ISO Ibs, ;.66" in height and appc;lf1W1'1'1p;1litlle Wilh lhe rqKIned a~ of
;approximately 4S years. The booJy temper.nure is Ihal ofthc re(ri~lIiOI1 unit. Rigor il
preseniiO an equal ikgrec in:lll exlremi,in. Lividity i, praenl and flxed on I~ posterior
IIJr{:':C of lhe hod)'. except in
arul5
expoKd to praIllrc.
The $Calp is covcm:l wim black h;a;r averaginl2 em in ICIl£lh. ThtR i. ~ block must:l(:hc
and blxk rXio1ls1Ubblc. The irides
brown. and 1M come;! are clear. The ilCleroe and
=
conjuncliv;oc In: pale:md l'rtto{pctec:biz. The nrloba arc 1101 pierced.
~
ulem:l1
auditor)' Qlllll and exlcnul nateJ an freeorforeian m:uerial ~ :lhnolTllal SC(re1ions. The
nasal skeleton is p;llpably inlaCl. The lips are without evident injury. ThCTe Is bloody fluid
wittUn lhe mamb. bill 110 inj unes lJre identified wilhin the 0flI1 caY;ly. The ICCllllll'C ~lural
:mel in good condition, Below the ehin is~ I.S em well healed linCOll' K.1r.
The nea is stmi8hl;U1d ~l( trac:hea is midline llrld mobile. l11e ehest is S)'lTlJTlCIric: and well
developed. The abdomen is nal iUId soil The extrmlities an: well developed wiih oom,al
ran~ of m04ion. 'The fin8m1~ils
intllCl. No lIllIOOS lIll: evilknl. 'The elltemal 8enil~lil
are those ofa nonnallkllllt circumdsed male. The le!lles are lIe5cended ,md f~ ofmU5qi.
Pubie hair is pte!ielll in a roannal dislribution. The bullocks and allUS are IImemmable.
=
'I,OIIIING AND PERSONAl, EI/fF.(,TS
No elothin8 ilems or [l(l'1onal e",eels an: presenl on the botly al the lime of aUlops)'.
EVIDF.NCF. Qt· TIlEBAPY
Theu is an endOU'aehealtube IIjlplllprialel)' piKed. There is while l;lf'( wilh 8aUlC in both
l1f\1«ubilal fOSSilC. overlying needle puJJdure marks Nld alllocialed ecchymoses. There ~
needle pUliclure mms with associlled ecc:hymoses on lhe upper lIIlter10r foremn. Tbefe Ire
l!tree EKG adhesive pads. two on !he upper ehest aIld Olle on lhe mid ahdorncn. ~ llle
three slilehes plaoxd in I lxer:nion of the len forehud. In lhe len inlluinal region, there is a
I em inc:iscd wound, eonsistent wilh I VCfIO\lIlC:C'CSlIlllmlp!.
F.VIOF.Net: 0t" INJUBI
The ordering oflhe followinl injuriq is fOl descriplive purposes only ,11100.1 is not inlelKlcd
10 imply order of infliction or relalive severity.
Head am! Neck;
\..
On lhe IIpper midline of the forehead. jusl below lhe hairline i. II hor;U1nl~ll)' oriented 4 1f
1 cm abr.lS;Oll. On Ihll upper len llSpCCt Oflhe forehead. lhere is a I.S em previously
sutured incision with I surroundinl) 1f 2 em :lbrasion. On the uPJlCl' righl asroeloftlle
MEDCOM 0045
ACLU Detainee DeathII ARMY MEDCOM 45
-
AUTOPSY RE:PORT Mfl(b){6)
OABABA, D1lu
4
forehead. there is a ) x 2 tm abfuiOfl. Al Ihe ri~hl lalcfal <;<lie of the right eye. cXlcooing
lip \0 the ~bfO""
L,lcr.lIy along the orbital rillie. tllere is:l (, l( 5 em red contusion
.,ll!
witll r«.labrasion Ilonll tile bony prominence. On the right che<:k. there ill central
horizonlally oriented J x I em red conlu,ion. On the upper Ilter,1 :lSpCCl orllle len check.
Ihere i•• horizontally oriented) x I.S em abrasion. On the lower Illedialll!p«l orille
,iPil che<:k. ,here :lfe two 0,3 em abrasions.
Above.he left ear. IIIbe crease between the pinna and the scalp. Ihere i. a I em
lxeratiOfl. Behind ,t~ left COlI". there i. a ) x 2 till purple contusion. On the len I.lenl
ll$p«l arthe neck, exlending froln behilld llie Ie ft e:lt anteriorly along lhe edge of the
mandible. there i. a I S I I) em red contusion. Behind the
car. lllerc i. diffuse
"gil,
erythema orllle posterior aspect ortlle pinn:. and a 4 x 3 em dark contusiol'. On the right
later.ll aspect of tile neck. exteneJinll from bebind tile right ear ~meriorly along the edge of
the mandible. lheu is. 14 x 10 em area with multiple sflUllI eurvillneur abrasions ~nd
contusions. up to O.S em in length. On tile left anterior aspect ofthc net:k. there is:.
diasonal lJ x I.S em lir.earabrasion.
ACl'OU lIIe back ohhe nec:k.lhere iSi 25)( 10 em area of diffiJ$C erythema. Within this
area. on the rightlateraJ:aspect of the ned. there ale three horizontally oriented linear
abruiom: I 2 )( 2 an superior abrasion. a mid 3 )( 2 em abrasion. and a 3 )( I em lower
abrasion.
Upon reflection ofllle scalp. 1heR: ia a 3)( 2 em ,,",a of aubpI cal hc:monfuille of tile left
front:.1 f1:lIion. surroundinglhe l;lll;Cr,ltion. Upon remoVllI of the calvarium. thele il
approximately 20 ml ofcloUed but
and non-adherllllt aubdural hemorrltap Over the
right side of tile brain. There is dilTuse subarxhnoid hmIorTtIqe over lhe brain. Senal
sectioning oftltc brain reveaL, a 4 x 4)( 3 em ~ ofintrxortieal bllli" hemorrhage in the
right oceipit:ll bfllin.
son
On internal examination of the neck. there ia diffuse hemortlla,e ohhe right
S!emocleidomlllioid muscle. However. there il no hemorrltage ohlle afllenor Itrop
muscles orthe neck, and the hyoid bone ia inlact:and free of hemorrhage.
Chest and Abdomen;
On the antenor and lateral aspect ortlle right shoulder, then:;s a 10)( 13 em ilTCgular
of abrasion. Over the right clavicle. there an: two diagoml7)( 0.3 em line:.r
IbrasioN.Just below the len clavicle. there is. 4)( 2 em il1"ClUlar abruion. On the
anterior len shoulder. lhere is I 3 )( 3 enl red contusion.
artiI
Over the mid eheS!. there is. 30)( 20 em area of moll led erythemland red contusion.
Wilhin this IrCII. over the sternum, there is a 7)( S em red IbrlIsion with rocllliOCllrit)'.
On the lower left ;aspcct ofthe chest, there is I diagonal? )( 0.2 em linear abrasion.
MEDCOM 0046
ACLU Detainee DeathII ARMY MEDCOM 46
AUTOPSY REPORT ME{b)(6)
DABABA, Dliu
=-oJ
,
On ltV: mid abdomen, jusl above the umbilicus. thcre is a huling 5 l 0.1 em :lbruion. On
the lower :lbdomen. jusl 10 thc ri¥ht of midlilll:. lherl: is a 1.5 l I cm abrasion. On lhe
lower lell abdOlTlcn. Ihere is a 1.5 l I em abrasion.
On illiemal l:lamination of Ihe ehesl. lhere ;s a Ir...:lurl: nfthe l:lleral aspect of Ihe righl
811I rib with 8S.'l(lC;atOO son tissUl: hemorrhag<:.
Across thl: upper back. there is a horiwntaI45!( 5 em lincar red eOlltusion. Al III<: len
lalero' ed,!:e oCthis band. thcrl: is a 4 l 2ero abr.JSion on till: postcrior aspecl orlhe
shoulder. On the ldl'ater:ll asp«t ofthc upper back. (here arl: two linear :lbrosions. 2 :t
0.2 Clll each.
Unner E:ttremitjcs;
On the lower anterior aspect orlhe righl upper arm. there arc IWO linear abrasions. 2 :t 0.2
em elch. On Ihe back orlhe righl elbow. there is a 9 l 4 em red contusion.
Around the right wrist. there ;s a eomple:t nearl)' circum rerential :lbrasion. On the ...idi:ll
aspect {bas<: ofthe.thumbl oCthc wrist. there is a 4 l 8 em abrasiOll. On the ulnar aspect
(below the 511I linger) oflhe wrist. there is 8 5 l 1.5 em abmion. Connecting these two
abrasions and l:xtending around Ihe palmar aspect of the wrist Ule Iwo linear bands of
contusion willi focal abrasion. 0.5 em in widlh each. On the back orlhe righl hand. below
the 4'- and 5'" fingers. there is a dia¥onal) 11 0.2 em ;.IlOlSioll a,lI! a) 11 0.1 em abrasion.
On Ihe lower anterior aspect of the Idl upper ann. there is a I l I em abra.lion. On lhe
back ofllle len elbow, there is an 8 11 7 em red purple eOl1tusiOll. On the anterior mid len
fOfC:lrm, tllere is a I 11 I em abr.lSiot1.
Around the len wrist. there is IlCOIl"ly circumferential contusion. 011 the radial aspect (bas<:
of the thumb) of the wrist. Ihere is :l) l 4 em :lbru;OII. On lhe ulnar aspect (below Ihe S·
linger) of the wriSl, there is a 4 X4 em al:nsion. Connecting these IWO abrasions.
extending around the dora;l1 aspecl of the wrist arc two linC:lr bands of contusion wilh
focal abrasion. 0.3 em in widlh cacho
lower Ememitjcs:
On lhe anterior medial ;>spect of tile mid right thigh. lhl:re is a) x ) em triangular shaped
abrasion. On the antmor aspect oflbc lower right Ihigh,just allove the knc<:. there is a I
X1 cm abrasion and a medial 7 x 5 em red contusion. On lhe medial aspect of til<: knee
there is a I x I em abrasion. Just below Ihe right knc<:. Ihere is a 2 11 2 em abrosiOll. Over
III<: right popliteal rossa (back ortlle knec).lhcre is u 15 x 10 cm red eonlusion.
MEDCOM 0047
ACLU Detainee DeathII ARMY MEDCOM 47
-
,
AUTOPSY REPORT ME{bj(6)
DAnA8A. Ollar
'
Extending down the i1ntenor aspect orlhe righllowcr leg. there is ~ vcrlicilily oriented 20
x S em red ,""nlusion. Around 11M: right wle is a circumferell111l1 nbrasion. ranging in
width from I to I.S em.
Just above the left knee. there is II S ~ 4 em red contusion. On Ille blcr.r.1 aspect of the left
knee. there lIrc three 1 em abrasions. and on lhoc: lower mid aspect of the knee. there is a 3
~ 2 em abrasion. Just below Ihe klJee, there is a 2 x I em abrasion. Over the left popliteal
fossa ibiICk of the knee). then: is II I S x S em red contusion Wilh II ) XJ em libra. ion III
the lower edge.
Extending down lhe anterior aspect or tile left lower leg. tllere is II vertically oriented 17 x
5 em red contusion. Arol.lnd lhe len ankle, ,here arc tIVO circumfl:rentiailibrasions. I em
in width ellch. lind I em apan. On the mcdillillsp<..'t:t of lhe left llnkle.lhere is a I x I.S em
abr3Sion.
INTF.R.'iAL EXAMINATION
BQnV CAVITIES:
The body is opc:ned by lhe uSllalthoraco-abdominal incision and the e~t plate is removed.
No IIdhesions or abnormal eollec1ions of fluid arc present in any of lhe body ~vities. All
body org:ms are present in lhe normal3llalomical position. The verlebral bodies:lre visihly
and palp"bly intact 11K: subcutaneous fat layer oflhe :lbdomiml "':,11 is 3 CUt thick. There
is no internal evidcn<:e of blunt force or flCnCtr;r;tiu! injury to the thor:lco-abdominal reiPon.
HEAll; (CENTRAL NERVOUS SVSTEM)
The head has !he jlf'Cviously described injuries. TIle scalp is reflccted. and there are no skull
fi':lctures found. TIJ.c calv-..num of tile skull is removed. The dura mater and flllx ccrebri an:
intiIC!. There is no epidul'1IJ hemorrhage prT:5Cl11. The leptomeninges an: thin "nd delie:lle.
The cerebral hemispheres are synunctrical. The structures at the base of the brain. including
cranial nerves and blood vessels. an: intact Coronal sections throut9l the cerebral
hemispheres rcveal no evidence of infection or tumor. The ventricles :Ire of normill size.
Transverse sections throttgh the brain slem and cen:bc:llum are unremarkable. The dura is
stripped from the basilar skull. and no fractures arc found. TIle atlanto-occipital joint is
stable. The brain weighs t400 grams. (sec ''Neurof'llhology Report").
NEC!):
The neck 11:" the previously dcscribeIJ hemorrhage of the r,gIIt stemocleidom:lSloid muscle.
Examination of the other son tissllCS of the neck. including strap muscles. thyroid gland and
large vessels. reveals no abllOm1alitics. All Oilier :ultcnor strap muscles of the neck are
homogeneous and ml-brown. without hemorrhage. The thyroid ear1ilage and hyoid hone are
int:K:1. The larynx is lined by intact white mucos.1 and is Unob$lfUClcd. The lhyroid gland is
symmctric and red·hrown, without cystic 01 nodlilar ehaogr. There is no evidrncc or
inroction or rumor. and the airway is paten!. [!\Cision and disseclion of the posterior neck
MEDCOM 004B
ACLU Detainee DeathII ARMY MEDCOM 48
AUTOPSY REPORT
DAISABA, DII~r
I\It~(b"')(~"'-
7
demonS1r'Jtes 110 deep par:ICervical nlllSCular illju ry. he'lIOntwge. Or fmctures of the doml
spinousproce,ues.
CARDIOVASCULAK SYSTF.I\I:
The pericardial su,f:lCC:s are smooth, gliS\Cfling and unrl:lllarkable: the peric,,,,tlial sac '5 frel=
"f silt"ificanl Huill and adhesioru. A moder.lle amount
epicardial fat is present The
coronary :U1cncs arise nonnally. follow a right domill:lI11 ll,striblilion alkl an: widely pmenl,
willloUI evide!>ce of significant atherosclerosis or thrombosis. Thc chamba$ and Wllycs
CJ<hihit the usual size·posilion n:lationship :lnd arc unn:nmrkable. TIle lIlyocardiullI isl1:nlt
red·brown. finn :md unremarkable: the a1rial :u1d ventricular "'pia an: inl'IC1. TIle left
ventricle is I.S cm in tllickllCSS and the: righ! ventricle is 0.4 cm in lhickncss. The aorla and
its major branches arise nomlally. l'ollow tile usual roum: and arc widely palen!. free of
significant aillcroscleroliis and alher abnormality. The venae cilvae and their major
tribularies relllm to lhe hearl in lhe usual dislribulion ami arc free of lhrombi. The hC3l1
weighs 37S grJITlS.
or
KESPIRATORY SYSn:,\lj
The upper airway is clear of tJebris itnd foreign material: the mucosal SUrfiICCS are smooth.
Thc plcumt surfacd arc slIIoolh. glisleu;ng and
yelloW-ian aud 11lll'ClllOlrl<able.
ulVenlarkable bilaterally. The pulmolW)' pllI'CI\chyma is raJ·purple. o.udill8 a mot.ler.lle
;lInoullt of bloody fluid: no focal lesions m: noted. The pulmolUl')' arteries arc normally
developed, palenl and wilhO\lt lh:ombus or embolus. '1"he right lung weighsliSO l:flIlTlS: lhe
left 600 grams.
I.IVt:R & 8!!,IARY SYSTF:I\I:
The hepalic capsule is smooth, glislening and inlacl. covering dOll'k red_hrown. moder-Itely
congested parenchyma with 110 focal lesions noted. Thc galibladJer contaillS 10 11\1 of
gr<:cn-brown. lIIucoitJ bile: Ihe muCQSOl is vclYe1)l and IInn:mark:lble. The CXlra1lep;Jlic
biliary lree is patenl, withoul evidence of calculi. The liver weighs 2.000 grams.
Al.lMENTARy TRACTj
The longue is free of bile m~lks, l>emonhage. or other illjuriet. The esopllagu5 is lined by
gny-whiIC. smOOlh mucosa. Thc pstric mucosa is iImlngcd ill lhe usu~1 rugal folds. and the
llimen CO\\I~;1IS approximalely 20 ml of dark nuid. The slllall and targc bowel 3r'C
unremarkable. The p3llCn:as Ius ~ normal pink·t<lIIlobulalcd 3ppcar;w:e and lhe dllCls ~rc
dear. The appendix ;s presenl:uld is unremarkable.
(;F:NITOURINARy SYSTEMi
The renal capsules an: smoolh ,and lhin, SCI1\i·lr.lll5/lan:nl antJ slrip wilh ease from lhe
underlying smoolh, red·brown rortical sunllCCS. The cortices arc sharply delinc:ltaJ from
the metlullary p}'l':lmids. which are led.purple 10 tan ~Ild unremarkable. Thc c~l)'Ces. pelves
and urelelS arc unremarkable. While bl:lddcr mllCOM overlies all inlacl hllllkicr wnll. The
u~nary bladder contains SO mi. ofdallt yellow urine. The proslale gbnd is normal in size,
wllh lobul:lr, yc!lOW-I<lll l>:Ircnchynl3. Thc semin~1 vesicles an: LIlltcm:u1(:Ible. The lestes m
free of mass lesions. corllusions, or other abnonnalilics. The righl antJ Icft kidnC)'S each
wcigh J 7S grams.
MEDCOM 0049
ACLU Detainee DeathII ARMY MEDCOM 49
AUTOPSY R~;POR,..(b){6)
DA8ADA. Dlbr
8
RHICUI.QENPOTII &I-IAI. SySTt:Mj
The spleen has a smooth. intDC:t C3p$Ult: covennll m1-p"lple. mOOerJlely liml parenchyma:
1M I)'rnpl'loitl rollicles are UlIRnlarl<ahlc. The rellinu~1 IYIlll'1l node, :ll'l>ear JlOrmal. Thc
spleen wciahl JOO arams.
F.r!OQCRIr!E SySU,\lj
The piluiwy. lhyroid and adreualslandJ are unrcma,bble.
M USCUWS K f:L F.TA L SYSTEi\1 i
Muscle developmCflI il normal. No hor>e or joinl abnomlalilics an: nOlal.
~IICRQSCorIC
EX,\,\IIN,\JI0r!
BRAIN: Sec "Neuropathology Report" belo....
HEART: $el;tiolll of the myocardium rcVNI int;>tl 11riate..l muscle fihcR. Thml il
evidencc of alropt1y. hypmrophy. or n:emt or ok! myoc:m:Hal infan:lion.
,>0
LUNGS: The alvwlar spaces and Il'nall air p:lSS;lJCll arc expandcd and conlain no
sipific:lnl inflammatory componenl or cderrIa fluid. The: alveolar walls are Ihin and nol
congested. The: anerial and VUlOlll v;l$C\llar SYS\CI1lS are r'IOrmal. The peribronchial
Iymphalics are wlrematkable.
LIVER: The hepatic an::hiletlure IS 1Illatl. The: portal aK'aI sho... no illC..-d
innamm:uory eomponenl or fibrous liSSlle. The hepalic parenchym:!1 cells are ...ell·
preserved wilh mild micmvesicular and macrovoiculu Sle<1IQli, and focal cholcslO11i•.
There il roc:!! benign nodule fCII'TNlion.:lnd thm arc no sinusoidalabnormaliliel.
SPl.EEN: The capsule:!nd while pulp arc unrenmrk:lhlc. There il nlin;,n". congo::slion of
llle red pulp.
KIDNEYS: The lubcapsular WllCi in unre'll:lrbblc. The glomcrul; arc mildly
congested wilhout cellular prolifmt;on. mCS:lngial prominence. or scterosis. The: lubules
are well PI'CICl'Ved. There ;1110 intcmitiaJ fibrosis or .i&!lilicanl infl:ontnl~lion. Then: is
110 lhickc"in~ or thc walls or lhe ,ncriolcs or SHnU :l1Icrial ch:alUl'Cls. The 'ralllilion~1
epithclium of lhe collcc1inlls)'Slem i. normal.
Neuroparholnev Repon (AFIP. Department ofNeurop:llhology. Washington. D.C.)
~re subu;)(:hnoid. subdural. ~nd inll1lCOl'1ical
hell1orrhage. The hemorrh1ga COllliSI of fresh erythrocytes. fibrin.;nd
polymolphonuetc~r teukocytes. We do nol iclenlify fibrobl:dU. msc:ropIl:ll!lcs, capillal'y
prolifcralion. or Ilemosiderin OIl 11.lE. An iron lit"i'l is also ntg3live fOf hcmosidcrin.
''The principle neuropathologic findinp
MEDCOM 0050
ACLU Detainee DeathII ARMY MEDCOM 50
,,
AUTOPSY at:PORT
I\1E,{b)(6~
9
DABABA.l)lr~r
The histologic fe~ll,lTes in \his case indie~le a ~molTh~gc of less than 48 h01l1'$ duraliOfl.
It is not rossible histologically to be more spe..:i flc.
The gross description of a leO fronlal skull le$;ol1 cOlllhinetl wilh a righl occipital conical
lesion is consistent wilh a conlr«oup «I11I115;On; the inll1lOOnical hemorrhages arc also
indic";yc of a cOlllusion. We illeRl; fy no Olher signilic'lnt neuropathologicnl changes."
ADDITION" .. PROCt:llUBE:S
DoclllllCntary photographs arc laken by OAFME pl1oOlogr~phcrs
Specimens rcuined for loxitologic lesting lllldlor DNA idcmificalion arc: I'itreous
fluid. hean hloOO, "rine, bile, '11I<1 psoas ""'St;'~
The dissected organs arc forw,mkd wilh the body
OPINION
This approxim,uc:ly 45 year-old male civilian lralli dCl;lincc died of a closed head illjur)'
wilh a cortical brain conlusion and a subdural hcmotoilla while in U.S. cusIOll)'. These
injuries reportedl)' Ql:CUrTW when ~ hil lIis rorellcad wllilc being subdued following an
escape aHcmp!. and lhe right occipital cortical bnin hemonilagc is consistent with il
recent contrecoup contusion.
The manner of death is honlicidc.
(b)(6)
(b)(6)
- - - - ' . 1edfcal Eum;t1er
\,
MEDCOM 0051
ACLU Detainee DeathII ARMY MEDCOM 51
·.
DEPARTMENT OF DEFENSE
ARMED 'OflCElINStnv1l! 01' P.o.lHOI.OOY
WASHIHGTIlH, Ol; 20-..000
AflP{b)(6)
PATIEn lDENTlFlCATlQN
Af1Pr~i<6i"'~_N""'bcr
TO:
Sm'Dj
Nam.
CASASA,OILAk
OFFICI': OF TilE ARMED FORCES MEDIC.It.!.
EXAMINER
ARMED FORCES INSTITIITE or PATUOLOCV
WASIllNCTON, DC JOJoOi.6OlIa
''''"
Took(lloU A«...loa.
""IOp'y:
"l(b~)~(6~):~
(b)(6)~
JUl.Y1.100l
CQjIlSUI.TATIQN BEPORT QN COrqlUBUTOK MATERIAl.
REPORT OFTOXICOLOCICAL EXAMINATION
AFIP DIAGNOSIS
Specimen. Received: BLOOD, URINE, BILE AND VITREOUS FLUID
Condilion lJrSpcclmrn.: GOOD
Oa,. or Incidrnl!{b)(6) 2003
I
,
Dalf Received: 61241'2(0)
VOLATILES: The BLOOD AND URINE were clUI1Ilined for lh.
at a cutoffor20 mWdL. No etllanol was detected.
prese~ of ethanol
DRUGS: The URlNE was 5Crttned f01 acetaminophen, amphetamine. antidepressants,
antihistamines, barbiturates, bulzodiaupines, cannabinoids. cocaine, dexlroml:lhorphall,
lidotainc:, nar~li<: anaIlluiQ, opiates, phencyclidine, p~nothiuines, salieylate$,
sympathomimetic amines and verapamil by gas clLromalOgraphy. color tellt or immunousay.
"The following d.nJg$ were detected:
Positive Lidocaine: Lidocaine was detected in the urine by gu chromatography and eonfinned
by ga:s ehromatography/ma.n ,pectromelty.
(b)(6)
(b)(6)
L
OfTlUoflhe Armed
FOn:6
Medical Examiner
OfTlU Oflhc Armed FOI'tlCs Medial Ex.am.="C
. .C ,-~
MEDCOM 0052
ACLU Detainee DeathII ARMY MEDCOM 52
(b)(6)
_<>'oo<:Ut<D " - _ _
--
8TB Oabatlil. Dia,
_. __ . -<;Ii"""""
_...,---.. .......-- -_.......
..
_
...
-".
.........
._...... -_.
_. .---_._. - --_.
-- _
--_....
00' ou.TH 1Ol'/!J1SEA II
_"'tt:.....,
JD_...)
..-
~
""
'"
_ru,.....
'-
••
...
_ " " OUT CO' . .
""
0
0
...... -----,-__-._.,..,.--_.""
...,...,..~-~
,
~Delllin" ... Iraq
x
••
.." , - , < > .." , ...
... •
~-
__---..-
""'''''''''''''_IT''' _ ........, ...___
..."""'LllA'....... """..
""""'''erA'''
........
--_-'"
""..................
fl_ _ _ _ . . _
.......
-_... _- ...
.....
_. --,-y._
...................
--....- --.- --.'
....
............
-- _.'_.------_.-_...... - 1;;;;;,._.. " '. ._...-1>-_..- . _.__.._-. . . _---_
.............- -------. -" .... _
'--_..
--_
......_
...._--_
,--_
... __ .-_
_-',_._._....._
..
_.....
..._
..
_-_._.
_.._----_._...._...._.-__.. _....-OIIa>o111noo -.;nT",- ,<>_",'
,
~-'.
'-~~-
Cloud Head lnju,., wilh • COIlic<ll &aln Conlusion and
Subdural Hemaloma
_C<I'O'l"OI:OO." _.
~",_
_.~--
_ _ 00-
, ,'.,.-
o-._.,..~'
,"
•
~,_
_
•
.....DGDllIIT
1
(b}(6)
X
O_""k_T<>
oxn:............
.~------
..".".,........ _ O I ' ..... CI'S" ,
_w
.....noo""""'"'""
In J\Ift 2003
_.'-o._~
bii6ii20~r.r·-·--
•
n_
-,~--~-,
, ..... _ _ _ ....... _ _ . . ."'''<:0
D...... _
O>-
........._ _ .... e..-.MIT·'•• _
_<10._""",, ........._ _. . _ _ . . . . _ _
(b)(6)
(b)(6)
,Mad',cal Ellaminer
Dave, AF8. DE 19902
,
(b)(6)
J'" "".
• •
DD,ll'.2064
......
""","""" maN _ , , ......... " " " " _
...............
"'_ ...
"H"" ••
~-....
MEDCOM OO~3
ACLU Detainee DeathII ARMY MEDCOM 53
,\IOIEIi
F()IH"~~S INSTlTI
·Tt·: OF I' \Tt 101_llI;\'
lime,' "r Ille ,\ rme<l Furce, .\It-dic:l1 ~; ullIh... r
\-4\.\ Itc,",,""'h \11\\\.. tll,IH. 1\1:
Itnd, 11I,-. ~'1I) ~!lN~(,
l-~(" I.'l~·l· 7'11 ~
,\UTOI'S" EXA,\lIN,\"1'IlIN ItEI'(llH
t\lIl"llS~ "''',; '\I3-{b)(6)
(it, ti>sil'lniJr(b)J.§)
,\1'11' ~".I(b)(6)
SSAN: NA
[)~Ic of Uirlh: Unl;'I""-11
IlJh:fTinK: Ilr Ikllh:(b){6~::!OO~
O~l ...rri",e "f AUlUl'.<~: 2S Alii;. 2(k'.'
IlalC or llClXJtI; 23 flcloocr ::!OO::
It:",I;: NA
l'l:.c,o "I" D'::llh. iI:"1
1'1",',° [.1' AUl"I"~: lOamI' S'llhcr. Ird'l
Cir~u '''.<In IIr,,,u'tlh"'lh{<b)(6j'" "'''~ all CII"llIy I'ri~"nel "f "";'1' ill liS CU"hld)" who n"
or :lIltHIL I(b)(6)
j'\UI'U51 W;I~ m",oJ I" h· I} ;1,:; "II Ill,' 1;1":11I.1 willi ~lI;IIl,,,,· "',,,,:'ol;nl1
llllJ ,k-cr,:ased swellli,,!:. E",cr~c",~' 11",,,;,,,,1 sen k," wer,o MlIllIl\'m,·;j "nd (b)(6)
I.,led 10 ha,'c 011I ;,sil1a,: Icn,per.'(IIr,· "I' Hr.! .k~"o,., :111,1 ",...·'c",,:d "~:I1"11 ~,,,urJLion.
'\LlcmpIS m imrd\'en,'u.' :lcce._" 'w,e 111l""'''-'e~,flll .ll1<llluids were a,ll1l1ni;(el'<.'<I
ITanr.re,·lally, ! It- ":IS Ir~"spol1,'{1 u, K."I."",~ II I 1II"·I.<il~ 11<'.''I'il:01 "he,,' II,· \\'IIS
l"ollounccd .1...,,01 un :lrr;'·31.
I",;,s
, "enciliul;lI11: 1"eSlllllpl;l"c bj' '\flny Crin,i",,! Itl\·'''i(Ig.;t(;w Ili, i,;on ({'l I) I.
'\I1IClnnl1,ol1l fonl:,rrrilli. dentni. l!l\(! I IN i\ "n;I\~,ilar-.1c.
C\l}Sr. OF llEi\TlI: Ile:Ol
nol~I,·t1
MEDCOM 0054
ACLU Detainee DeathII ARMY MEDCOM 54
o=J
,
AUTOI'SY IlEl'Oln ,\FII'N (b)(6l
Zail'. M<>lm 11m' (1IT11)
fl:"A', ,\UTOI'SY
I,
l)lAGNOS~:S;
l-ka! siroke'
,\. AIlI(lIl1lnc'1I1 .1~ln"ry kll1jlC'r:lh"" 1u2 <I"grc'Cs.
elillir,,1
B. I 'lIr",·;t>;(lIlar ,.,.hllll.. ,kl1k1;,'n. dinksl
C ""lmOIl'" r l"lIugrsl;Oll I I I'~(' gr.II11"
I, I IYr(>~i:t. dn"..,,1
MEDCOM 0055
ACLU Detainee DeathII ARMY MEDCOM 55
.,
,\UTOPSY IU:I'OIH ,\FlI'1I l~b){6)
Zaid. "loh:lln~d (IITIl)
The bod)' i. lhal of a ,,"cll.dewlol'cd. ""ell."",,, 'sh",1 nl'I'~:lrin!l. ",,,,,,,,b,. (,8 inch "II,
180-200 pounds (esliumlc..l) m:.le whl>$<: :l1l1>c:n;lIIf~ is e""Slsle"l WII h ~n <;slinwwd
of sn::llerl!m" 40 years. l.i,'iJiry is posit·,;",. 1""l,lc'. "",I r;x,~l. Rigor is "hsel11.
'1:"
Then: is c"rly deeo'UII\'silion i"die'l",l by Illild "~in slipl'al."'. "on',,"\ and scle'ul dr)'i"ll.
UIIlI dt"ClInlllOSiliou nuid (30 ,ud 20 mlsl iu Ih" I'klLral cavilies.
The llC31p is eO"cred wjlh h1:ltk hair in " ""nn,,1 di"rihlll in". ('om",! do",li"ll ohscml:s
'he irides "lid Ihe pupils. "fhc C~le",,,1 "u'lilO'Y ,·alla!., '"'' ulln,·...a'k:lI'lc. The e,,~ all:
IIn,c,,"'r~ahle. The ""res arc Ilalenl :Lmllhe lillS ,m.: ,,1r.lllln,lk. The ""Se :md "",xiII.,.:
un: ]1:LI]1,I1I)' Slnbl". The teelh "lIpe", ""Iu,al ,,,,,I ,,,blualc in 'ep"ir,
11,c neck is slruil:l!ll, ,11<1 Ihc lmd,<.·" is ",idlill" ,,,,.I ",,,hile. Thc dle"!'1 is symmelrie. The
abdomcu is nat. "fhc ge"ilalia Me Ihose of" 'lOnn,,1 ,,,11111 '1I"k. The l<.:.<l<.-s "re ,!cse"nd,..1
mld r,ee or masses. Puhic hnir is l'rcSl.'tll ill a """,,,,1 dislrih"ti"... TI 'c lJullocks mid :lIlU.
me uliremarkalJle.
CI.UTIIIN(; AN/)
1·~;ltSONAI. El'I'ECrS
Nonc.
i\l"IlI(",\1.INTEI~\'nnlO:"<
•
•
•
En<.!olr:M:hc,llllh<.·
Rcelnl ealhcler Wrll\<''C'C~ll() "onll.1l ."Ii",·
InlrJ"CIlOliS pU'lChln: marks of ''''IC\:uhil.,1 los.,;I\:
~;"I I) ~:N(''' Ol'
J.....l U l~ \'
The orderin~ of lhe rollo\\'in~ iltiuric'S is rur d,,,,,,ril'li,'c P"'lI(lM'" only. ~Iul ,! nOI
inlended 10 imply order "r inni,·Jioll llr rcl"li\'l' "",Wnl)'. All ..."n"d 1'~lhw3YS :1fe ll;I'CII
n:lal;\"c 10 sl~l\tlanl analomic l>ositioll.
INJURY: On Ihe anlerior rorcmm is " cilellla' 0..1 I III "',1 :>hr:",,"n
INTERNAl.
EX'\~'INATI(IN
I::I.fuill:
The g:l1cal and sl,bg:llcal SOrllissues "flhe "'-'"II' "f\' Ir<.'\: uri,~ury. The e"hwlnnl is
il11oel. as is Ihe dum 111;lle' belle:llh il. ('Ie", <"<"1<.,11"".'1'",,,1 lluiJ sum"IIIJs Ihe I;;UU 5111
MEDCOM 0056
ACLU Detainee DeathII ARMY MEDCOM 56
AUTOPSY RF:rORT ,\fir. (b)(6)
Z"hl. Moll~l1led (BTU)
(Mkslun" (b}(6)
I'1l1Iin, whkh has unrernartablc llyn ".Id sulc •. t"tlfUll~1 ,",:l.:lioIlS ,lcll,u,.~"~lc s1~'1J1
<lcm"re~lion hct"'c~'T1 while ,"..Illre)' man.:r. Willu"" hcrn""hal.'" '" cOII'usi"" iujuf)·.
,'1"" V(ttllrM;ks aN of normal size. TIl<: husal 1i"1I11ltu. br~il~'II. c'''h,Ix·lIu.... ~lId arle,;,,1
s)'lIl...ms an: rfl."'C of injury or o,her "bn",m.alttk,..
"I\:
!'kill! rr~elun.:s. The
all;mlo-<JCI:ipil,,1 joim is sUhle.
II",...·
.IU
N·
The wUl".,r Slrap ll1us.... ~'S or.he nl.ock ""' IKK''''j,'<''IOI'> a'KI "....I·hN"'•. "'ill.......'
III.'llOl'rllage. The lh}TOid eartilase and h)'oid arc inl;N,;' 1llI: lar)l'_~ is 11'11...1hy "m...,
"hitl' rnucosu. The ,h}'roid is S}1n"lClric lIOIll ml·bro\\'n. "UIl'HIt q"'ic (or rlOo.h,la,
eh,"'b..... ·n.. . 101I1.'Ue 'S fr« of bile Ill~,h. 1.... "IIHTh~l'e. or orh~,. lItiUri~
!lOp)' fA VtIlES;
111" ribs, s,em"m, :'lIIoJ ""nel)rJIl:K>tliC$ an.: ",sibly u'KI p:.II.:tbly rnl:.....!. Th...,.-e ",e.'O 'nl
mKI 20 mlorthin oil)' liquid ill the ri~hl a..J leA rlc",:,l ca, il"~ '~"''Cl''·cl)'. The Ol'};:lllS
ll("el1I'Y Iheir I1st':I! allllionne POSiliMI.
R!~"'rIRATORr SrSTf,M:
TI>c ril:l1I:u1d ldl h'lIl;$ wcil:l' 850 alKI iq.J pn. r''l.fl'....· ';. ely. The '·""'I11:.l surfacl.'S ar...
S11KKllh uoo ,k"'I' ..'ti'pI1IJJ1e. The pulmon"'Y 1'-1",,",11)111:' ,5 ,Ii IT"S'Clf cOl,;:~'S,<..1:Il,d
..... ~"TlIulOlI$. No IlIaSS le5iol1s or ClfeaS of l;<)lIwlilbll....l arc presen,
CARI>lO\,t\SCU!.AR SYSTEM:
111l:)00 Kill IlCIJn is COlllained in mIl inlacl pt"ric~rtlialll;lC. Th... cp, :mllill surf:II.'<: is
0<11100111, wi,h mini'",,1 rut illv.....'nlcm. TIn: cnron",}' ;'l1e,ics :'1\.' 1" ...,nt in U'lOI1nal
tli~lribI11ion. wilh a righl-domin~nlp"llcrn. Crtl$ll liI."T'1 inn~ or ,hc ",-,nt'ls show '>(1
Slc1l0li, or '1Ml.";~lcrolic eh:mllc. The m)l'C~' ,1;lIm i" IKnn,,~ellouJ<. rl~l-brown. mKl
liml. The vllk... !canels arc 1hin:u>tJ ,nollM. The ""all" ofth"lcn anti dllln vcmrieks arc
1.5 ,mtl U.6 em lhiek. '~"llCCli'·cl)'. TI>..- Cllllneu"lill'" is s""K"h m1<l;:h5l..-n;l1l1. The :10113
gi"eli r;sc I" lhro: inlacl ",Id 1",lenl ltrch '·cli""I>. I'h~ "....:,1 "",1 IUl'Sl.'rlt ...ri... ' .... s.<c1~ nrc
11"rcm"r~ablc.
!.IVER /I; lIll,IAKY SrSJ'EM:
'n,e 115U 1:'" live, hUI an inlaCI. SlllOOlh elll'~"1c a,uJ ~ slta,!, ,mlerivr IK,nlc,. The
l'a,eneh}111n is '<111·111'0"'11 mnd eonl:ClICll. ",ilh Ih... uslt:.1 "'huhlr ~'I.·hir<'ClI1r.... N.. mllss
I~"i"ns 0' u,her :,h'lOl1nalilicl :I,e 5f."T'n. TI..: ~"lthJ~d,kr cunl:,ins ~Illml.~ illl,,'... ly 20 ml of
hhlCk hile nnd no SIOIIC5. The ,,"'eo$;,1 sur facc i. S,em :",,1 '·...1\·,1)' Th... eXlr:1hel'atie
b,li~,)· tr~'C is 1';'1"".
SI'Ll;EN.
The r50 lin, splcen h"s:. Inl00111. inl~CI. m.l·ln'lJ'lc fi'l'>lIk
;tnd C0I111"'~lccl. ",i,h dislin" ,\ 1~lllillhi"n ctXjlUI,·ks.
rhe !,,,..ellchy,,,,, 's !11:"':>t>n
]'ANCREAS:
'!"h"'llane,...,," is Iinll IIml }'Cllow-t~lI ....i,h
or "Ihe, ~h'lOmmlitie~ ;,n.: K'CIl.
~, ...
lIs"allublllar :.rchill"CllllC. No ",ass l<'5io11.'
MEDCOM 0057
ACLU Detainee DeathII ARMY MEDCOM 57
-I
AUTOI'SY REPORT A~'l PI,~~(b~)(C6,) __ (~ljs~i"I1I1:(b){6)
Z"icl. Mohamed (ItT II)
s
,\pRl:NALS:
The riyhc '1I1<llcft adre,,~1 gb",I~ ~re s~lnlHelnc. II ;tll hnSln ycllow ,',miccs
IlIc<lllll~e No masses or ilre;'" "f helllOlTha~e ;".,' ,,1.:"1'1;"<1.
~"t1 !lrc~'
GENITOURINARY SYSTEM:
11\c ri !:Ill all<l Idl. kidnc~s we'igh 150 WH, e:lch. TI'" "xt,'mal ~orfaee.,. ,In: illl:!el "lid
"l1""lh. The elll ~"rf:K:es :In: re,j-l~" and wng,,",ll~l, \\"lh IIlli fomlly chick carl ices ~nd
"harp corlicolll<'lJullarr jUm'tilln~. The p.:II'es ;lrc unn.'llla,knlllc illlt1 lile urct..-rs nrc
ooml:,1 in cours<' aud c"liller. While blnddcr lHIICUS" owrlies:m i!lWel hl;"hlcr wall. TIu'
bl,,,loJer ""IIl"illS al'Pro.~il\\mc1y 1(1 IllI of relh", .hm",,, """centr:"",l ",in". The pruslate
i~ nOTm~1 in size. w;lh IObolaT. )-.:110\\"1:11\ 11al'Cllellym;l, The ,""lIlillal \'e~icl~s afC
IlllrCUl;lrkablc. The testes nrc fn....• of ilIa,s Icsi"ns. L~'"1" .• i,,"s. or olher ~hllnnll~lit;cs.
GASmQINTESTINAI. TRACT:
'n,e c50l'h~1l1l5 is inlrn:l alllliine'tl by smoolh, J;...·y·"'llil~ IIIIU:05a, ll\~ slonmd, is cJe,'oid
or cOlllenlS. Th~ ~:,stric w~11 is \lll~el. Thc cJlIo<i"\l\llIl, Inops nf small hll\\'el. and \vlon
me 1Il1rClll:lrhble. The :11'I'encJix IS present nud ;s 1II11'Cm:Htallle.
,\UIlITIO''''AI. I'Ror F.lll.1l1 ~:S
• [)uc"ll1cnt~ry (llll>t<lgraphs arc '"~"tl b)j(b}(6}
• TIle 1!!!!.I1PjY. is C<1,,<1l1el..~1 i'l the I'J,,,,,,n.:e or SI,,-'Cbl Aycnl, (b){6)
(b){2)
-bDI
b
•
•
•
lor lhe
Specimens rclainl~1 ror lo,~kolo£k Iloslin!: "",l'or D:\',\ ulcntilicatloll arc: blood.
liwr, kidn~y, hraill, hi I". ;111<1 rSO:lS
Th" dj".cc!ed oryans nrc rorwar,k'\l \\,;lh h"J~
I'~rsoll:ll effl;l;lS an: rl:Ic,lscoJJ"-Jhe atltlfOnria\l:mQf1J:lI')' 0llerJliolls
rcp1eSenlaliws of tllei{b)(2)
l.... ICI(OSCOI·IC t:XMII1",HION
Sdce'~-.J pol'tlons or <lrgm,s nrc rct~illcd in fonn~1 in, without Ilrcl'a"~1 iOIl of hish,ln!;ic
sliclcs.
TO:\!COI.()(;\'
T,,-,(,cnlo!:;c mml)'sis or bile :111.1 Ih~r was Ill'pt;,'C lor
subsl'lIl~e •.
~lh,mol
(alcohol, :lIId illicit
MEDCOM 0058
ACLU Detainee DeathII ARMY MEDCOM 58
,.\lrrol'SY HEI'UItT ,\fll'lf~
Z,lid, :\l<)h~IIlNI \IlTU)
]
"
111'1,",,11''''
TIllS Ir~qi JlTison~r of war dl~<lofh~"l 'Iro~~. fhe ~1I1U~,,1 prescnlatlon "r ~II "~lll:Ir)'
ICl\ll'crnlurc "r IU~ <I~l;l"\."""'S, ,1~hp\r"\"'II, hYJ1",sla, :1I1,lohhm<!;\\ioll. ,,1(llIll \I ilh nOl1SIJi.'Ci fie "mol's)' lilUlill~! "n<lIl,.· I:Ic~ "rsil;l,ilic:lnl ""llIr,,1 ,tiSCHSC ,". 1r:\\lOl:1 "re
reponed 11) I,," Y;l'~r !Iw" 110
sl1l'ponivc of heal sl",k,'. "ell\ll<:'''I'''~.;nIll(' "I""
,\cgl"\."Cs. No signifleal1l illle",,,I,,r ~~krn:ll "'1\11"" ",IS II(\I~<!. No ink-It "lJhsl:U1~es Or'
~lh:1I11.11 "'as delcel~,L
","f,.
MEDCOM 0059
ACLU Detainee DeathII ARMY MEDCOM 59
_......... _-- -*--,,- -- ---.............. ---",----'-''' ....-- _.ClllTlI'lC-O 1'1: ~ OU no fOVU HAl)
- _ ..... j D - -
BT8 Mohamed. Tariq, z.Kl
__
0
~-
0eI.I.... In Iraq
iii - -
----._---- .--_
.. __ ....---_.. _-- -.......,---_.__
_, --..-_
-_""_i.. ...-"'_. '
o
0'
•
.....
"'_ ...
aov
......... . ,,-....
0-0 . .
_
~
..
---.'-
.-.-..-
..-." _
.
...
~
_
......
.. _
....
...
...-1.
--'-'-_
_..._--_ -.
..-"'_........
-_._
c:-. ......
,,-
_.. _.. -.....---
_
'l/M<I ' -
- - . _ ... - . . . . . .
,
~~;·~;~~!~~~~-=::::n-~~·1·~']-?~]·:::':·::-::·::-::'::::~1
_.,-
00
....
",,"_~I
_
_..__....__-_.
-l:l.._-_
'--_.. ....._-...__.... _..---...............
(b)(6)
-.......""_..
_ .. "'-_ .".. nc,............ _
1
_ (b}(6j
(b)(6)
~
. ,~~~~~----ACLU Detainee DeathII ARMY MEDCOM 60
,,
ARMED FORCES INSTITUTE OF PATIIOLOC;Y
OfficI: of the Armed Forcu Medlall Euminrr
1413 Research Blvd.. Bldg. 102
Roehille, MD 208~O
1-800-944-7912
AUTOPSY EXAMINATION REPORT
Au!opsy No.: (b)(6)
Name: Mihdy. Wathik
AFIP No.:~\~(b~)(~6t)~-J
Rank: NA LC.:
Place of Dealh: Abu Ghraib Prison, Iraq
Place of Autopsy: RIAP. IrllQ
Pri50ncrill: l(!:!)(~}
Dateo(Bil1h: unll.nown
Dale of Death: [(b)(6) 12003
Dille of Autopsy: 23 Aug 2003
Dale of Report: 19 May 2004
Circumstances of DUlh: According 10 reports. other detainees broughl this Iraqi male
dclainec to the illC. He had apparently complained of chest pain during his detention. He
appeared to have been dead for some lime.
ALllhorizacion (or AUlopsy: Office of'he Anncd Forces Medical Examiner, lAW 10
USC 1471
IdcnllliUllon: By prisoner number. DNA sample aOO fingerprims ohtained
CAUSIi: OF DEATH: Arteriosclerotic catdiovascuLar disease
l\o1ANNER OF DEATH: Natural
..
MEDCOM 0061
ACLU Detainee DeathII ARMY MEDCOM 61
AUTOPSY REPORT ME (b)(6)
Mllldy, W.cblk
2
FINAL AUTOPSY DIAGNOSES:
I.
II.
Ill.
IV.
V.
AnmolClerolic cardiovuc:ullCdiseue
A. Left IIltmor deICendinl eotOI\&I'Y artery
I. Seamental 80% stenosis or the proltimal ~gment
2. 80% focal lIenosis oflhe mid segment
B. Right coronary artery
I. SO% mllitifocal stenoses oflhe proximal segmenl
2. ,SO.7.s% multifocalstenOSCS ofthc distal segment
C. Mild 10 modcrIle alncrosckrosi. oflhe proltimallOl'l'
D. Foul 90% stenosis ofthc basilar al'lery of the brain
Cholclithiuis, incidental
Early doeomposition
No .ipiliant trauma
Toltkolol)' ncptivc for ethanol and drup of abu.se
MEOCOM 0062
ACLU Detainee DeathII ARMY MEDCOM 62
,
AUTOPSY REPORT MEI(b){6j
Mlildy, Walblk
EXIERNAL EXAMINATION
The body is that ofa 6S inches Iall, 180 pounds (estimated) Iraqi male wllo appeau to be
older than SO years. Lividity is posterior and fixed. and rigor is absen\. The body is
partially!rozen.
The scalp is ~overed with gray·black hair in a nonnal distribution. There is a bafd and
mustache. Corneal clouding obscures the irides and pupils. There ar<: no petechiae oftlle
sclerae, conju~tival. or bueeal muW$ll. Th~ ext<:mal'uditory canals are unremarkable.
The ears are unremarkable. The nares are patenl,no;! the lips are alraumati~. The nose
and maxillae are palpably stable. The teeth appear natural and are in poor repair.
The ne<:k is straight, and the trachea is midline and mobile. The chest is symmetric. llIe
abdomen is flat. The genitalia are !hose ofa normal adult male. The testes an: descended
and free of masses. Pubic hair is present in a nomul distribution. The buttocks and anus
arc unremarkable.
llIe upper..,d lower eXlremities are
symmctri~
and without clubbing or edema.
There is early decomposilion consisting ofcomeal cloudina. superfICial skin slippage on
tIie buttocks and right calf. and slighl green discoloration ofllle skin.
CLOTHING AND PERSONAL EffECTS
The following clOlhing items and peJ'SOnal effe<:15 are present on the body af the time of
autopSy:
The body is received nude at the time of'utopsy.
MEPlCAL INTERVENTION
There are no attached medical devices at the limc of autopsy.
EVIDENCE Qf INJURY
The ordering ofthe following injuries is for descriptive PUlpOSes only. and is nol
intended to imply order ofinf1i~tion or rel81ivc severily. All wound patllways arc given
relative 10 slandard analomi~ posilion.
On the skin of tile righllrnce is a 0.4 em superficial red abrasion. On the anlerior left
ankle is a 0.3 ~m CfUSted healing superficial wound.
INTERNAL EXAMINAtiON
..
HMD:
The galealll1d subgaleal soft. tissues onlle scalp ~ free of illjilt)'. The calvarium is
intact, as is the dlll'l mater beneath it Clc&rcerebrospinal nuid sUfTOundslbe 1300 gm
brain, whi~h has unremarkable gyri and sulci. Coronal sections demonstrale sharp
demarcalioo between while and grey matter, WilhoulllemolTlIa~ or COIltusive injury.
MEDCOM 0063
ACLU Detainee DeathII ARMY MEDCOM 63
AUTOPSV REPORT roU,(b)(6}
Mlbdy, W.tblk
....
4
The ventricles are ofllOnnal si2e. The basal ganglil, brainstem, and cerebellum are free
of injury or other abllOrmalitics. ~ IS a focal9O'Yo stenosis oflhe basilar lIl'Iery
witbout plaque hemortbige, ruplure, or tbrombosis. There are no skull fraclurcs. The
atlanto·occipital joint is stable.
NECK:
Layerwise neck dissection reveals the anterior strap muscles of the neck are homogenous
and red·brown. without hemonhage. The tbyroid elll'lilaKc and hyoid are intact. The
larynx is lined by intact white mucos.a. TIle thyroid is symmctric and red-brown, without
cyslic or nodular-change. The tongue is rrec of bite marks. hemorthage, or other injuries.
Incision and dissection of the posterior neck demonstrates no deep parlloCerviul mwcular
injury and no cervical spine fracrures.
BODY CAVIT!ES:
The ribs, sternum, and vertebral bodic:s are visibly and palpably intact Each pleural
Clvity contains approximately 10 ml of deoomposition "uid. The organs occupy their
Ll$ull anatomic positions.
RESPJRATORY SYSTEM:
The right and left lungs weigh SSO and 42S llJTI. respectively. The ntemll surfaces are
smooth and deep red·purple. The pulmonary parenchyma is dif'fusely congested and
edematous. No mass Ic:sions or areas ofcDnsolidation are present.
CARDIQVASCULAR SYSTEM:
Thc 2S0 gm hear1 is contained in In intacl pericardial sac. The epicardial surface is
smooth, with minimal fat investment Tile Coronlry llfleries Ire present in a !lOnnal
distribution, with 8 right·dominant pattern. Cross se<:tions of lite vessels show the lell
anterior descending coronary artery has approximate 80% segmental stCllOSIS of the
proJlimal segment and 80'1'. focal stenosis of tile mid segment. The right coronary anery
has multi-focal SO% stenoses orthe proximal segment and SO-7S% muitirocil stenoses or
the distalscgment. The myocardium is homogenous. red-purple, and soft. The valve
leaflets are thin and mobile. The walls orlhe left and right ventricles Ire I.S and O.3-cm
thick, respectively. The septum measures I.S cm in thickness. The endocardium is
smooth and glistening. The aorta gives rise to three inlact and patent arch vessels. There
is mild 10 moderate Itherosclerosis of the proximallona. The renal and mesenteric
vessels are L1lltefl131lr.able.
...
LIVER'" BIUARY SYSTEM:
The 1300 gm liverhu an intact, smooth capsule and a sharp anlerior border. The
parenchyma is tan·brown and congesled, with the uluallobular archilechlrc. No mass
lesions or other abnormalities are seen. The pllbladdercontains a minUle amount of
green-black bile and multi-faceted black stones. TI1e mucosal surface is green and
velvety. The extrahepatic biliary tree is pillenl.
MEDCOM 0064
ACLU Detainee DeathII ARMY MEDCOM 64
,
•
AUTOPSY REPORT M£{b)(6)
Mlhdy. Walhlk
....
SPLEEN;
The SO grn spleen has a smOOlh, inlact, red-purple capsule. The parenchyma is maroon
and congested. wilh distinct Malpighian COIJIusclcs,
PANCREAS:
The pancreas is finn and yellow·lan, wilh the usual lobular architecture. No mass lesions
or other ahoormaJilies arc seen.
ADRENALS;
The righl and len adrenal glands
aM
symmetric. wilh bright yellow cortices;md grey
medullae. No masses or areas ofhemoJJhaKc aM idcnlificd.
GENITOURINARY SYSTEM;
The right and left kidneys weigh SO gm each and maintain fClallobuJalioo. The external
surfaces iII"C inlKl and smOOlh. The CUI swfaces &R: red-Ian and congested. with
unifonnly ,hick cortices and sharp conicomcdullary junctions. The pelves an:
unremarkable and lhe ureters are normal in course and caliber. White bladder mucosa
overlies an intact, empty bladder. The proslalc is nOn'1ul in si:tt, with lobular, yellow-Ian
parenchyma. The seminal vesicles an~ unremarkable. The lestes are fr« of mass lesions.
contusions, or other abnormalilies
GASTROINTESTINAL TRACT:
The esophagus is inlact and lined by aUIOI)Zcd. ~y-white mucosa. The stomach
COlltlins less lhan 10 ml ofrcd sltawo(:olorcd liquid. The gamic wall is inl:lC1. The
duO<knum. loops ofsmatl bowel, and colon arc unmnarir.able. The appc:ndi~ is preSCTIt
and unremarkable.
•
•
•
•
ADDITIONAL PROCEDURf:S
Documcnluy phol0lltaphs are laken by'(b)(6)
Spc:cimer15 relained fur lo",icologie lesting andlor ONA1denlificalion arc:
vilnlOus. blood, liver. bn.in. kidney. and psoas
The dissecled orgUlli are forwarded Wilh llle body
Penonal effects are released 10 tile appropriate mortuary operalions
~senlalivc:s
MICROSCOPIC EXAMINATION
Se!«Ied portions of organs are retained in formalin. without p~aration of his10logic
slides.
IOXICOI.OGY
TOXicologic analysis o(blood and liver was negative for ethanol and drogs of abuse:•
....
MEDCOM 0065
ACLU Detainee DeathII ARMY MEDCOM 65
AUTOPSY REPORT!(_b,_,._,_
,
,
Mlhdy. W.lblk
OPINION
Thislraqi male detainee dial ofaneriosclerolic cardioyascular dise3SC (ASCVD).
Significant findings aftlle autopsy ilKJudcd blockages illlhe blood vesselslul'plying
blood to lhe hearc and the b:lSe of the brain. The reported hislOf}' of complaining archest
pain prior to death is suppol1ivc ofa cardioYa.&cular death. Then: were no significant
injuries.
The manner of death is natural.
(b){6)
(b)(6)
!Mcdical Exami~r
MEDCOM 0066
ACLU Detainee DeathII ARMY MEDCOM 66
•
DEPARTM£Hf Of DEFENSE
_ 0 fOIlCU M'ITTV11! G"
_.N
._-
...._TOiO.OC
~=
lHOUlOY
...
ArlI,l(b)(6"'-I
rAl11rfI IDE!1TlrICAIIQl!
Anf<~6i'"' r!'_._~50!1"'-:=J
01l1C1:0P THE ARMED FORCES MEDICAL
I'I•• ~
MlDI'Y, WATHIK
£XAMlNlJI
oUlMID FORCE5lN$TI'JllTI: or PATHOLOGY
E'WII
WASHII'IGTOH. OC 201M 1000
SEl"TUUlER IU001
~
CONSULTATION BLPORY ON COrqRIBUIOB MATERIAL
R£l'OllT or TO:llICOlOC1C4L tx~IH" noN
01.1'11' DIACNOSIS
SpedmeDli Rculocd: BlOOD, LIVER, KIDNEY, BRAIN. MUSCLE AND
VITREOUS flUID
Condllioa erSP"'IIDCIII: 0000
Dlle of IlIcllkoli{b)(6 ao<l3
Dale Rtctf...d: &12712003
VOl.AnLES: The BLOOD AND L1V£B ...-en: examined for Lhc prcSCllCC ofc!harol
at • clltoff of20 m&,dL. No clhaool
w" dc\el;lcd.
DRUGS: The BLOOD ...... screened for autamioophen, m>phe1aminc.lnridepmsllllS.
antibistaminu, barbitw1lleS, benzodi~nes. cacowbinoi<b, coc:aJne. dexltOmelhorphan,
lidouinc, IIUCOtic INJgcsi/;l. opilllCl, phenc:yclidine, p/Imothiarines, S&licylafes,
IYrPpllhomimetif; amine, lIlld ,,",pamil by IU cluomalOVlphy, colo. let or immunOU$&y.
The following drup _rc det<:<:ted:
None were found•
...
MEDCOM 0067
ACLU Detainee DeathII ARMY MEDCOM 67
ARMED FORCES INSTITUTE OF PATHOLOGY
Office of the Armed Fon:el Medlnl EnmlJler
1413 Rtscaml Blvd., BidS. 102
Rockville, MD 208SO
1.800-944-7912
FINAL AtTrOPSY RJ!:PORT
Name: HUSSEIN, BASIM MOHAMMED
AUlopsyNo.: AfME(b)(6)
PW Number: r(b){6)1
OlleofBirth:f(b)@l
1977
OatefTime of~b)~003JJb)(6)
I
PI_ ofDell/l: EPW Camp, a.&hdlid lntemational Airport, Baghdad., 1r8q
Dllt1Time of AulOply: 13 July 200311 300
PiKe of AII1OpSy: MOJtUaf)', BagMad Inlcmrotional Airport, Baghdld.llWl
Chu_taaca ofDeatb: The dee.cdcnt WU I 26 yev-old lTfIQ detainee who wu
llr/lIted upon SlUpicion ofpouession or. pipe bomb on~J(6) 2003. He wu brought
10 the detention center on the BaJbdad lnlernltiond Airpotl Compound on:(b1(6jJ2003.
He IqlOJlcdly hid I long hiSlolyofpulmonary tubm:ulosis~_w... evllUlled by a US
mllilary physician upon urivl1 and provided treatmenL on(b}(6} 12003 II
1ppf'D1Iimitely OSOO, he was found In the detenlion eenler with a profUse lnIOunl ofblood
emefJina from the nose and moulh. Resuscillrive efforts ~ 10 no nail and dCllh wu
pronounced al appl'OlImUl!ely OS I.S on l(b){6) !2003.
AlI.lhorizatloa for Autapsy: Regional Amled Forca Medical Euminer
IdeaUnc.UOII: PW BrKelel and Tip
CLINICAL DIAGNOSES:
L Hcmopl)'Sis
2. Dc:ath in CUalody
PATHOLOGIC DIAGNOSES:
A. RESPIRATORY SYSTEM:
I. Hc:rnoptysls:recondazy to Pulmonary TUberc:ulosis
I.
Cavitary ~ion of Left l.IInS
b. Multiple Caseating Oranu1omata- Left Luns
c. Blood Wilbin Tracheobronchial Tree
d. Focal Consolidation- BllucraJ LunSS
e. Biliten! Pleunl AdhcslOII!I
B. CARDIOVASCULARSYSl'EM
I. Pericardil1 Effusion- 30 (c.
MEDCOM
oooa
ACLU Detainee DeathII ARMY MEDCOM 68
AUTOPSY REPOR.T ME!(b)(6)
HUSSEIN, BASIM MOHAMMED
2
C. GENITOURINARY SYSTEM
I. Absent Right Testic::le
D. NO EVIDENCE OF SIGNIFICANT TRAUMA
CAUSE OF DEATH: MASSIVE HEMOPlYS1S DUE TO CA VTfARY
PULMONARY TUBERCULOSIS
MANNER OF DEATH: NATURAL
MEDCOM 0069
ACLU Detainee DeathII ARMY MEDCOM 69
~
HUSSEIN, BASIM MOHAMMED
AUTOPSY REPORT M.I!{b)(6)
3
EXTERNAL EXAMINATION
An autopsy WQ perfonned on thebody of(b){6)
'al the Baghd.ld International
aiJport compound morpe, Baghdlld Iraq,
13th-day ofJuly, 2003. The bodywu
anlhe
thaI ofa well-oeveloped, thin, C..'CalOid male fUlly clad in gny pIlIlS and 1 tin shin.
The body wu cold. Rlgorwas prtSCnllO In equal degree in all exllm1ities. Uvidity
was present and f1l1td on the posterior surf-eet of the body, except in areas exposed to
preuure. llIe J<:aIp hair was ba and strai&ht. Facial hair consUtcd ofl beard. The
1ri6es were brown. The c:omcae wen: clear. Theconjunctiva.e: were unrr:makable
without petechiae. The sdetu were white. The external auditory eanabl were free of
foreign material and abnonnal seaetiODS. Blood emerged fi'om lIIe exlemll nares and
oral cavity. Thenualskeleton wu palpably inla<:t. The Hps were wilbolll evidmt injury.
The teeth were natural and in poor eondilion. Exllllin.tion of the -* revealed no
evidenccofinjury. The chest wu unn:mubble. No evidence of injury of the ribs or
the IU>"nlllll was evidmtClllemally. 'The abdom~ was $ctphoicl. No healtd surgieaI
JCIrI W(e noted. The eJllJemilie:s showed no evidence of li'a<:tures, lacenltiODS or
defumtities. The fingernails were intact. No lSl100s Of needle traW WCR observed.
The eJllemal FJlltalia were !hoseofa normal Bdult male. The posterior Ioqo wu
without note. No evidence of medical thenpy was 1IOlcd.
EVIDENCE OF INJURY:
'Theft is no evidencoofsignificantm:ent irljury.
nm:BNAL EXAMINATION
BODY CA vmES:
The body was opened by the U!Ual thorw;l(Hlbdominal incision and the chest plate was
removed. Extensive adhesiOTUl were noted wilhin the hemithoraces bilaterally. Fluid
was present within the pericanlial laC as noted below. All body orpns wert praent in
the nonnal anatomical position. The flIbc:utaneoll.l t'ttlayer of the abdominal wall was
IIJ i~ thielt. Theft was no intemal evidence of blunt force or ~ ... liMiD.8 injury to the
IhorKO-abdominaJ region.
HEAD: (Central NCl'VOUf S)'IIem)
Thesealp was reflected. The calvuiwn of the skull was 1'CII'I.0YCd. The dura materllld
fallt cerebri were intact. Thue was no epIdural or subdural bemorrbap: present. The
leptomeninges were thin and delicate. The c:o::rebBI hemispleres wefe symmetrical. The
sll'uetures It the bose oflhe brain, ineludin, cranial nerves IrId blood vessels Win mtld.
Coronal sc:etions lhroIIgh the cadJilI hemispheres revealed no lesions. Tnmm:ne
sectiOns through the brain stem and coebdlum were unremarkable. The bnlin weighed
1800 grwnt.
".
MEDCOM 0070
ACLU Detainee DeathII ARMY MEDCOM 70
AUTOPSY REPORT MEl(b)(6)
HUSSEIN, BASIM MOHAMMED
"
NECK:
A fell'Ble layerwise diue<:tion ofllle neck was perfonned. Examination of the sol\
t i _ ofllle neck, incilldina strip mU3Cles, thyroid gllllld and Iqe vessels, revealed 110
llbnonnalities. The hyoid bone and IlIl')"l\lI .... ac illlle\.
CARDIOVASCULAR SYSTEM:
The pericardia! .UIiaees were sll'lOOCh, glillming and unranarkable; the pericardia! sac:
_ t«:c: of ~ons. 30 ce of clear green fluid w.. ptaelll in lhepericardial sac. The
cororwy -nerie:s uose normall)', followed the usuaJ distribution and Wenl widely plIlml,
withovt evidenceofsignifieant .thefOSClerosbor Ihrombosis. Thechamben and valves
exhibiled the usual size-polition relationship and were lIllteIl'Iltkable. The myoeardi\llll
was dark red-brown, finn andlUll'elllarbble; the atrial and vmtrievJu septa were imaa.
The heart weighed 2050 gnuns. The llOrla and its majorbnnehes arose normally. followed
the llSIlal OOIltSe and were widd)' patent, Uceofsignifieant athetoselerosia and other
abnonnality. The venae c:avae and its major tribvlaries retIlmed to the heart in the lI4\IaI
distribvtion and were &eeofthrombi.
RESPIRATORY SYSTEM:
The vpper airw.y was clear of debris. Blood was noted within the tnIebeobronehial ne,
but the mucosal surfaces ...ere olherwi$e smooth and W\1'CIIlMkable. As noted above,
elltensive adhesions were present in the hemithoRoc:s bilaterally. The right lung weighed
0500 Jnl1l.I and wu red-PIUJlle. No disc:me lesions were ooIed. The left IWJg a110
weighed SOl) pMIs. The lower lobe contained a 6 em c:avity with turroIIDding white,
c:aseatingnodules ranlill8 in size from 2-05 mm. lite left upper lobe eonWned a simil.,."
em cavity. These cavitier had smooth walls and conlained a small amount of blood. No
diseme oonnoction with any vascular nructuR: was noted, but both eavities
communicated with the tnleheobronehial tree. The pulmonary pll'CSlCbymaofthe left
lung was red-purple. The puhnonuyuteries WCR; nonnaIly developclll, patent and
without thrombllS or embolllS.
LIVER AND BIUARYSYSTEM:
The: hepatie eapsule was smooth, glisterUll8 and intact. oovmng dark red-brown,
m~ely OOllgesled plIl'CfIchyma. with no f'oeaIlesions noted. The liver weighed 13050
grams. The p1lbladder contained 10 cc. of green-brown, mllCOid bile; IlIe mvOOA was
velvety and unremarkable.. The extrahepatic biliary tree was patent, witholll. evidenoo of
calculi.
ALIMENTARY SYSTEM:
The lOngue embited AO evideoce of recent injllf)'. The esophagus was li11ed by pywhite, smooth mucosa. 'The gastric rn\lOOll wulll'l'lllpd in tile IlSlJaI nip folds aDd the
Ivmen OOlItIincd small amount of brown mucoid material. 'The small and luse bowel
were vnremarkable. The parlemlll had a oormal pink-tan lobulated .ppeamaec and Ihe
ducIs were clear. The _ppendilt was not identified.
MEDCOM 0071
ACLU Detainee DeathII ARMY MEDCOM 71
AuroPSY REPORT ME{b)(6)
~
5
HUSSEIN, BASIM MOHAMMED
GENrrOURlNARY SYSTEM:
The renal eIIPfIIles Weft smooth and thin, semi·tn.nsparent U\d stripped with ease from
the underlying SIl'IOOth, red-brown eonlcal surfeee. The eortex wu sbltply delineated
fJom the medullary p}'l'MlKll, whieh Weft Ad'pulple to Ian and lIJIJ'ClIW'teble. The
(Z/yces. pelves U\d umers were WIl'eITI&I'bbIe. The rip kidney weighed 140 grems; the
left 140 if'Il1lS. The urinary bladder contained epprollimlltdy 10 oc of de... yellow urine;
the mucosa wu r;rey.1an IlId smooth. The prosute g1111d lind seminal vesicles W~
without note. The right testicle WIS not identified. The left testicle wu etrliUll'Wie.
RETICULOENDOTHELIAL SYSTEM:
The spleen had. rmooth, llllte! etpS\Ile eovaing red-purple, modmltely finn
plIlllDc:hymt; the lymphoid follicles wen= 1IllmJl&lbb1e. The spleen weighed 120 grams.
The regional lymph nodes eppearcd normal.
ENIX>CRINE SYSTEM:
The pituitary, thyroid and tdtenal gllllda were \JlIremukable.
MUSCULOSKEL£TAL SYSTEM:
Muso;:le development wu nannel. No bone or jointlbnormalities were noted other noted
Ibove. Incisions Weft made into the 10ft t i _ of the bade: tnd lower utremities and no
evidmoe of hemorrbeSC WIS noted.
OPINION;
This 26-yetr-old Irtqi maledicd u the result ofmusive hemoptysis (bl-'ing into the
ttUbeobronchial tree) IS e rault ofeavitary pulmonary IUbereuloJis. Then= is no
evidmee ofsignificant trauma. The elI11SC ofath is MASSIVE HEMOPTYSIS DUE
TO CAVrrARY PULMONARY TUBERCULOSIS. The manner ofdellth is
NATURAL.
(b)(6)
MEDCOM 0072
ACLU Detainee DeathII ARMY MEDCOM 72
'Ibis wu a ease that I did while J was in Bqhdlld. NelS took the fOx sample! for
shipment back to the AFIP. HOWllYCr, when I called !be 'fox lab ycstcnIay, they said that
thcynev«reccived the speclmcns. I do ootlhink that toJt is erucW to (be cue, but It
would be helpful. Could tomeonc ch«t; with lOX one last lime to confirm that It ii, in
fact, not Ibcrc? If the IIp<<imcnsncvermlOc it, then tho c:asc is reilly 10 10.
MEDCOM 0073
ACLU Detainee DeathII ARMY MEDCOM 73
(b)(6)
_-_
__
-.._....--- --_
. '---_._.
-........
,
.
...
a;.... OCuIOf Mu" _~"Ar!
_ ........ /11_
_11..-._"
~mlllt'd.""""'"
:T8 Buim.
........ _'"
.
-,~
",'rlq
_'0
0
0 ..........
0..,
_-......-- - __-- -- -- -_.._- _......
-..... _.. _.....""--... _
..... ----_---...----_
-.......""............_=........."'.
.
.
"
"
__. _ .._,.,. ,.--..-- -_
_
.... . -.
-'''-....._....-_OC-.
.
.
.
-.
........_.
_
....
_
..
-.....
-..... _- ...------__.
---_.x
_
c"e
~-
=
0...... _
-'tIT"'T
~.-
0-
"..._00___
...
... <C.<T ... _
...
~
.-.
"
-"".TATbOVtT
e-- ... _ _ _ _ _ _
.................
...
.....'"
_.~
'-~"-
Ma$EMlIMmc4A,... due 10 111bercu\ol.is
_""
......
.
.-00_......
...•
~.
I
OMNO_ ...~
_
p"""
........'"
'''',"._0 _ _
_"' ....
x
--
• ,~
""".~
_~OQo'J
...
(b)(6)
_ .. _ _ ._ ..;;;,r-_
~
---
••
n Jul2003
-
....' ..... 10
.--
-~-~
.... __.- _..__
1-...._ ..._·
_ .._ ..
.
-- a
'--_..
......_._-_
. __ . _-,--_
. ---..,.(
_---_
....
,_,_.._
......._
...
_.....
..._..
..-.-......- _....
_..__._--_.__-_._
....- ..._.~{6J2003
1;;;--'·'
~
•___.._
... ____..._0.'_'.....-....,____......___
h l _ ... _ _ ..... _ , , _ _ .. _
.. _
...... _
.. , .. _ _ _ _ _
-"'.....
(b)(6)
I """ "" ......
"""-
(b)(6)
~.-
, I ~if1/t:J
-(b)(6)
...
~
~,~
<J
...
DD,'3:".. 2
-
~
_ _ ... -..._,_._... _ .. _ ........................-..n.
MEOCOM 007..
ACLU Detainee DeathII ARMY MEDCOM 74
-_
.
r(b){6)
ClATlne.an 01' OU'''' 10VnnA5)
--,_ .........
'" ._
... ......
..... _.
...,......... 10-..»../
-"---""-
- •••«,..........__•
-- _.....
8T8 WAIHO. ABDUL
...
X
c...._
••
til ..."
_
....... - .-•...
-_..._. ..............
_... _-....... ", - '... ..... ..........__ .,." .......... -- -...........,_.,
<_.-
"M.._ ,
•....0:=',
X U/<IKNOWN
'
.."....
.........""....., _.........
_.
_.0_.. .'
_._. .__."._-'-'-_.''''.
.
..
_
...... ":'
_-
..., ......
,.....
..... "'"'
.
.....
',._,"_M
........ __..._
ot''''~
-."
<....... - " - . ••- - . _ •• _,
~
0_.
•••
'.
0 . -. . . _ ,
,_....._,,_.....
.'~
o.
.......
.......... c_ _ _ .1l ..._
•••
0·....., ' -
...... ...
--_.
... _.
-'
......,.
-,.,
--.............
.._--- _ _..-
...._..
_.M'..__.......
... FGHANf!IT... N
••
-"' .........
" ..,,_.
_ ... w<_•• _ .
,.
"
_~
".
IlFGH... NIST...... CIV1U"'i'I
_.
_"',,_,
••
MVL·rWLt.: IlLUI" I' t'()llCt.: Ir<JUllltiS COM PLICATED BY
PROBABLE RIlABDOMYOLYSIS
-__-
'''''''''.'
.. - . .
-._. .._4...."'...._
..... ...... ,.< - _ ..... -
.... _.
- . . ...... c....... _.
_-_.
__._ ..........-----_.,
_.-_ - ........ _"
._..
..... _ ....... c.-"'l""
..........
e-o- .......
- --
n.
..._ _ . . ."'. . . . _ _............ 0_.....
...
....
""""'~_
.......--,,-,""-...t.':'!
(b){6)
(b}(6)
X
...
1""13 NOV 2003
..... _..
• " ' . '. . . . . .0
.... ......... ...-.;... "'"
~
'~I~"""'no
IIELMAHD PROVISCE. AFGH...NISTAi'I
.- ..-- ·~i6n~n'~';;
T."_.J_...
....
............
...-_.-.-.oo
__ .... ,,_._........... _.....__ ..
,"
.............. "" ..__ ......
.. ""_.........,
_ .......<><e.-•.,"'" ,... _."..._.__
......... ...., ..,_
" ••_ ... _ ....... ___ ,n-- _
_ _ ._. _
'H~.
-
... - - . . . ____ a
-." -
(b}(6)
(b)(6)
r........._ ..._
_.. --
D~"'D
•.'" ~'D ~J~'
n
_J
.~..,u
ct . . . . .- .
~
~
~'ii'MWFORW-REGiONoO.L "lEDICIlL EX ...MIi'lEII
..
..
•..,
,,~
-------_
...... .........
.. _- ........ .....__ ......... _
.... . .........._....-- ..... . ......... _.' .
.,.
(b)(6)
lJ NOV
-~-
,
~--
.~
......._-
~
llJ(l.)
....... ~--."'.:
-~~_
~-
--
-_.~_
_.~-.--~_
_.~--,._---_
00 FORM 206_. APR 1977
_,
_.~_.~._~--
~, "'~
....... -.,
~
...........
MEDCOM 0075
ACLU Detainee DeathII ARMY MEDCOM 75
Office of the A~med Force, Rellional Medical Examiner
LandJtuhl Reglonall\ledkal Center
LlndJtulll, GE· APO AE 09180
nSN (314) 486-678In492
Cnmm OOt 49 (O) 6371 86 6781n492
nNAL AUTOI'Sl' I~EPORT
(Addclldum)
Autops)' No.: (b)(6)
IhnklSVC: CIV [)elainee
Org: EPW
Place or llcalh: Nasirirall, Ir.uj
I'raee of Autop!)': Talil./rnq
!Il"utlgalh'e A~cne)': NCIS
Name: Hlllnb, Nndem Sadooo
SSAN: (b)(6f
]
Date or ntrtll:IIN"Date or Deallltlb)(6) 103
DlIIenrAutorJY: IOJUNOJ
lJat~ or Reron: 22 OCT 03
of Oealh: Dccl-uenl Is a rtpone\! 52 ylo Iraqi Male, Civilian Detainee.
who W:IS fOlln\! unresponsive oUlside in I50latiol1 a' Whildlllrse detainment facilily: Nasiri~·ah.
Iraq. l-Ie \Vas pronounced al 1230 hours.
CirtumSIBnte,~
-
Authoriullon Cor Autop,y: Omce oflhe Am....,J FOfecs Medical Examiner, IA W 10 USC 1471
Identiflcalion: Visual =ogni,ion: fingerprin,s:1I1<.1 specimens for DNA oblail1ed
Cause I>f Dealh: Slrangulalioo
Manner oC "ellth: Homicide
I r~lId, neck and lor50 injurics:
I. Right hyoid bonc fracture with lISSOl;ialCd n:ee11l hemorrh'lile
2. Rib rrucl\l~s; rillhlllnlcrior 4-7, left anler;or 4-S
3, Cont\L~inns: mid abdomen, b:lek and hUllocks c~tending 10 ,hc left flank
4. Abra~ions, lalernl buttoch
Extremi,y injuries:
"("""<") - - - - - - - - - - - - - - 1. Contusions, back of legs and I;lIee~
2. Abl11Sions; kllCes, left fingers and encircling left wris,
J. l.~ecr:ll;ons and SUf>Crfidal euls, ri~ht 4" all\! S" fiollers
Tosieulol:Y:
NCIl~lj\,('
MEDCOM 0076
ACLU Detainee DeathII ARMY MEDCOM 76
·1(b)(6'
Hatab, N.dtlll SadOOD
OpIDlo.: Based on these lUtOpSy findinp and thI= investilWiRIDd llisIorical information
Ivailable to~. this believed to be 52 ~old MUe.(b}(6}
~died as. result of
asphyxia <lICk ofoxygen 10 the Inin) dllC ID strm\iulation lllI evidenc:ed by the recently frIctured
hyoid bone in the neck with soft tissue bcnl()ulLlge ntcnOin& downwardllo the level of the nihl
thyroid cartillae. A1lbollJh thI= riihl nopo:rior hom of tile thyroid Qrtil. _ palpably intact
prior to excision, an underlyine hairline frad1lJe CIlIIlCIt be entirely ruled out Additional
flndings It autopsy Include blunt force Injuriet, predom1nlntJy n!eerll contusiOllll (bfuj1lQ), on the
lOttO and lower exllUiJties. The abrasions cneirclil18 the left wriSl Ire CONIisteal with the Il3t of
1Ul:r1.iDts. There is 110 evideoce of defenx Injuries or lIlIlW1II dileue. The llIc:ohoJ detected on
toxicologic lUl&lysbl is most likely due to poatmortcm procIuetion. 1be IlWIIler ofclclth in my
opinion is hcmicide.
This is the sccood Iddendwn ~ The finl addition has bo:n made to reflect the pCSCnte or,
HOOIld Forensic Patholop at autopsy who eoneun with the findiogs and opiDiom listed In !hill
report. O!l the IMlCODd addendum. report, changes Ire made 10 clarify the ducriplions of the
Iuynx in the Internal E:umination and Eviclence of Injury SectiOIlll.
Ori&iMJ sipd. on filo
l'b)(6)
_
__
J
AltMED F01lCU REGIONAL MEDICAL £XAMINER
MEDCOM 0077
ACLU Detainee DeathII ARMY MEDCOM 77
(b)(6)
'IlATAa,NADEMSADOON
L POSTMORTEM EXAMlNADONi
A. GENERAL: The poillll()l1e.lll QlmiDllioa iJ performed.1 Tl.!il Air e-, bq.
The.woDIY i. ptdonned b)' Fornc PJlboIoabt(b)(6)
(b)(6)
the Armed F _ RelrbIaI MedIci.! EnmlJ>er (AFRME). Alliltinc in tbt
.utoplI)' ~ i1(b)(6)
FOfeIISk AuiIwlI.
The .lItopI)' is witnessed by Specil.! Apt (b)(6)
IN.vl.! Criminallnvestiption
Saviee.. Additional witne8::s u .utopsy Include'(b)(6)
Forensic Palbolotist.
The autops)' Is ttarted U appl'OlIimalely 050(1 hours.
B. PHQIQGBAPHYj Photogiapbs arc taken by(b)(6)
aDd (b)(6)
(b)(6Uand are on file inlbc Medical Pboloaraph)' SectJon, LandstuhI Regional Medical
Center, LandstubJ, Cknnany.
C. AUfHQRlZADONj The autopsy b autboriud by the Anned F _ MedicI.!
Examincr1lllder TItle 10 U.S. Code, Scetion 1-471. with an SF 513 sipod by lhc AImed
Foteet Reaiona1 MedieI.! Eum1ncr, appointed ~pl:scl'wive.
D. IDENTIDCAUONj The remains arc praumptivel)' idmtiflecl viJuall)' by N.m
Criminallnvestiption A,entll and IUthotlllcs U lhc Whitehonc det.inment r-:lIlt)'.
Spcc:1rnens ror DNA a.nI.!ysiJ are obtained.
Eo _WCAL BlCORD BE\'IEW! MedieaJ and dental l'llCords Ito not .vail.ble
ror~iew.
O. GROSS AtlIOPSY FINDINGS:
A. QeQDflNG AND 'WON"'" Emrnj The remalnl are prennled ror
Illtopsy UDcIothed with no IICCOmplll}'inlil dothina or pcl'OnIJ effcclll.
B. timBN..... EXAMINATIONj The remaillll are tlIosc ora well developed, well
IlOIIrisbed 'PPAI'Cllt mid4le CIIlem maJe or.venae bulld thallppcarl compallblc with the
listed aac 0(52 years. 1.cnIiItit IJ approxlmald)' 691nehcs. The bod)' ahoWi JlliIJU of
modmae dceompo!litlon II evldcneed b)' pcn!nlil and darkcnlnlil o(thc Jkln. bloat\Da.
IIIGbIlIl& Ik1n sllppqe and SCVCl'l: vixcralllUlol.ysls. Injuries ate described below bl the
Evidence of lIljury Section.
RIGOR: Puxd.
LIVIDITY: rUled, faintl)' vlliblc on the postetior dependent JunlCCS.
TEMPERATURE: Thal orlbc nlfiiption umL
MEDeOM 0018
ACLU Detainee DeathII ARMY MEDCOM 78
,
SKIN: Unremarkable excepl for deeompoJition changes IlI'Id evidence ofinjwy
~bed
below in the Evidence of lDjury Scetion.
HAIR: SlfIigbl black-gray hair, up to 'h inches in length COYef3the bead. FlCill hair
a)lISiJb ora short JrIY beard. The remaining body hair. the color oftbe black head hair,
ill in , normal .,;Iult male diltribution.
HEADlSCALPIFACiE: The lad it normocephaJlc, and except for decomposition
chanae-lnc1udlnalllppage, the IICIIp It inlW. and the fll(:ial faltures an: normally
~loped.
EARS: Unremarkable.
EYES: Brown irides SIlmlUlId .. mID pupils. The &Jobes IlR dried and flmened. The
co_am mildly clouded 1Illd!he telen.e an: prmominanlly while. The (l)njunctiVllC
an: UIUl:mIrltablc. There it no evidence ofpclCChile.
NOSE: Well formed and UIIIl:I1lIllublc Cltecpl for postmortem artiraet.
MOtrrHfLlPS; UlIJelDIfbblc.
i"..
TEETH: Dentition is in fair~.
NECKICHEST/ABDOMENIBACXlANVS: Except (or injurics described below In
the Evidence of Injury Section lIIld decompositillll changes, unremarkable. The abdonlCll
if; bla.led &nd protuberant
EXTERNAL GENITALIA: NolTllllldult ciltumelsed male with bilaterally
de'cended testes. There i5 prominent serola1 blostina.
ARMSIBANDSIn:NGERNAlLS: UnmnIIlbblc exeepl for injuries dacribed below
in the Ev>denceoflnjury Seetion and ck«Imposition dunees. The fmaemails an: short.
irregular yet intact.
LEGSlFEETrrOENAlLS: UIIJCIDmbbIe, except for injuries described below in the
Evidence of InjW')' Soetlon and decomposition chanaa.
,
MEDCOM 0079
ACLU Detainee DeathII ARMY MEDCOM 79
..
{b)(6)
HATAB.NADEMSADOON
C. IJfI"EBNAL~AD2lt
BODY CA vmu: The body h opeued by the IISIIa1 Y-thaped incision. The pleural
wid pecilor-llurfaoes arc ImOOtb IIld dusky. The pericardiWTI b 1WUJlll'bb1e. Tbere
arc no ftbro...,.,l[.r IIdllulOtll or IbnamW collectlClnll of fluid excep foc I modende
amount of~ition fluid. The mediurinwn IOd ,etloperitoneuzn show no
Cllemortem lbnonnIlitln. The aves of I!le ~ ue lnllellOd I!le orpns ue
norttlIlly dilpOSCld.
HEADlCENTRAL ~RVOUS SYSIl:M: Reflection of the xalp 1bowI!he IISUII
ElftC:red reflection pele(.blIc:. The calvarium b intIet. Remov&I of !he calvarium sbows
l!le epldtnIlS*C 10 be nlXnll1. No ooUcc!iom or.ubdwal 01' .ublnclmold blood ue
evidenL The tnUI is removed in tbe . . . 1IlIilnC:f. Marked.oftenizIJ IIId dbeotoration
due to decocnpo,llion ptKlodet: definilive CVllIlltiQCl. No IIbnorm1lilia arc otherwise
identified. The base of!be skull b 1JIIl'emIttIbk
HECK: Eum1nItlon of!he 10ft tisIues oHIle ned: WId lnlcmal .trucnrcs by I
RpInIc. blooclleu llyecwi_ di'-1iOllIeva1s!be hyoid bone frlctureand ·noel·tnt
10ft ~ bemonhap delCribed below in the Evidence oflDJury Scaion. No nonln1IlllItie IbnomWitla arc io:leDtIrlCd.
CARDIOVASCULAR SYSTEM: Thehealt ill ofnomW 1ize1l'lddJape. The
epielrdium is ill!6Ct and 1JtftCIIIIbble. The c:hImbcn demoMtnte !be IAI1 .tIIpe and
confiacntfon..nth no a:rou hypeilnlllly. The 00f0IlIr)' IC'Ieries Ire IIOmIIlly disposed
wid I!lere it no I1beIotc:IerosiJ. Marbd 1UI01)'llc: cbInaa prulude .rlClilive ev&luatiQil.
No cvldeoce ofn-rural dUeilte or injury i, identirlClC!. ThelaOrtl folloWIII!le IISUII c:oune
and exAlbill no IIlberotelerosll. The orip of the IDIjoc ~ I~I, ue oocmalIy di~
and UIlC'mlIdtIble. Tbe 1J'C'.l_1s o f _ retum ue in !be lIAII1 position UId
"""""""''''
R!S'IRATORY SYSTEM: The IIryrm, IndIeI, UJd bronc:h1l1bow no IIOIHmrmItie
lbnormIIilia. Jlljlaies Ire dacribed below in !be EYidencc oflqjury SeettOD. The ri&bt
ICld left IUDIf Ire normLIly UIIped with IlO nidence ofllltUrl1 eli_Ie on eut IDetiGal
MIIbd lIutol)'tie cblnaa preclude dd'lClitive evI1ll1tioo.
HE'ATOBIUARYS\'S'I'I:M: The liVCl'DOfnorml1 size and shape. IlbBll
IlDOOCh, dusky tapRlie. Cut aurfacea sbow !be USIII1 anaromie landmarb with I dII\;
biowu-pc:ell pIraICb)1llL MIrbd "0 H1'p"ition IDd autolytic dllnaet preclurk
deftnitlweva1uation. The plIb11dda' it empty. Except for dcg)mposilion ebuaa no
abnorm&liliet arc kknliflCl1
INI'ESTINAL TRACT: lbe phIryrm aDd e:Klp/lIjplJ arc urumlIrbble. The
fIOlDICh lIet in the IlOC'm&1 pGlition Uld eootain:r Ippr'OximlleJy 20 1111 of dicit bra_ fluid
withlNt. (ood plrtie1ca. tab)eu. eIIl'u1a or raidues. Elleepl fOC' deem:Dposiuon chanaes.
the PDa11 bo_lmd lIrJe bowel are \IClI'CI!IIlbb1e. lbe appendix;" unmnubble.
,
MEOCOM 0080
ACLU Detainee DeathII ARMY MEDCOM 80
(b}l6)
I14TAB, NADEMSADOON
LYMPHORETlCULAR SYSJ'EM: The Ipleen is of IlOfTD&! siz:c aDd _lam trill is
unraDIIbble except for dec:ompositioo dIa/IaCS. The thymus is not idcntil\ed. Lymph
~ where viJU&lIzo:l show no nocabk pIlholo&it ~
URINARY SYSTEM: The ri&tlt aDd left ~ ue ofnonnal$ize and _ipL The
~ are anoolll and dull with lIIIrtcd decompo.itionaI dJanga prcchxlill.
definitive cYIIIllIliOft of tile ..,eac:h)'lllL The pdver and ureters are 1IDr'emII'bb1e. The
bllddu It empty.
cortical
INTElU\lAL GENITALIA: The proIlIle I. palJ111bly unremaftable. On tut Jcdions,
lhe lUtes Jbow no Ilbnormal m
CI or evldcnte ofmJury.
ENDOCRINE SYSlT.M: Except for mIIbd 1U101)'Ii. tile pltuitary,lhyroid.,
.wu.ab, and pMtteU show tile ~ Ulltomit Ceatulel wi~ evIdcntc of IWlInlI
diJax 01' injwy.
MUSCULOSKELETAL SYSTEM: FtIlelWa areduttibed below in die Evidence
ofllljury lCdion. Extept for 1lJI01ysia, Jlceleta! musc:1e Oemonscnllc:s the oormaI
................ The bone and bone IIlImIW, wtIeR vilU&l.i7.ed, is IIDI'emaIb.b1e.
D. mDENCE Qr MEPICAL TBf.ATMlNTi
None.
£. EYJDIENCE QPlNJJlR)'i Multiple b1l11Jt and sharp force illjurieJ:
(I) HEAD AND NECK lJ'(JURIES:
LOn inla1lal ulplio"ion tile diJW riallt portlOft of tile hyoid bone 11 palJ111bly and
vbibly ~ wilh prom.inent &DOCiatcd rucnt hemotidll&eextendina do'NTlWUlh 10
tile -oft IbJua of the ri&hl thyroid earli• • !'be rilht superior hom of\he: thyroid
tartilqe iJ palpably iDtatL
(2) TORSO IN'JUIUES:
L Extema! eumirllltion;
I[ 6 ira. inqular red-purple contUIIlon is
cenkred oyer the wnbiliCWI 00 the mid Iowoer abdomen. On the mid lowert.ek is. ) II:
'I. indl elonpJed red-purple contusion. A 2 II: I inth irrqular abraion bon the left
Qn!be ri&ht laIenl buttoc:k, i.a 4 II: <4 illth irTepIar abnslon willi \he: ruqestion
oca "brush bum" pattern. A <4 Y. 11:) indl irRplar red-purple contusIon i. on the left
poItl:l'O-lalefa1 butlOtk. Qn Ihe left lower posterior-lltenl1 buttotk i.a Y. inch ifUleIt
dimcnlion abrasion.
An'
nant.
b. On Intem&1 examination the ribs are htfll«d with _iated haDorrhq;e ..
CoIIOWJ: Rlaht utenor 4_7; left IlIlterior 4-'.
0) EXTREMITY INJURII:S: A 2 II: ( Inch red-blue Irreaular cont\lIion i. on the
left uteriOl' armjust above the elbow. On the left Y.Ti1t, a diJconllnlIOUI fotaIly ~ Inch
thltk abralon enelreleJ the writt. Small II. ineh Im:aular abruioos are on the
prom.ine~ortbe diltalltft pballlll;ealjoints oCtile fiJ'1t and Iel:OfId f1naaa.
•
MEDCOM 0081
ACLU Detainee DeathII ARMY MEDCOM 81
Jb1l6'
J
IlATAB, NADEM SADOON
SuperfICial, predominIDtly linear euts and inegular healingleecnltions, Y, to I" &mIlest
dimension, arc on the 4"'" $do fillF" oftbe riabl hand. Multiple lneauIar abruiolll in
~IatiOD with red-purple cootullions QClveJ boIb anterior knees. The bKk of lhe left
knee has patchy, irTegulu blue·purple oontIlSions iOlSSOCiation wilh. 3" 8JUlesl:
diJnension inqular dark blue-purple COIItlUloo. On the b-=k of the left Upptf lhi&h is. 7
lI: 1 ineh red-purple COJJtIUion with prominent mbcutIneous mxI perirnutCulat
llemontlatle. On the back of the mid thigb is I 3 x I inch im:suJar red-purple lXlotusion
with auociated $\lbeutaoeous he:monilqe. The ript upper !hip has I 6 inch grate:st
dimension im:gular-purpJe cootuskm with .,oociated subeutaneollll hemOl'Thl&e
extendina; to the perimuso:ular area. 8enealh this just ,bo;m: the back of Ihe ript knee II •
3 x 2 incll itrtgulu red-purple coDlUSion. On the b.ck of the riab! lateral ankle is • Yo
indl ineiWar ll1ipl!)' ~ed abnsion.
III. MICROSCOPIC EXAMlNADON: Not performed due 10 damaae resultin& from
decompollitional pses ...d xwte themW artir.:t during cransport.
m-
!V, TOXICOLOGy: Samples ofblood, urine aod
Dlllples of liver and kidneys
are.wbmitkd for tOllicoloaic mWysis It the Armed F = Medical Examiner', FotelIlIic
ToxieolOi)' Laboratory, Armed ForteS Institute ofPalholosy (AFJP), WuhinlJlOll. DC:
JI,(bj(6)lAugust 2003.
AFIP Ac:ces$ion No.: (b)(6)
See au.ehed report.
v.
9TIWl PRQCEDUP'S AND snclAL STUmM;
None pcrfonned.
VI. EVIDENCE; None coJlceled.
1
(b)(6)
15 SEP 03
L ..
~
ARMED FORCES REGIONAL MJ:DICAL EXAMINER
,
MEDCOM 0082
ACLU Detainee DeathII ARMY MEDCOM 82
. . .ot_____ _.
__
_"'_(ll_..,
CIlml'ICATl! O' DUoTN"'''''U&U;
----
=:..-~
..--
l'O){6)
~.
lll- -
0-.. . -
_Ito"" ..."'"
-~
_
~';...
tim
'"'101'~0I''''
I~""-"i{i--'-~
_.- -..--- -- I::::"' ~~
- - _.- _
..
_--...Plr
JillT1\!:>, tJAE:lr\ ~
!-'·co",",
-.........""-.....
0"",",,,
_.. _--
-,_.
.Jf\f\l)l
~-~-
....~_.-
1......""--............"'..- \...._ - -
.".,. .. ou... _
0 . - ...
.._ _
...
_
="'"-~
---
,·......_.=.'... 00iUl,..·
..,...",.
r,
_._-
..",>
'::--:~~~}"-~=~'~dF-~
__.~~_!lD
b
l(b}(6}
'"'_... __........
ro~~·
,
r
6
""
I fU
ou... _
,.--~_
~
. -.
~
__
......-
_.-
..
-,,-"~~-~
.. _ _ .-.<rtD_,__ t . . - ... ".·...,-.
MEDCOM ..0083
.~~---_.-
ACLU Detainee DeathII ARMY MEDCOM 83
ARMED FORCES INS'J1TVTE OF PATHOLOGY
Ollke .fdle Anaed F _ Mtd6W t.u.lMr
141) Researeh BM, Bid&- 102
Rockvilk, Me 20150
1-IOl).944-7912
fINAL AUTOPSY REPORT
10 number: (b)(6)
Autopsy NO,:(b)(6)
Af1J'No.:(b)(6)
NImC: FaIlId, Mobus
Altmwe Rcpoeted Name: {b)(6)
SSAN:Dla
~ofBIrdr.: (b)(6)
1979 (pcr rocords)
12004
Daleof~b)(6)
DaleofA~: 2INOwm~2~
D8tt of RcpoI1: 14 ~h 2005
R..ank: Civilian
PI.:eofDwh: Inq
Plaee of Autopsy; Dover MB,
Dover, DE
CUallUtNleet of Oat.: This 2.S yell' old flIlle civilian, preIUIl1Cd lraq national, dial
while in US eustody in Inq. By report, he _admined to the ~taI,1 the 8«fihdtd
Centlal Confinement Facility with seUures m;\ tsthmt on 12 Nowmber 2004, requirina
aD limeI'pIlt lraCheoItomy for airway sttbiliDlion. He was plleed on 1ei7:ure prophylaxis
and su.bili~ for severa.I days. Duriol prepmt.tion for transfer bWt to the camp, tie had a
gencrallzed tonic clonic seizure and went illlOcardiec UTeSC. CPR was uosuc:ceuful, and
he was proDllunccd dud. By report, he had been in a flllhijih hQ,pitlll for previOL1ll
~. ForcompJde cllnic&l decalls, p1_ refer 10 the medIcal reeonla.
AutboriutlOD for AlltoP')': Omc:. oftb, Al"llltd
USC 1471
F.~
Mtdkt.1 Esalllilltr, lAW 10
Ideatiflaltioll: Visulll, per'detention ftclllty IeCOtW; postmortcm fingerprints and DNA
profile obtained.
CAUSEOFDEATH: ANltMyocardltll
MANNEROF DEATH: Nahlra!
MEDCOM 0084
ACLU Detainee DeathII ARMY MEDCOM 84
AtrrOrsY REPORT(b)(6j
FAHAD.MoIl...
2
FINAL AtTrOrsY DIAGNOSES:
I.
Ac:ule myocarditi. (Cardiovucular PIlboloiY coJUllIWion)
L M~piully, ae:ute myoc.ardltit
i. focal myocyte iitiCtUiil and interatitial infllmmalOry lnll.ltntt,
ri&hl veotriele
b. 390 am heart
i. Focal modaale COIOIlIIY a!hal:llel_il, ain&Je veud dilcac
I. 60% lumina! I\IITOwina of proaimailelllUl!erior
descmdinl an~ by patholOJie intimal thkkeninl
U.
Clinical hiJIory of"Sdzura" (Neuropatholol)' COIIIUltation)
L &a.in, 1400 P (Bas gm fixed)
b. MietWCOpically, global hyPOxlc·lJdIernie injllf)' (NoIHpecific: findinp)
i. &linophitie ~t.m and IWl:lear hyperchromuia II'Id pyknosis
in buaI zan&Ji, bippoc:MIpII rormatiOll, bniD atcm wi
c:cnbellwn, aDd in a paeudollrllinar diflribution inlhe cerebral
w"'"
ii. Focal pett.ehiallemormaF in bralTlltall
iii.
m.
MeniJlaeaI conaeation
Clink&1 hlstOl)' o("Aslbma" (pulmonary PatholOiY consultation)
L Vuculan::onption oflunp: rigblluna630 Pi. left luna '20 am
b. Mle:tOllXlpieally. mild eban&etJUqutiVCl but IlOI diaplOltic: o(ul!una
(reac:live airway ditelae)
i. Airway buc:meol mc:mbrIIM lhickenlna
il. focal gobld edl rndIpluia and 1lIuc:ua plua&in&
iii. No lipific:ud -mophIliaOf lIlI'Iooth muxle hyperplui.
IV.
No evidmc:e oflianific:ant injury
L MinorconhiliOlll o(the riaht
lhiah
b. Healilll puatulca of rilbt IJ'IlI IUId left bultoek
e. No intmlal ovldence oftrlllm.
V.
No evidenc:eoff'llllrainl
VI.
TOJIic:olol)' (AFIP)
.. VoLatilea: Heart blood tnd bile neptive. fotctn.lol
b. Dl'up: Blood neptive (or ICftCMd medicatiOJlll &lid dnJp o( abute
MEOCOM 0085
ACLU Detainee DeathII ARMY MEDCOM 85
AUTOPSY REPORTI<b){6)
J
FARAD, Molt...
The body is IhaI oCa wel~loped, well-nourished C"'Cq;'ll nWe elM in' cut yellow
OM-piece jumplUit uwi a pair o(blue pepct' shotts. The body weigba; 220 poIlIlds, is 6g" in
bei&hl mel appears consistent with the rqIOrted age 0(25)UtL The body is initially
reee:ivecl fi'ozen and is 1bawed prior to altos-)'. Rigor baa disaiparcd. and the body is f1M:cid
once thawed. Lividity is pre:aenlll'ld fixed OIl the poIlerior surface oftbe body, except in
_
cxpoeed to ptamre. There is e.ly ml marbliDg oflbc: extn:milies.
The scalp is oovCRd with dark brown hair averagiog 3 an in leugth. Facial hair consUlf of
I dariI; mustache and dark beIrd. Tbciridelmbrvwn.and the oorneaemlUghUycloudy.
The selene and oonjuncnv.e m pale and free of~bl.e The carIobe. m not pien:cd.
Theexteml1 auditotyc:anall, exlems.l_ and cnl cmtymliee offorc:ign material Mel
abnorlnal secmiolW. The nIA.I skctel:on Is palplbly intICt. The l.ipIIlIl'e wilhout evident
inj\D)'. The leeth llI'e Mtms.I with extensive b y and caries evident.
The nedt is miabl JDd the tm:hea is midline and mobile. The che5t illI)'IlUllClric and well
d~1oped. No injury oftbc ribs or sternum is Mdmt atcrnaIly. The abdomen is
prolUberam: and 110ft, with nlllllCrolll striae. Healed aqical tcarI of tile Ibdomc:ll arc not
noted The exlmllitiea .re well dOYdoped with llOmlII range of11XI1ion. The finFnails arc
inlJd. The soles oflhe feet II1l cs!1Ol1.1Cd and hypakmtotic. There isalll 0'"' em Je#Dn
the left kDcc. Tau- arc DIlt noted. and needle lnl:b are IIllt obs«ved. Tho exlernal
pitalia arc thole ofa nonnaI NIulI ciroJmeised male. The testes are deaccndccI and he of
mases. The pubic hair is ptCICIlt in • lIO!mal cIlstribution. The buttocb Ind JIlllJ are
"""""""',
EVIDENCE OFTRERAf)'
Tbctc ila pi_ ofwhi~ tape wilh puze c:.owrina .!JKheoItorny incilion on the lower
IItterior upeet oflhc lIClCk.. There is III en60IJICbeallUbc in place, protruding from !be
mouth. There II'C needle ~ marb wilh .nocilll...t llCChym0JC8 of\he bilateral
lllteeubilll fossae JDd on the lid oftbc leA band. Thm ill, clusterofneedlc p~
I1'IIIts in the left fnauina1 rqpon. There is JIl inttaveaous catheter in the rilhl inguins.l
regilm, teelftd. with bid:: 1UlUl'e5. There are five Jdhesive EKG tJbs on the body, two on
the upper right anterior ISpCCI of the. chest, one on the upper left IIltcrior ISpCCt of tile chest,
0lICl on the lower ripl anterior apect oftbe chest, md one on the lower left lllterior upect
of the Jbdomen. There are IWO adhesive dcfibrillstor pads on the body. one on the anterior
leA mid upect ofthechc5t JIld OIIeOllthe mid left sicleofthe bJdt. 1'hero is noolba"
evMIcnccofrnedlcal intervention.
EVIDENCE OF IJ9UBY
The orderinl ofthc following injwies is lOr descriptive purposes only and is nol intended
imply ordCl" of infliction or rel,tive severily.
10
MEDCOM 0086
ACLU Detainee DeathII ARMY MEDCOM 86
,
AUTOPSY REPORT (b)(6)
'ARAD, Mob_
~
iJ. 4 II: 3 ern red eC:lDtIliioDon the lower IatcBl aspect ofllle riJht thip. and Itlore
is • 4 II: 3 em red confIIlIioa with ecnrnI pallor on IlIe lower medial upcet onlle riihl
lhiJh. la:idon oflhe pin over tbeIe eoatudonl reveala .1mIJ1 amouDl ofllemontlq.
wilhin the tubcul&nfDUI adipoK Ii~ but 110 deep injlU)'.
TheR iJ • 0.3 x 0.2 em healing auJI 00 the _It of the rip upper IItlI, and lherc iJ • O.S
x 0.3 em hcaJing pusrule on the net!llerllaspeet oflbe left buttock.
011 intermJ aaminltion oftbe bead, dleIt and abdomen, theR ia no evidence ofillillf)'.
BODY CAYJlDSj
The body is opetw;d by the \11II&I thlnco-Ibdomina indaion and tbe chat pille ill mnoved.
No Idhcaiona or abnonnal eollec:tiooa of ftuid me pteIaIl in Uly of the body caviliw. All
body orpIW me pruent in the IIOrmalllll1Omic.ll poaitiOll. The w:rtebnI bodiQ me viaibly
and palp1b1y intICt. The 1lUbe!1l.......ua l'Il •
of the IbdominaI wall I. 8 em llIklt. 1'bcno
is no internal evidmce of blunt I"oR:e 01' paKtlItinl injury to the thofat:o-abdonUlIII region.
HEAD; (CENTRAL NERVOUS SYSTEM)
'The ICalp ia reneded, and then iI no IUbpleal "hc:r~rrlili"""d. .. Of akuIJ helurel found. The
calvarium ofthe skull iI ~ The din. mater and falx eeftIbri me inlIct. Then= iI no
epidllnll or subdural !Iernorma&e praent. 'The Iepto.ncaitlp me thin and deLiclte. 1110
caebioapinal 8uid iI elCII. The brain is dIrkIy dilCOlonld limn decolllpo.Jtionai chan,.
The cerebpJ hemiapheta InI aymmetrical. nw IIlNcIula at the buo of"'e brain, lneluding
erWal nerws lIIId blood 1Ic.e!&. an: inllCt. The Inin \a fixed in forrnalln prior 10
aubmisGon to NeuropatholoJ)' for aec:tioning. The dun I. Ilripped &om the hllilv mil,
and DO Ii'JenlnlI; an: fouml 'The a1IIntG-acc:ipital joint ia _10. The brain weighl IAOO
8fIID&. Sec "NcutopIlbology Repon~ below.
NECKi
Enmm.tion of tile 10ft tiullCl of lhe reek, irw:11ldina ItrIp muaelcl, th)'lOid gland and lalJC
v.-Ia. ~~ no abnomWitiea. The anterior strip 11111II:1. . of tho neck an: homogeneoua
and red-brown, without ~ The thyroid carti. and hyoid bone ve inueI. The
larynx ia lined by inlat:t white mllOD&a and ia: lIlIlIbalruded. The th)'Oid gland 1I1)'M1ecric:
IlJd ral-brown, without eyade 01' llllduIar chanJe. There ia no evidence of infettion. tumor,
or lrltona, nI the airway i.I palenl Inciaioo. and diasection of the poaterior neck
demonatntel no deep paneel'Yieal muamJar injlll')'. hcmoniulp, or rr.aurea of the dorsal
lpillOlll pfO(: :.1eI
CAl\DIOYA.$CVLAR nS'UMi
The perieudiaI aurfIIca '"' amoolh,
&lisIenina and IlllrefIWbbIe; 1be perieardial Me i. he
of sjpfiellll fluid and adbefiona, A modctate IIIIOIlIlt of epieanflal filII plaCI\t. The bevt
is fixed in romwin prior 10 aubmiuim 10 e-diolluc:utar PIlboJosy fQ'" Illetloning. The
aoltll and ils Dl*jor brI.DebeI ariIClIIlmlaIly, follow the uAIII courte and are widely palelI1,
he or aipifleanl athaoIelerolia Md othet abnolmality. The _
cavae and their ~
MEOCOM 0087
ACLU Detainee DeathII ARMY MEDCOM 87
AltroPSYREPORTl b )(6)
PAHAD,MobUl
,...
,
tribu1lriel rtftlm 10 Ibc hcIrl in lbc IlIUII diJrribution IIld "" he of thn:Jmbi. The hllIrt
weigbl390 anma. See ~ PlIlI"*'iT R.c:port"beIow.
"i$l"IBAIORX SysTEMi
The upper aifw.y is cleaT of cIcibriJ IIld foniJII material; Ibc mllOOll1lllrfatct _ IInOOIh,
)'ClIow-tan IIld 1mn:mIrbb1c. The pkutallUI'faca Ire IIDOOth, a!i*tlina and untemII'bble
biltlcnlly. The pulmonuy pII'UlChyma iI mS1'UrP1c. exlldina I modmtc IIiIOUllt of bloody
llWd; no focal Iaiolll II'll DOted. The po.alrnar.-y ataicIare normally devdoped, pI!elJt aDd
wilhoullhrolnbus or embolus. The riBhlIun& wcip 630 pamc; !be left '20 gnms.
LMR" BILIARY SXSDMi
III intct.1InOClCh dIpIulo and I &harp mtenur border. The hepatic. ClplUIc i.
nood!, s1~ and UUct, coveriD& dark I'fId..brown, moderItcIy (h 8 led and .Ii~l'y
finn puclChyma with no roc.! k:li0IlI noted The plJblldcler cotIlIinI 10 ml of IT=\'"
blotIr'n, mllCOid blIe; Ibc mtlCOll is ve!Yd)' II» IlI'Rl'lIIrbbIc. The etlnhepl.tic biliary tree
iI patent, wilhoul evidence of calculi. The liYCl" weiaha 19~ pvrII.
The IiWI'" hal
AUMENTARX TMetj
The lOngue ia &ee of bite mab, bcmurrna,c. or otber irijuriea. The tIOpI\IauI il Iinod by
gny-while, sliloolb _
The pme mucoII it lilliP in Ibc IIIUI1 rop! folda and the
lumen conlainl 100 mI of ICJI'IilOlid digatina food, Includina rice and vcgelIiblea. The
ImIJI and \.qe boWel .., IWelnllbbIc. The ~ ... eas hat a IllImllI pink.ta:n IobuJalcd
lppCIlmCc and thc ducts .., clcu. The appendix ia JIR"CIIl IlId iI unmtWbblc.
gENJIOWUNABY SYSTEMi
The renal Co8pl\1lIll arc IDlDOth and thin, 1CllIi-tnnlpu'cnt and Ilrip with _
from the
underlyina smooth, rM-brown cortical Ml1faca. The cortica II'll &harply delineated &om
lbc medullary pyramids, whic:h _1"COopurp]c 10 tal UId unrcmarIcablc. The calyca, pclYca
lIId ureterI are otbcrwiIc IIID"enlUbbIc. While bltlddClr 01_ ovcrIiIlI au lnllcl bl8dder
walt The urinary bladder cunlIinIa lilm of doudy Ilrinc. The pl'Ol1lle &land iI normal in
size, willi kJbulll', )'Cllow·lIlI ~ The IClIlinaI yc*clea arc 1IlIfUnUbb1c. The
It$IQ am he ofm.- lcIions, COIl~ OfOlM" abnorIIlaLiticl. The rialll kidney wciJhl
140 arama;!he left 160 pili.
YIlCJJLOENOOIRELlAL SXSTJ:Mi
The splccl'l"- a ~ im.:t capenle. COYCrina nld-purplc, modcnlcly finn parenchyma;
!he Iympbold follif;11lI II'll LIllRmlJ'abIc. The reaIonaIlymph nodeI IpptII" normaL The
spIem wcip. 180 pmt.
END9CR.lNE SYSTEMj
The pituillry.lh)'fOicI and tdrenaI
iIands am unrematUlIlc.
MEDGOM 0088
ACLU Detainee DeathII ARMY MEDCOM 88
•
AUTOPSY REPORT (b)(6)
FAHAD,Mob...
MICBOSCO"C EXAMINATION
HEART: Sec "Cardiovueultr Patbo1ol'l Report" below.
UJNOS: Scc "P\l.lmoQIry PaIboloiY Report" below.
UV1!A: The bep.lic ardIiUleNre II intld. The portal ueu &how DO illQ led
innnmalOfy componenl or ftbrol,\l tillue. The hepatic parenc:hymal c:elk &ro wollpraal'ed with no evidalc:o of c:hol"*,,,i,, r..a:y mewnorpholi1, (lI' linu.oi4al
Ibnonn&Iitia.
SPLEEN: Tho upwle and white pulp _ Ul\tellllfbble. There i. rrdnimaI eon&e&tion of
!he ~pvlp.
KJDNEYS: The tllbuplular _
_ 1lIltCl'I'lItbblc. The &Iomenlli &R mildly
c:onptcd wilhoul c:eUIl1&r prnUfentlon, m 'lial (lI"lllDiDenc: or 1C:1emm. The tubu1eI
IR well ptlllfVcd. There II no inlmtilW 6bro1i1 or .liJniflc:anl infllmmlliOft. T'ben iI
no lhic:kenina o(!be walll o(!he .rleriola or mIIIl merial ehanne.... The lrMIIltional
eplthelilll'l1 o( the c:olloc:lilll i)"lan I. nonnaL
BIVJN: See"NeuropllboIOJ)' Repo:t" bdow.
CAJY)IOVASCUW PAl'IIQLOGY REpoRt
cv hth,(b)(6)
.. DiaplOlU: (b)(6)
l. Acute m~ti. with foc:aI m)'De)'le n«:lI...is and intenUliai inflImnuollKy
Ill1illnlC, ri&hl ventricle
2. FOCI! modc:nte ooronat)' atberoKlenai.. .male _ I disease
lIi1to1y. Approximately 24)U1" old maIc lrIqi detainee who died In US c:\l&Iody. bil10ry
of ~ prior 10 deIth.
Heart:)9O penS; nonnal epic:InIiall'al.; clolcd fOr&rnell ovalS; normal eatdilC: dwnber
d.imenlions: lell venlrlc:ullr ICIvily diameter 40 1IUIl, Icft veatric:1,l1Ir he walilhieu- I)
mra, ventric:ular septurnlhicla*l I) mm~ rilllt venlrido thidme114 JDm. withoLlt &Jl*I
IIl:&n or IbnormaI
inlIlntel; III'Il'alWbbICl valves; no IVOI' m)'OlCltdiai fibfOllii or
necroIis; histolope sectionllhow (ac:.! m)'Oll:)'te nocnait with intemitial infi1trale. o(
lymphocyta: lind nellbophila in riaht Yallric:1e, lell vearriclCl ill LIftl'ellWbble.
r.
Cororwy uteriee: Nonnal 0Ili1; rish! dominInce; lOcal modefaIe Ithe:tOlCleroW: 60%
lulninal narrowll1J of ptOxima1lell dCrior deIcencliq ancry by patholosic intimll
thiekenina; 1IO other dsnl6cml nanuwinl-
ooag
ACLU Detainee DeathII ARMY MEDCOM 89
MEDCOM
,
AUTOPSYREPORT(b)(6)
fARAD, Mobaa
CorrIrneaI; AlthoaJb II i. UIleOmmllll. we IIave Ken tueI oflCUte myoeanliti.limited 10
the ri&hl nIlIrick.ll bIIll1Jo been IlIJp11ed thlt thi. oould rqmsem an early phue of
IIrllythmoplic rilb! wnfJic:lllar dysp!uia, .. the: etiololY of thiI entity it not fUlly
undentood....
NWBO'AIHOLOGX REPORT
Dq:wbDeill ofNeuropalhokv and 0pluhaImic: PalholoiY. AfIP:
"We elllmilWi the tppIOxinwely JJ85-Jl'IllI fonnaliD-fixed bnin ItIbmitted in ~ferem:e
10 thi. cue. The dun! fraplem IUbmittai for evaluation c»e.llOt Uow Ii(ll\iflunt
patboJosk liDdinp. The braiD illOft mel &lillie and dusky in (O\or Itld defcnmed wilh
!he riabl bemilphc:re
blrpthln the left. 1bc:ra
Z1I I.S tm hwaanic 1IU
'Iona the lea mkldle &ontal JY"l'. The I)'fal pattern iI DOl'mlI. The bRin lIem and
URbellum c.: limiltrly ctcformed mel dultyincokw.
oflbc:.e lllIteosiv15
JrteICtuai ~ th15 enniaI nerve. mel bbod veuds It !he bale oflbe bnin canIlCM bI5
evtluated. 11Irft it DO evidCOl:e of lUbfak:ine bemi.Killll; tonsillv UJd unul hemialion
CIMOI bI5 weued bee'l'''' of the atmsive .ni&d Serial coronaIlectiona of the
cerebrum dIlI'llI overall dusky dilc:olonlion of!he corneal n'bboD with lIiaht blurrina: of
lite In),-whitejundion. The ventricular')'IleIrI il diJIortcd and difficult to cvaluate.
1befe i. exlalllve diJlortion, JOftcnina: IDd bilbilily of the bual pn&.lia. hippocampal
fDmUlDolll, tbr;ltmus. CJd b}'pOlballmus. The IlIbslantia nigra mil IOCIlI ecR'ICUl, mel
~ueduct CIMOI bI5 ace",'ed due to the arter.:tual chanps. The 'Pinal cotd il not
submitted, bUI the uppermost eervieal cord and cervicomeciulJuy junc:don InllOft and
dillOrtcd. The eere/xllum and bninstaD Ire duaIr:y izI color md mteenled
i.,
ippC8ima
Bee,""
Summuy nfmicrolcopic Ieclionl: 1. SuperitchnJddIe ftontal JYTUI> riJbL Z. Inferior
parietal lobule. right J. SupcriOlimiddle tempQnl1 J)'fUI, riJbt. 4. CizlJIl1Ito JYTUI> left. ,.
Hippocampal fonnalion, riJlrt. 6. OiudatelputlCllUIIpIJliduln, riaJrt. 7.
Tha1lnnIsIhypolhalann,l11t mammillvy bodief, ri&bL I. Sulmanil: nipmidbrairL. 9
Pons. 10. MedullL II. Cerebellum.
A1ll1«:tiona wen,w!llld with H&E.
MiuOlC:Ojlic seaiOfU demonstrate atenaive newonaI chinlea in the form oflbrwlken
~inopbilic cytoplasm llId I\tIClear hypm:lIron1Ni,1DCI P}tDosi. in IeCtiana of bual
pngIia, hippocampal fonnttion, brain uem IDCI cerftlejlum, and in , pseudolarninar
diltribution in I«tioM of c:erebraI oortIIX. n- feal\llC!l are collllltCnl. with llobal
h)llQllie-ilChanie injury. 111_1. focal petechial ~ ntoed on the ICldionI of !he
bnif\llClTL MiuoIcopic lClClions of the left middlo fronullYJUl confirml the rnc:nin&UI
conpion."
MEOCOM 0090
ACLU Detainee DeathII ARMY MEDCOM 90
•
AUTOPSY REPORTI(b}(6)
FAIlAD, Mob...
-
PULMONARY PATHOLOGY REPORT
Deputment ofPu1mOIW)' Palhology, AFIP:
"J..un&s, alItopsy malerial:
Airway baemllllt membnDe thickening, f(Q1 goblet cell metlplasia and
mtICUI ptlliSing
• V.,cIJI.r eongeltion
'The sections of luna show focal mUCIII plugging uaoeiltCld with buemc:nt membrane
thiekc:lling and goblet cell metaplalia (foea1). We note the hiatory ofuthmll, while \he
above changes me JUggCltive of Iathmatic change&, they are not strikina and the sectiOllt
lack IignitiCllll_inophilia IrId m1lJC1e hyperpluiL The lungs additionally thow
vueular eongemon. There if a mild to moderate amount offibr'in in tbe a1l1llOli which
lIlly be ICCOI1dary to vascular leak. Fibrinlplatelet ~ptelarelCCn in rveV'eKels in
broDCbovuc:ulu bWldles as well as in !be capillary bed It i. diffieu.lt to discern whdher
these are pre or poatmOitcm."
ADDITIONAL PRQCE'QURES
Doeu.menwy pllotogr.phs are taken by OAFME photognphe:n
Spocinterll retained Cor loxicologie te5ting and/or DNA identifieadon are: lIitreouJ
fluid, ffJlDOB1 blood, heart blood, urine, bile, spleen, liver, kidney, lung, psou
muse!e. gastric conlonb. and Bdipote tlssue
The disJeeted orpns Ire forwarded with the body
Pcnonal cffeeb are reIcacd to lbc appopliatc mortualy GpCI".lions rtprmilllltille
OPINION
nu. P1It msJc Inqi detainee died in US eu.stody oflCllto myoearditia, infllJtllIll!ion of
the heart involvi"l the right ventricle. He had a clinical biliary of"seiZllRI", however,
no etiology for !he seizu.reI wu found on elClIlIm.Don oflhe brain, uulthe episodel m&y
Mile been eudillC in origin rather thllll _logic.. He aiIo had a clinieal history of
asthma, and while thero were microscopic change,! IUggestive of astIuna. theIe
pulmonary flJ1dings were not diagDostic fot asthma Dot Jiplficanl enough to hive
contri1)ulCd to hit delIIh. Acute myoc.arditil msy be CIUSed by infcetiOlllagmll (bIclerial,
vital, filnpl), coMeCtive li_ discues, Ofean be idioplthic (no teCOptiz.ed cause).
{b)(6-'-
MEDCOM 0091
ACLU Detainee DeathII ARMY MEDCOM 91
-
,
".
~
..
PATIENT IDUfTlnCADoN
ANAen If aIN•• IMt
5ecI_
---.J
li'l(6)
••M
F..uL\D, l.106ASS
OFFICE OS THE ARMED ..oRCU MEDICAL
EXAMINER
ArtMlD ..oRCES lHSTrTVTE 0" PATHOLOGY
WASHll'ICTOI'f. DC lOJO' 'lIOt
SSAN,
TO'"110 A<
A.Io!ll'l: (b)(6)
10'" [lb){6) ~
Dal4lllopol1 CO-I'I'IOt<d: De.:4::ob<i I', 2Ol)6
CONSULTATION REPORT ON CQNTBIRYTOR MATERIAL
REPORT 0 .. TOXICOLOGICAL £XAMIHATIO!'l'
CaDditioD orSpedJaftU: GOOD
Dale or lDddnl~~b)l6))2004
~
Date R«dved: 111'JOIlOO4
VOLATILES: The HEART BLOOD AND BILE were e:umined fot tho:: presence of
ethanol at a t:utoff ono msfdL. No ethanol was detected.
DRUGS: The BLOOD was ila'eened for IllIphetamine, IllItideptessanlS, IllItihistamincs,
bwbltulates, benzodiaupines, c:annabinolds, clIJoroquine, couine, deJctromethorphan, lidocaine,
I1IJIXltic OlIII1gesics, opi&les, phencyclidine, pbenothiazincs. sympalhomimeti<: amine!llllld
verapamil by psduomato(lJ1lphy, color test or immllllO&SS&y. The followina druIJ were
""'''''
NODe
were found.
•
tb:(S)
j
OffIce of the AImod Foro.. Medical Exami.....
(b)(6)
~
OffICe of the An....,fForul McdkIJ Eumilllll'
MEDCOM 0092
ACLU Detainee DeathII ARMY MEDCOM 92
ARMED FORCES INSTITUTE OF PATHOLOGY
Omn of Ihf Armtd Forlft Mfdiul Eumiafr
1413 Rnurdl Blvd., Bide. 102
Rockville, MD20850
1-li0fl..9,u·7912
FINAL AUTOPSY ["AMINATlON REPORT
Namr: Al Zarjawi. Ahmed N. (8TB)
SSAN: Detaintc Number!(b)(6)Dalr or Blr1h: Unknown
Oatr of Dnlh: !<b){6)QOO4
Dalr of A,nop.y: 27 OCT 2004
Dalf of RtJlPr1: 17 FEB ZOOS
J
Autopsy N_o.: )(b}(6)
A"IP No,J(b)(6}
Rank: DellI!':1;~"=,,;,CU~.SC.Custody
Pint of Inalh: Iraq
Plan of AUlaps)': BlAP Momwy.
Baghdad. Iraq
Cin:llmllaanloflnalh: This Iraqi malt wu a drwnre in U.S. custody III Camp
Bucca DetentiOll Facility in Umm Qasr. Iraq. The detainre was UnconsciOIlS when fOIl1
olhu dctaill«!l broUghl him to a common area and IIOlified lhe Suatds. He re«ived
emergency medical ~ finl alilte 5CCI1C IlId then was Iakm 10 a rncdicallrralmml
facility. Resuscitation efforts weTC unsuccessful.
Alilhorizalion for Alllop.y: Atmrd Forces Medical Examiner. per 10 U.S. Code 1471
ldenliflcaliolll Circumslalliial idmtity is established l!Y_pa~or\ accompanying the
dcwllC'C and his designation as delaillC'C nWllber (b){6)
J
CAUSE OF DEATH: Undtlrrmlntd
MANNER OF DEATH: Natllnl
...
MEDCOM 0093
ACLU Detainee DeathII ARMY MEDCOM 93
-
Aulopsy (b}(6)
Allarjawi, Ahmed N. (BTB)
2
FINAL AUTOPSY DIAGNOSES:
I.
HemoperlloneulII, J5(l.mllliliren and blood slain inl or Ibe inlnperilon ul
orgus
III.
H n.tory or upper gUlrolnlnllall1 lIemllrrhllge (250-mllllllten per medical
rKonls), ",il' diffuse gUlrlli,lloltd al aulopsy
IV.
No evldul« or nttrnal or lflttruallnuma
V.
Early pulmonal')' tmph)'""..
VI.
Tbt aUloPO' IO'U • .,tndtd 1J1RbX6l-:::;;;lmtdlctl Eumlutr{b)(6)
Rb)(6)
laud SA~
IUSACID
VII.
Toxicology I, neeatln ror ctbanol, cyanldc, and drup or abulc. Atropine
Is pruenll" blood.
MEDCOM 0094
ACLU Detainee DeathII ARMY MEDCOM 94
AUl~l(b}(6}
)
Al zarjawi, Ahmed N. (BTB)
'"
EXTERNAL EXAMiNATION
The rmWl\!I are m:eived uncilld a.nd wilhoot any lICeompanying elolhing. The length is
n·inchc:s a.nd the estimated weight is 170-pounds. l.ividity is posterior and fixed, except
in areas exposed to pres5W'C. Rigor is present bUl passing. The body temperature is Ihat
ofthc refrigeration wULl'aocdlll2Scovu_both.baads....A.WLOR the left gml1toc
I
conlains tile- writin@(b){6)
The scalp is coveted with ~;um length, bl-=k hair in a ROrmal distribution. The
comcae ll.Je cloudy. The irides are brown and the pupils are roWld and equal in diametct.
The head is alraumll.t;c. The teeth an: ntttural and in fair condition. Fat;.l hair consists of
a full beard and must-=lte.
The n«1t is mobile and Ihe trache. is midline. The chm is symmetric. The abdomen;s
nal. The eltcmal genital;. arc those of. nonnal aduh. circumcised, male. n.c testes llJe
descended and fm: ofmll.sscs. Pubic It.air b present in. normal disuibution. The
bullOCu and lUIllS arc LllU'Cmarkable.
The upper and lower extremities arc symmetric and without clubbing or c<lcma.. The
fingernails an: in\ao;t. There is. Y,·inclt scar on tlte anterior left knee.
~KE?)
(b){6)
(b)(6)
(bJ(6)
'tl"M] b 6
tattoo (b){6)
tono b 6
-:;===-
(b)(6l
(E)(l!)
,...,
(b)(60ta"oo '(b)(~)
MEplCAL INTERVENTION
Evidence of medical inte~ntion consists of venipuncture sites in both antccubital fossae,
a padded cervica) collar around thc neck, and a v.gue mark on the latera/left chest that is
consistent with either the prior placement ofan e'CCI1OCardiogram lead pad or lUI.nempt
at defibrillation
RAPiOGRAPHS
A complele sct OfpostmOT1cm nodiographs is obtained and shows an absence of sl<eletal
trauma and metallic foreign objeCls.
EVIDENCE OF INJURY
Then:;s no evidence of injury on the body at the time oflhe
.lIto~y.
INTERNAL EXAMINATION
HEAD:
The scalp and skull an: free of injlll')'. There is RO epidural, subdunll, or ,ubarachnoid
hcmOfThage. The 1~80·gnun brain shows a normal pattern and appearance of gyri and
MEDCOM 0095
ACLU Detainee DeathII ARMY MEDCOM 95
•
AulopS}' (b)i6)
AllaJjlwi, Ahmed N. (BTe)
sulci. Seri.. set1iOt'ling revells no e... ide~e of inj\ll')' or signlfieant nltllf'lt diwue:
proecsscs. The: Itlanto-oc~ipitll joint is inll/;t.
NECK:
is no n'id~nce of injury 10 t!lc strap muscles oft!lc anterior ned;. The thyroid
ClIl'lillse and hyoid boM are intICl. The IIt)'lIX Is lined by intlel white mlJ(OS'- The
thyroid Slltld is symmetric IIId ~·broWll, without ~)'Slic or nodular chinle. 1lIc tonsuc
is unmnlf'uble.
Thc~
HOpy CAVITIES:
The ribs, sternum,and ...ertelnl bodin are ...isibly IIId pllplbly intICl. Tnt~ Ire So.
millililal or ~rosIIIluinoll.l nuid in the right pleural CI...ily Ind -40-millililCl'S or
Imlllflguinous nuid in t!lc letl pleural CI... it)'. A minim.' (2Q.-milliliters) serous
pcricardlll effusion is pre~nt. The pcrilOnuJ CI... il)' conlli/1l I SO· milliliters of blood,
wilh 'll'"tCT .ccumulation OIl the righl side of tile abdomen. The orpns occupy tllocir
lISl.I&l ..rullomi~ posiliolU.
RESPIRATORY SYSTEM:
The right and letllunss weiih 540 IIld "SQ.-varns. ~specli~ly. The e~lcmal surflCCS
arc smooth and deep lUI·purple. The pulmonary parench),ml is modenllel)' ~OIIIestcd.
No mass IcsiolU OrllUS of consolidation.", p~scnl. The pulmonll')' ll1elics II'C:
unremarklble.
CARDlQVASCUlAR SYSTEM;
The 4S0·gram heart iSl:on\l.incd in III intact pcriclfdill SIC. The: epiclfdill surface i,
smooth, with minimal fit investment. The coronary ll1erics Ife pmenl in .. normal
distribution, wilh. r1i1!t-dominlllt pll1ern. Cross sections orthe vcs~ls show no
sil'lificant.theroscleTOsis. Thc m)'ocardium is homogenolll, rcd-brown. and finn. The:
....Ive lcanelsll'C: thin and mobile. The WIIUS oflhe letl and nshl ~nlriclu are 1.41tld
O.S-ccnlimetCTS thil:k, respectivel)'. The endoclrdium is smooth IIld Slistenil'll. The
lIOI1.I Si... cs rise to Ihree lntlel Ilrld pltent IIR:h vesxls. The ren.t and mesenteric ~ssels
Ire unrcmar1clble.
LIVER &: BiliARY SYSTEM:
The I i20.gr.m liver Iw IlJl inlBtt. smooth capsule IIId I shiVp IIIllcrior bonkr. The
parench)'rT\.l is lUI-brown, finn, and ~ongelled, with t!lc ll.Iuallobullf IIR:hilCCt\ll'C. No
mass lesions or otbcr Ibnorm.litics lie seen. l1le 811lblldder conlii/lS I S·millililm or
grccn·bl.ck bile and no stClnl'S. The mlJ(osal lurface is ~n and velvety. The
eXlrahepitil: biliary ~e il pllent.
SPl.Ef:N:
The 26Q.-gram splunlw '1IOOOIh. intact. ~-purple clplule. The parcnchym. is
mllrOOl\ and conses!Cd., wilh promincnt M.lpiahilll OOl"pll$Cles. A l-untimelCT lC~eSlory
Iplecn is presenL
MEDCOM 0096
ACLU Detainee DeathII ARMY MEDCOM 96
,
1
....
Autopsy (b)(6)
All&Ijawi. Ahmed N. (BTB)
PANCREAS:
The panc:~llS is i"~lularly hernorTha&ic. with the IISUallobular ~hitcet\l.ft'. No TlWS
Icsioml ~ Ken. l11cft, is a SInllJl ~a lhal is gRlSsly S\lspicioos for a hCTnOfThage from a
pancrealic ve~1.
APREMLGLANDS:
The niht and lclt adrc1\llllands art s)'lNllettic. with briihl y~llow corticcs and !VIy
medullae. No masses or IIUI ofhclDOlThqc art ilknlified.
GENITOUWNAay SYSTEM:
The nihl and lelt kidneys ~aeh weiih 2SQ.pam.. The cr.tcmaI surfaces art intact Md
smooth. The cut surfaces art ,ed-lin and conllOlcd, wilh l.WIiformly thick cortices and
sharp conicomcdull.ly junclions. The pelvcs are Ullremarbbte and the lIrClc:lS art
llOmIal in cOtnC and caliber. Whil~ bladder m _ ovetlin All intKl bladder wall. The
lIrillll}' bladder iumpty. The prostat~ lIard Is normal in size. with IoblIlar. yellow-tan
pIlmChyma. The: seminal Yesicles art Ullmna,bble. The testes art free ofmus lesions,
co'llusiOllJ. or 0I1ler abnormalilies.
CASTROll'ITUTINA,L TRACT:
The: esophagus is intact and lined by smooth,
mucosa. The stomach conlains
approJlitnll~ly J(lO.milliliters of IlftII-b1ack. fibfous tood malC'riaI bul no IifOSJ blood.
The pstric Wfoll is inUll:I wilh dilTuse p,stritis bul no distinct IIkCTlllion or evidcnc:c of
fcx:al perforalion. The duodcnllm, loops ofsrnall bowd.llnd colon art lInrcmarkabt~.
The appendi. is pn:sent.
!VIy.wllit~
MUSOILOSKELETAL:
No non·uaumalK: Ibnonnalilics ofmusclc or bone 11'1: ickruificd..
MICIWSCOPIC EXAMINATION
8nla·repn::'Cluat;ve xclioN are ItIslOioaietl1y ~ablc
L"nl.wc:lions o(alilobes of both lungs demonslnle YUCulll'congcstlon. scamred
collections of inlra-.lyeolar maaopftagcs. mo<\crslC' aniltl'lCOlic: pigmenl deposilion, focal
insphSlte4 mlOCOliS. and early chal'lacs ofpulnlOlllr)' emphysema
lIu" Ind Aorta- represenlllive SCC'lions an: histolOiic:llly wtrCmarbble
LIye,... representlliYe SCC'lion dcmOllsbltcs pl$Sive conaCSlion and mild mK:/'OYaicular
S1~osis
Splctn- ,eplcsenllli~ seclions ~ hi!lOlociul1y IInremarklble
KldrlC)'HCClions ofbolh kidneys show poIlmol1CTTl chanan
Slomldl-lqnnenlltivc sectiont show Iliiolysisllld nagaeraled formltin pigmmt
ckposilion
'Incnu'rcprcSUllllivc SCC'lions show lI'W'ked Illloly!is. focal til necrosls.1IId
eJl.IIiIClSled formllin piJfllCnl deposition. A small focus of ICStCS is abo in one section.
MEOCOM 0097
ACLU Detainee DeathII ARMY MEDCOM 97
=~
AUlopsyl"'b",,,,,,
AI Urjawi, Allmed N. (BTB)
•
•
•
•
6
ADDITIONAL PBQCEDL!REStREMARJ(S
Documentary photoi\rapll$ are lAken by'{b)(6)
USAF
Spe<:imens relllirw:d for tOllio;ologic teSling and/or DNA identification~: heart
I
blood, yilleOUS fluid, spleen, HyC!", brain.llllli, bile. ilastric c:onlents. kidnc:y. and
psoas muscle
The dissected organs ~ forwarded with body
Pef$(lnal dfei:\$ are released to the appropriale mortuary operations
representative'S
OPINION
This Iraqi male. believed to be;(b){6)
a dewllft in the eUJIlody of the
U.S. miliW)' died as a n:sult ofiiMelClilljfie(l causel. A complete medic:olegal autopsy,
including IOllicology and mieroscopic slide review failed 10 demonstrate a clear cause: of
death. The aUlopsy findings included hemoperitonewn. but this may have been an
artifact of resuscilBtiye efforts as then: was neither an intlammatory elludale nor food
malerial in the periloneal cayicy and the bleedini\apPeared to !laye been recent There
was no evidc:nce of trauma noted Ill. aulopsy and lhe clinical history included an upper
gastrointestinal hemonhage noted durini\ n:sll5Citative atternJMs. No source of bleedini\
could be identified at autopsy, nor was lhen: evidence ofa perfOnlted viscus. The dealh
may kaye been due 10 an acute eardiac eyenl; the Man was heavy fllr the size of this
indiyidual, lhough then: was no eyidc:nce ofc:oronary artery disease at aUlopsy. Taking
into accounl the history and investigative informalion ayaHable as well as the tllCk ofan
identifiable anatomic cause of death. this dealh is besl classified as a natural death due to
undetermined caUles.
(b)(6)
(b)(6)
_ _~rf\hdlnl [umlatr
MEDCOM 0098
ACLU Detainee DeathII ARMY MEDCOM 98
