• •

~,

ARMED FORCES INSTITUTE OF PATHOLOGY
OfIitt of the Anntll FO~I Medlnl Eumbler
141) Rexan;h Blvd., aldg. 102
Rockville, MD 20850
1-800-774-8427
AUTOPSY EXAMINATION REPORT

Name: BTB Munthir, "wad Hasan

AutOPSY No.:

Dale of Binh: 1.9850--,
Date ofDe.ath:{~)(6)

!lOOS
Ollie of Autopsy: 24 AUG 2005
Date ofRepon: 26 OCT 2005

===J

~;(b~)~{6'[)

AFIP No.:f!.b)(6)
Rank: Delainu

Internment smal Number (b)(6)

Place of Death: Abu GlIraib PrUon,lraq

Place of Autopsy: Port Mortuary
Dover Ma, DE

OnumstlnUlI of DUIII: Th.ilI believed to be 20 ),eu old Iraqi National was found
suspended by his neck (hanging) with his hands litd behind his bad: in a shower stall while
bdng detained in Abu Ghraib Prison, Iraq. The investigation afthc cin:umSUllll:es
surrowxling die de<:edent's death indic.atcs thalshonly after being ~tcd for in the
morning head count the decedent made his way 10 the eommunal shower afea. Slionly
thereafter, the decedent was diSl:overro hanging by other dclain«3 who alened the guard:!.
The respondinSIlUMds initiated CPR aftercuning the deadent down and removing the
ligature from the decedent's neck. Despite the CPR and .escue IClempl5 in the prison
medical facility, the de«dent was prollOUlK:ed deceased. Intel"\'iews oflhc fellow dctIinees
indicate the decedent was depressed about his capture and was Nself_treating"liis depression
by se&;regating himselffrom the other detain«s and continuously reading the Quaran. Some
of the other det.mee, stated the decedent claimed to ex~ I need to be nearer to his God.
&ene investigation indicates there was no evidma: of I alruggle in or nell/" the shower stall
the decedent was found in.

AUlhorlZlllion for Aulopsy: Oflice orille Anned FO[l:e:! Medical Examiner,lA W 10 USC

1471.
Idmtil'iettion: Presumptive identification is established by the Internment Serial Number
and prison recordaCAUSE OF DEATH: Asphyxia by Hanging
MANNER OF DEATH: Suicide

...
MEDCOM 0295

ACLU Detainee DeathII ARMY MEDCOM 295

AUTOPSY REPORTt(b)(6)
8TB Munlblr, AWld Hk.o..c ,o---

PlgeZarl

FINAl. AUTOPSY DIAGNOSES:
I.

Asphyxia by Hl1lgilli
A. Injuries of the Neck
I. A 30.5 em long dried brownligaMe mark (furrow) of the netk is
6 Yo inehu below the top of the head II ilJ end on the right side of
the neck. 9 'I. inches below lhe: top of the head in the anlerior
midline oflhe neck and 714 inches below the top oflhe head al it$
end on the left side oflhe nCl:k. The furrow width rMlgcll from 0.7
em (tapered end belUnd the right ear) to 1.5 cm (rightlide oflhe
neck). AIonglhe righlside oflhe furrow is a 6.S • I.S em area of
abrasion thaI <:onlains two vertical 1.5 x 0.2 em abrasions. The
furrow is 0.2 cm deep on the anlmor surfKe oflhe netk.
uyer by layer nc<;k examinalion oflhe nc<:k demonstratCi mild
congestion of the III\terior strap muscles of lhe neck immediately
superior to the futTow and no fractures of the hyoid bone or
thyroid canilage. There are 00 ~Iethiae oflhe sclera, eyelids,
oral mucosa, lOngue Of legl. The fi-cnula are inl"'::!.
2. A 4.5 X3.5 cm area of multiple, supcrficiallinear ablUions is in
the: posterior midlinc oflhe upper back, II \I', inches below the top
of the head. The abra5ions have I ncar vcr'lical orientalion.

II.

Other Injuries
I. A 2.2 X0.5 em venica! almlsion is on lhe right flank
2. A 2.5 X 1.7 em Cf)'lhemalous area is on the arumor surf...::e ofw
left lowel'" leg
3. A eechymosis ison the parietal pleuralsunfree oflhe left sixth rib
llfld lel\ sevenlh intm:os1ll1 sp...::e

III.

Other Findings
I. There arc no gmss injuries of the wrisls or injuries of the
underlying musculatUre

IV.

Mcdicallntervention
I. Endotraehc:al inrubation (in righl mainslem bronchus)
2. Sdfadhcsive elcetrol:ardiogram leads on the chest
3. Venipu.nct1U1:= silCS 011 Ute right side ofw netk (associated with
underlying hemaloma). riahtllfllecubi\ll fossa, righl foreann. and
ri&ht fernorallrianglc.
4. Subslemll punelun: .ile a.ss«ialcd wilh penetration of the
postmor right vcrtlricle, Ilemopcrieardium (SO ml), and
hemoperitoneum (appro.imately SO ml)

MEDCOM 0296

ACLU Detainee DeathII ARMY MEDCOM 296

•
•

AUTOPSY REPORT (b)(6)

...

ITS ,,",\Ialblr. A....d HUIn

v.

No signir1C&ll1 nallol di$USeS KkntiflUl. within limitalionsof
the examination

VI.

ldmlif)'inl MMb
I. A tattoo (b)(6)
2. A tanoo
). A tattoo
(bK6)

4. Thee: 1.2 em in diameter ei~\II. II(:tr5 _ on 11K anleriOf surface
oftlle leA forearm
S. A 4.211 1.1 ern IQI" Won the UltmOl' aurrlCe orlhe left lower lei
and has paJjMblc IOrciJll bodies immediately below !he skin
(meu.llic hpnmuon x-ray)
6. Sa"cred.cus on each blcc
7. Unur scan on the chiD and cireular lUI" on the leR "beck

VII.

Toxieology is neplive for etbmol and Kreened drup of abu$e.

...
MEDCOM 0297

ACLU Detainee DeathII ARMY MEDCOM 297

REPOR';~(b~}(~6)C==

AUTOPSY
8T8 Munllllr, A....d Huan

....

Page"

on

F;XTERt~AL EXAMINATION

The body is that ofa well·developed, well-nourished appearing, muscular, 65 inclliong. 119
pounds Iraqi male civilian whose oppeatllllCC is consistent willi tile reported age of20 yean.
Lividily is fixed along tbe posterior surface of tke body wilb pressure bearing area pallor.
Rigor is minimal and easily broken. Brown paper bags cover lbe bands.

The scalp is covered wi!h black Ilair in a DOrmal dislribution. The irides are In"own and the
pupils are round and equal in diameler. 'The conjunctivae and sclera are free of pele<:biae.
The ealernal audilory canals are free of abnormalloOCreliollS. The e4J$ are unremarbble.
The nam are paten' iU\d the lij)5 are atraumalie. The m:nula ue inlacl. The nose and
maxillae are palp.bly mble. The teeth appear IlIlurlll and in fair repair. The upper righl
cenlral incisor (#8) is broken and hilS decay present. A 0.7 x 0.2 em scar and a 2." x 0.2 em
scar are on Ihe chin. On the left cheek is a O.S x 0.) em circular scar.
The neck is straight, and the lrachea is midline and mobile. Injuries ofLhe neck are
described below. The chest is symmetric. The: abdomen is flat. The: genitalia are lhose ofa
normal uncircumcised adulL male. The tesles are descended and rree: of masses. Pubic Ilair
is presenl in a nonnal disnibution. The buttock!! and anus are unremarkable.

The upper and lower extremilies an: symmetric and without e:lubbing or edema. The hands
iITld fingers are I'm: ofinjutiCll. The fingernails lITe roughly trimmed se<:ondary 10 previous
evidence: collec:lion by US Army elD. There is no gross evidence ofliga!llR marks on lhe
wrists. Mas ofblue discoloration on llle posterior surfaces of the left and right wrist range
in size from O.S" O.S cm 10 5.1 x 0.4 cm. Threc:-1.2 cm in diameler- circular scm are on the
anlerior surface of the lell forearm. Incision examination of the tllese areas ~eals the
discoloration is confined 10 lhe skin. A 1.0 x 0.4 cm scar is on lhe proximal portion oflhe
right knee and a 1.8 x 0.4 em scar is on the laleral aspecl oflhe righl knee. On !he left knee
are scauered scan thaI range in size from 1.4" 0.) em 10 2.5 x l. 7 em. A 4.2 x 1.8 cm SCal
is on the anterior aspect oflhe lelliower leg IJId overlies a palpable bony defonnitythat
COltcsponds to a healed remote fracture. The leftieS is visibly shorter !han the right leg. The
hands, legs and fecI are rre.e ofpeteclliac.
In addition to the scm nOLed above, identifying marks

(~@)

Ilattoo~bH61

::JtattOO.(b){6)

(b){6)

==j

incl~de a tatlOOl~(O,}r.(6ij}ioJ_ _

]

CLOTIIING AND PERSONAL HUm
The decedent was received clad in a white Hhirt.
MEDICAL INTERVENTION
l. Endolrllcheal intubation (in righL mainslem bronchus)

...

2. Self adhesive elcetroea.rUiogram leads on the clltst
). Venipu.nc:ture situ on tke right sideoflhe neck (auociated with underlying
hematoma), right antecubital foIsa, riglll forearm. and right femanl triangle.

MEDCOM 0298

ACLU Detainee DeathII ARMY MEDCOM 298

,

AUTOPS\, REPORT (b){6)

"&<:$0(8

BTB MUllblr. Awad Hilin
4. SlIb$tcmal pUllCllll'c site ilSsocilled wilh penct,..tion of tile poslenor right
ventricle. hemopericudiwn (SO ml). and hemoperitoneum (approximately SO ml)

RADIOGRAPHS
A tomple1c set ofpostmortem radio~hs iii obtained and dcmonstnllc a remote, heated
fi'lClurc ohlle left lib,. and fibula with slIlTOlmding debris.
EVIDENCE OflNJURX
The ordering of the following injuries iii for dt:scriplivc plIlpOSCS only, and is not inlended to
imply order of infliction or relative severity.
Injllrin crlh; Neck:
A 30.S em long dried brown ligature mark (furTow)oflhc ncck is 6 'I. inches below tile lop
of the head at its end OIl the right side orllle neck, 9 -Y. inche!l below tile lop of tile head in
the anterior midline crlbc neck and 7 'I. inehes below the top of the head I' its end on tile
left side orllle neck. TIle furrow width ranxcs from 0.7 em (tapered end behind the right cv)
to I.S em (righl side arlbc neck). Along the right side ortlle furrow is a 6.5. 1.5 em area of
abrasion \bat contains two vertleall.5 JIO 0.2 an abrasions. The fum:Iw is 0.2 em deep on the
anterior surface of the neck..

uyer by layo:r neck. eumination orthe neck. demonstrates mild congestion of the IIIterior
strap mU$Cles of tile neck. immediately superior to the furrow and no rraclures of the hyoid
bone or thyroid ellf\ilage. There arc: no petechiae of the selera. eyelids, oral rnllCOSI, lOngue
or legs. The frenula are iniac\.
A 4.5 x 3.5 em area ofmllltiple. sllperlieial linW" ibrasions is in the posterior rttidJinc onlle

uPJleT back.. I I V. inches below the top of the head. The abrasions haYe a nCiT vertieal
orientation.
lnjuri« of tbe. TolJO
A 2.2 x 0.5 cm yenical abrasion is on the right na.nlr.. Art. ecchymosis is on the pllietal
pleural surface of the left sixth rib and left seventh int=stal sp;u:e
lnillries of!he ExtremjJ;es
A 2.5 JIO 1.7 em erythematous i J g is on the IIIterior surface orlhe left lower leg
INTERNAL EXAMINATION

HEAD:

.

The galeal and subgaleal soft tissues ortlle scalp arc free ofinjW)'. The calyarium is intact.
u is the dura mater beneath it. Clear cerebrospinal nllid surrounds the 1350 gm brain,
whieh ha.s unmnark.able gyri and sulci. Coronal sections demonstrate shalp demareation
between white and grey mailer. witholJt hcmolThage or conillsiye injury. ~ ventricles are
of rIOm1aJ 1;1(e. The basal ganglia. brainstem. cerebellllm. and arterial systems are free of

MEDCOM 0299

ACLU Detainee DeathII ARMY MEDCOM 299

AUTOPSY REPORTI<b)(6"'--BIB Mllnlhlr. AWld H.un
injW)' or olher .boonn.lilies. The bue oflhc: brain is $Oil and minimally liquefied. There
are no skull fraelures. The allanto-occipital joinl is stable.
NECK;
The dissection orlhe neck is dcseribcd above. The lbyroid cartilage and hyoid bone are
intact. The larynx is lined by intllet white mucosa. The thyroid gland is synunetrie and redbrown, wilhout cystic or nodular change. 'The lOngue is free of bite marb, hemorrhage, or
other injllries,

BODY CAVITIES:
The ribs, sternum. and vertebral bodies arc visibly and p~lpably iniac!. EKteSI fluid in lhe
plelUai and peritoneal cavities is described above. The organs occupy lheir usuallmnomic
positions.
RESPIRATORY SYSTEM;
The right and Icfllungs weigh 410 and 460 grn, re:spc:ctively. The eKlcmal surfaces are
smOOlh and deep red-purple. The pulmonary parenchyml is diffusely eongesled and
edematous, consistenl with dependenl livor. No mass Icsions or llfCU of consolidalion are
present.
CARDIOVASCULAR SYSTEM;
Thc 270 grn hcart is conlained in an inlact pericardia! sac. The epicardial surface is smooth.,
wilh minimal fal investment. A punelure of the right venlricle is described above. The
coronlll')' arteries arc prescnt in a nonnal diJlribuliOll, wilh I right-dominant pattern. CI'OSIi
sections ortlle ve~ls show no alhcrosclClOSis. The myoc:ardillm is homollcnoUl, red·
brown, and firm. The valve leafletllfC thin and mobile. The walls of the lefl and righl
ventricles are 1.0 and 0.2-cm tbick, rt$peCtively. The endocardium is smooth and
glislening. The aOl1a gives rise to three inlacland palenl arch vessels. The fCnal and
mesenleric vessels are unrcrrlluklble.
LlyER &, BILIARy SYSTEM;

The ISOO gm liver has an inlact, smooth tap1ule and I skarp anterior border. The
parenchyma i5 lan·brown and congesled, witb lhe usual lobular architecture. No mISs
lesions or Olher abnonnalilies arc Ut'll. The gallbladder conlains I minule amount Orll1ccnblack bile and no stones. The gallbladder mucosal surfioCe is green and velvely. The
extrahepalic biliary tree is palent.
SPLEEN;
The 210 gm spleen has a smooth. inlacl, red-purple capsule. The parencbyma is mlfOOllll'ld
congested, with distinct Malpigltilll corpus<:les.
PANCREAS:
The pancreas is finn and yellow·lan. wilh the lISIIIllobular m:hil«IUfC. No mus lesion, or
olber abnonna!il;cs lTe scen.

MEDCOM 0300

ACLU Detainee DeathII ARMY MEDCOM 300

AUTOPSY REPORT (b}(6)

BTB Muatblr. AWld Hlua
--

ADRENAL,,:
The right and leA adrenal glands:ue s~metric. with briahl yellow eonlces ....d pey
medul1«. No masses or areu ofhcmorrhage Me identified.

GENlIOURJNARY SysTEM:
The right and len kidneys weigh 120 and 110 gm, rupec:lively. The: cxlcmr.1 suzUen are
intact and smooth. The cut surfaces are recI-tan and eongesled, with unWmnly thick eoniees
and sharp corlieomedunary junctions. The pelves are unrcmubble and !he UTden an:
normal in eourse and caliber. White bl-.:ldcr mucou overlies an inlact bladder wall. "The
bladder conlains approximately)O 101 of cloudy urine. The prostate il nonnal in aile, with
lobular. yellow·tan parenchyma. The smtinal vesicles are unremartable. The testes an: free
of mllSS leslolll, eontuslons, or olber abnormalities.
GASIROINIESTlNAL IRACT:
'The esophagus is inlaet aDd lined by smoodi. grey-white mu«lSa. The slomaeh comlins
IJIProximately 10 101 or Illglllly red. liquid. The gastric wan is illlllCt. The duodenum. klopI
of.mlll bowel, and colon are unrmtubble. TIle appendix is prcsml.

•
•

•

•
•

ADDIIIONALPROCEDURES
Docu.mentuy photographl are Well by an OAfME pholOgrapher.
Toce evidence and (ol"eigtllNlmal (sex~1 _ult kit withotJt onl swabs) is
eoll«ted and Jiven to SA (b)(6)
USACID. Fingernail clippings w~ taken
by USACID prior to trIlllpOr1 to Dover AFB.
SptiClmenl retained for toxicologic lestinS and/or DNA identific:allon are: vitreou.s,
blood, urine, 5Plet:l1. lung. liver. kidney. boio. bile. gastric eon1enl$. adipose tissllC
Ind psou muscle
The dissected OIJlllI an: (-.rdeli wilh body
Personal elfe<:U are releueli 10 tile appropriate mortllU')' operations representatives

MICROSCOPIC EXAMINAtiON
Selected ponlona ororpnl are retained in fonn.aIin. wilhout preparation o(hbtologic slides.

MEOCOM 0301

ACLU Detainee DeathII ARMY MEDCOM 301

,
AUTOPSY REPORT i<b)(6)
BTB MUDlblr, Awad Hasan

OPINION

This believed to be 20 year iraqi male civilian detainee died from mcehani<:cil asphyxia
caused by hanging. Investigation infonnalion 10 dale indicatcs the decedent wu a young
delaince lhat wu depressed about his clplivity and being separated from his

new wife. He

was a detainee for approximately) months prior to his death. An interview of an [l1qi
associate grille decedent by USACIO indicates the deccdclIl was ooll$idered a "Jone," and
did not usocialc with other detainees. The decedent repor1edly read the Quaran and desired
to be closer to his Sod. The responding MPs did not repon any history OfSll'\lgglc or
vio1cntc It tile SUM:. Autopsy examinllIion revealed only injuries rclaled 10 the hanging.

The decedent's hands were loosely lied behind his back when discovered.. Il is possible for
the decedent 10 have lied his own hands behind his back to p~o:nt o:scape from the neck
rope. Based on the IUtol1SY and investigation, the mlUUlf:f of deilth is best classified as
suicide.
If additional information becomes available, lhisu5e can be re.elWllined and me cause and
maMer ordeattt changed if appropriate to do so.

(b)(6)

(1))(6)-- Medical Examiner

...
MEDCOM 0302

ACLU Detainee DeathII ARMY MEDCOM 302

OEPARTM£NT Of WIENIE
........m fORCU INSlTTVTI: Of ~... tHcl.OQY
WAIIllHllTOtl.DC 201M 1000

PAD1NI IDENIIFlCATION
MIP A~la.. No.bor
:!!<au.....
(b)(6)
- -~

ornCf. 0' THE ARMI:D fORas MEDICAL
EXAMINER
ARMED I'ORCES IJ'ISTlnrfE OF PATHOLOGY
WASHINGTON. DC 2llJOUOOQ

.,-

MlJNTHIR. AWAD KASAN

SSAN:
To.l<:olol1 A
o.t. hport ee

"'gla~: f(b){6)
: ~6) ~
tC'll: Scptonlba 1.2005

CONSULIdTlON gPORT ON CONTRlBVTOR MATERIAL
"FIP DI"GNOSt5

REPORT OF TOXICOLOGICAL EXAMIJ'IATlON

Condition of Spa:lmeDJ: GOOD
Dlle Df InddtDl{b)(6) 2005

DIU Rtctlved: 812912005

VOLATILES: The BLOOD AND URINE werc examined for lbc presence ofethaDOl
at. altotronO mWdL. No ethanol WlI! dClected.
-

DRUGS: The URINE was screened for amphetamine, antidepressants, IUlti/lisumines,

-,

barbitwates, bcn2odillt.Cpine.t, CIIlIlllbinoidl, chloroquine, cocaine, dcxtromcthorphan, lidocaine,
II&/'COtic anaIgcsics, opiltes, pbcncydidinc, pbcnothiaz.ines, sympathomimetic amincs and
vClapM\il by gllS Chromalogflpby, color lest or immunoassay. The followioa drugs wen.

None were found.

(b)(6)

MEDCOM 0303

ACLU Detainee DeathII ARMY MEDCOM 303

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~M~E~D:C~D:M~O:304:

_

ACLU Detainee DeathII ARMY MEDCOM 304

I

ClM'OiJIltM OF AaWN8
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.....

INSl M.LATIO" OR AllOIl£5S

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USAPA V'.OO

DO FORM 2064, APR 1'17 (BACK)

MEDCOMI~03:0:5 _ _. -

--~_.

------

ACLU Detainee DeathII ARMY MEDCOM 305

·,

-

..

ARMED FORCES INSTITUTE OF PATHOLOGY
Office of the Ann~ Fo"," Mnliul Euminn
1413 Rneareh Blvd., Bldg. 102

Rockville, MD 20850
1-800-944-7912
FINAL AUTOPSY EXAMINATION REPORT

Name:: Alawl·AI Alward. Ahmed ls!llllil
ISN:'(b){6)- - -

Dale ofBirth.:'{b)(61

1

ill75

Date orOclll~)(~2005

Dale of Autopsy: 04 August 2005

Dale of Report: 24 (kloNr 2005

Autopsy No.:J(b}(6)

~

------=:i

AFIP No.:Jb}(6l
Rank: elv
PJllI:e of Death: l~
PJlIoCl: of Autopsy: Port Mortuary
Dover AFB. DE

Clrtumstlocn of Onolb: This 30 year old male civilian dctaill« was reportedly admined to
the: Camp BUl:ca S«wity Hospiw for tompliutiollJ ofmalariL

..

Authorization for AulOpsy: Office ortlle Armed Fon:cs Medical Examiner, lit.W 10 USC
1471.

ldentifiullan: Idenlification is established by idcnlifiall;on lags pn:~nl on the body.
CAUSE OF DEATH: P..rltonirb due /0 501all bo.nl )X'rfondon.

MANNER OF DEATII: Natll,..l.
fiNAL AUTOPSY DlACNOSES

-

I.

Gastroinle'tinal ,~,(em:
A. Small bowel po:rfOflllion.
I. Adjacent pseudocysl fonnlllion with rupture.
2. Ascites (4000 mt offecutent tan fluid).
J. Peritoniti,.
B. Neoplastic mesenteric masses (2) adjacent to pseudoc:~$l.
C. Moderate 10 sevell' hepatic stealoli,.

11.

Respiratory s~stem:
A. Bilateral pulmonll1)' congestion (righl 800 wn.left 750 gm).
I. Billteral pleW1l1 effusions (right 200 mi. left 100 ml).

Ill.

No evidence oflrauma.

IV.

TOllicology: LidocaillC:. mcfloquine. chlolOQuine. metoclopramide. loruepam.
oll)'codone and ox)'morphone arc: present.

MEDCOM 0306

ACLU Detainee DeathII ARMY MEDCOM 306

..
•

-

20rs

AUTOPS'V REPORT!<b)(6)
ATAW!, Ahmed 1"...11

EXTE.RNAL: r;:XAMINADQN
The: body is that of .. well-developed male thai wei8~ 177 pounds, is 68 inches in length and
appcan compalable with the repol1cd age of30 years. Lividity is fi~rd on the postcTior surface
of the body except in areas exposed 10 preSSln. Rigor has passed. The scalp hair is black. Facial
hair eonsi$U of. black musta<:hc &Ill! whisker slUbblc. The iride$ llI'e dark. The ComeK arc
cloudy. The c(mjunctivlle an: unremarkable. The sc.lcrae arc white. llle extema! auditory canals,
external nares IUld oral cavity an: free of foreign material and abnonnalsccretions. The teeth an:
natural and in good 0:0001110n. A Y. inch SCat is present on the right side Dfthe chin. The neck is
straight, and the traChea is midline and mobile. The chest is ~marltabk. 'The: abdorncn is

mildly prolubcl'3l1t. The fingernails an: inUlCl. The upper and lower u~milies arc symmetric.
There an: multiple liC&I'S on the anterior surface of the rillht kn«. AnjdcnlifiClllioll lall..is Ill'eStnt
on thcJcl\ ""'fist. beanni lhe followina inrorm.'io~(6}
1

DOE(b)(6) ]1975 The ienitalia an: those ofa normal adult maJe.l11i:re is a 4 x 4 InCh am or'
discoloration with early pressure ulceration presenl on the superior aspecl of the gluteal cleft.
M

•

EVIDENCE QF MEDiCAL THERAPY

I.
2.
3.
4.
5.
6.

An endotraeheallube.

Nasogastric lube.
Foley calhetcr with drainagc bai.
Healing llterapeutic needle punctufe site in the left antecubital fossa..
Monitor lead pads on 1M: upper and mid chest and flanks. bilaterally.
Defibrillacor pad OfIlhe left chest and the lcft bsck.
EVIDENCE Of INJURy

None.
INTERNAL EMMINATION

BQDY CAYlTJES:
The sternum is visibly and pa.lpably inlllCl. No excess fluid is present in lhe perieardium.
Approximately 200 ml of amber fluid is presenl in the righl chesl cavity and 100 ml in the left.
The abdominal cavily con'-ill$ approximately 4000 m! orran feculenl fluid. Yellow·talI fibrinous
malerial covcrs mulliple loops oflhe small bowel. omentum and portioll$ of the liver. TIle orpns
occupy their usual analomic positions.

-

The scalp is reflecled. The calvarium of the skull is removed. The leptomeninges are thin and
delicate. Coronal SC'CtiolU demonstrate shtup demllrallion betwoen while and 8fC'Y ma"er. The
ventricles are of nomtal size. The brain weishs 1420 gm. The allanlo-occipilaljoinl is stable.

MEDCOM 0307

ACLU Detainee DeathII ARMY MEDCOM 307

·.

-

AlITOfflY REPORn~(b')(6~)==

30fS

ATAWI. Ahmed IIman

NECK:

The anlcnor strap mUSl:les of the nc<:k arc homogcllQUS and red·broWll, without hemorrhage. The
thyroid eanilage and hyoid are inlllCl. The larynx is lined by intact while mucosa. The thyroid is
symmetric and red-brown. The longue is (Itt of bite marlu, hemorrhage. orotheT injuries.
RESPIRATORY SYSTEM:

The riKhI and left IImgs _igh 800 and 7~O g,m, respectively. The cXlcmal surfaces arc smooth
anddeep red-purple. The pulmonary parenchyma is dil'fusely congaled and edematous. No mus

lesions or ucas of consolidation arc present.
CARD'OVASCULAR SYSTEM:

am hean is contained in an inlact perlcardill1 SK. The epicardial surfllCc is smoolh. with
minimal rat ;nvcsunenl. The cororwy lIl'tcries arise normally. follow lhe USUlI! distribution and

The 290

arc widely patent without eyidence orsii/lificanlllllleros(lc,osis or thrombosis. The myoc:ardium
is homogenous, red·brown. and firm. The valve lcafkts are thin and mobile. The endourdiWll is
smooth and glistening. The ascending lona lives rise [0 111m inllK:l and pall:nl arch vc~Js. The
I!:nal and mesenteric vessels are lln'em.arkable.

liVER" BIliARy symM:
The 2010 gm li~r has an intae:l capsule and a sharp anlerior border. The panochyma is lanbrown and congestcd, with the llsuallobular arcllitecture. No mus lesions or olher abnormalities
an seen. The gallbladder contains approximately 10 mJ of green-black bile, The mucosal surface
is green and ~1~IY. The eXlrahcpatK biJiftf)' 1m: is patent.
SPLEEN:
The 290 gm splecnllllS a smooth, intact, red-pwple capsule. The parenchyma is mltOOn and
eongesled, with diSlinel Malpighian ~Ies.

PANCREAS:
The panerel5 is sof'l and yellow-tan, wilh the usual lobular arehiltc:lure. No
abnonnalil;es are seen.

rnIl5S

lesions or olllcT

ApRENAL GLANpS:

The right and lef'l adreoalglands are symmelrie. witll bright yellow cortices and grey medulh"".
No

masses or mas ofllemonhage an identified.

GENITOURfNARy SYSTEM:

The right kidney weighs 180 gm and the left 150 gm. The external surfaces are inlaet and
smooth. The f;ul surfaces are red·tl\n and congested. with unironnly tllick conices and sharp
corticomedulllll')' junctions. The pelves ue unremarkable and the ureters are nomtaI in coune
MEDCOM 0300

ACLU Detainee DeathII ARMY MEDCOM 308

.. . .

~

]

AUTOPSY REPORT (b){6)

•
"TAWI, "hmn! bmall

40rs

and o;aJibcr. Tan bladder mllCO$& overlies an inta<;l bllllkkr WJ.U. The bladder isempCy. The
proSllIlt: is IIOrmal in size, with lobular. ycliouHan plII'l:nchyma. The 5m1inal ~Sitlt:5 are
unmnarkable. The lesles are palpably flH or mas, lesions.
GASTROINTESTINAL TRACT:
The ~8W1 is lined by smooth, gtey-white mucosa. The stomach is empty. The Itastrie W2IJI is
intact. l1le !lCrosal surfllCes GrIM small and larsc bowel;1K covered by tan-yellow fibrino\l$
material. A fluid and feeal filled pseudocyst ~&Surinll7 inches in gmlleSl diameter is present
just inrmor and posterior (0 the stomach and adjacent to a ponion Orl~ duodenum. Reflection
of the $lOmach reveals an lllU of ruptW'C on the anterior surface of llx- pSl:ucloeySl. DisilCelion
and furtha Il'fle<"lion sIlow the pscl.ldocysl to be in continui!)' with I pC'Ifonllion of the adjacent
dlllllfkTlum. Two solid mass lesions measuring 3 II> ~ 2 inches and 2 Y, ~ I inell an: pramllllld
appear to be ari$ing from the region ortht mesenteric root. The larger lesion i' firmly adherent to
lhe dl.lOdcnum;n the: region ofllle perforalion.1lIc a~ndix is unremarkable.

MICROSCOPIC EXAMlNtJlQN

I. Heart (slide I): No significant microscopic abnormalities.

2. Sp!ttlI (slide 2): No microscopic abnormality noted.
3. Kidneys (slide 4): Moderate arteriolosclerosis.
4. Liverjslide 2): Moderate to scvo:rc ilIealosis..

S. BrJ.in (slide Sj: No microscopic abnormality noted.
6. LunKS (slide 3): Pulmonary lllY«llar congestion.
1. Orne'llum: (slide 6): Acute serositis.
g. Abdomifllli masKlIi (slidc:s 1-10): ConflllCnt IlmIS of ~crosis ....i'h inte.....eningllmlS
composed of atypical dysllcsive cells with coanc nuclear chromatin and frequent
plasmacytoid feaMes. OccllSional mitoses ate present
9. Region of perforation of the psrll(locyst (slides 11,12): FilJroadiposc tissllC with fibrin
deposition. acute inflammatory infilll'lltion and granulation 'issllC formation.
ADplTlONAL PROCEDVRf$'BEMA8KS

•
•
•

•
•

-

Documentaty photographs 1m Illken by the OAFME stafTphotognp~.
Specimens n:tained for toxicollJttic testing andfor DNA identificalion are: blood, vitreous..
bile, 8lI1llriC contents. kidney. lung. brJ.in. spleen, livu.lIdipoK and psou muscle.
Full body radioifaphs arc obtained.
The dissected organs an: forwarded with the body.
Personal effects arc released to the attending investigative agency and appropriate
mortllU)' op<'ralions repruenlaliVCJ!.
OPINION

This reported 30 ycar.old male civilian detainee died ofpcfitonitis due: to small bowel
pcrfol3tion. According to reports. the decedent was admincd to the hospital with a diagnosis of
hepatic failure. Further workup showed an advanad stage ofmalnri.. llis clinical course was
flh\lF.c;omplicated by multi-systCTn organ faHun: and he ultimately succumbed to septic shuck on his
~ hospital day.
MEDCOM 0309

ACLU Detainee DeathII ARMY MEDCOM 309

-

-

AVTOPS\, REPORT'I(b~){~6~'_ _
"TAWI, Ahmed bmall

SofS

AU10p$), cxamintltion showed 4 liters orrccu\cnt asc:iles and mesenteric mus lesions witli
JdjkCnl SmlIJi bawd pcrforf.tion. II lIppcars lkat initially Ihe an:a of pa-foralion was walled ofT

fonning a "psc:udocystic" structure lhal ultimately rupturN. Initial microscopic cllamillillion of
tile mesenteric mlWt;s showed l~m to be neoplastic. ho~Yer their UK! ~Iiology is pending
spe<:iaJly consullalion. An addendum ",port will be issucd upon its wmplClion.
Postmortem IOllicolollic lll8.Iysis n:vuled the presence of the thcTllpe\llic agents lidol:ainc.
mcnoquine, cliloroquinc. me1ocloprarnide, oltycodolle and oxymorphone in ,Ile wine.
Lorll.lllJ'lllll was present in the blood at. lh"..peulic 1eVl:1 (O.26 mgfL).
The rnlllUlcr ofc1eath is natural.
(b)(6)

-

I_b_'''_'_JMcdic-' Examiner

MEDCOM 0310

ACLU Detainee DeathII ARMY MEDCOM 310

_01,,"_
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MEDCOM 0311

ACLU Detainee DeathII ARMY MEDCOM 311

(REMOVE REVERSE AND RE INSERT CARBONS BEFORE COJ.fPI.ETlNG THIS SlOE)

0W"0SfT'C»I OF RBWN8
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lOCATION OF CEMETERY OR CREJ,IATQRY

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SIGNATURE

DIITE Of OISPOSfiON

TYI'E OF DlSPOSllQN

REGl8TRATlOH OF VITAl. STAn8TlC8
REGISTRY (TolM> _

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FILE: NLltdBER
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ADDRESS

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DD FORM 2064, APR

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USAPA V1.00

MEDCOM 0312

ACLU Detainee DeathII ARMY MEDCOM 312

ARMED FORCES INSTITUTE or PATIIOLOCY
om" ortb~ Arlllt1l FOrffl Medical Eumlntr
141.J Restareb Blvd•• Didio 102
Rockville. MD 20850
301-319-0000

FINAL AUTOPSY EXAMINATION REPORT
Name: BTB e.,damll, Kareem Ma!l.1OO(
SSAN: l(b)(6)
I
Dale o(Dirtb: (!!)~1959
Dale o(Dral1{(!l:)J6) ~2005
Oalt o( AUlop,)': 5 AUG 2005
Dalto(Report: 125EP2oo5

AlIlops)' NO':i.(b~)~('~)_ _~
AriP No. (b)(6)

Rank: Iraqi Iktainrr
Plue o( Onlb: Iraq
Place o( AUIOpsy: Pan Monuary.
Doom- AfB. DE

Clrcumllanca o( Deat": TlUs 46-yur-01d mal~ was an Iraqi detainer in U.S. cUSlody
woo was found unresponsiw in his prUon cell Oil (b}(6) '2005. The man had bern
a>mplainillil o(abdominal diseomfon and refUsed 10 aot on the !by he died.

AUlborballoo (ur AUIOpsy: Atmed ForteS Medital ElWIIincr. per 10 U.S. Codoc 1471
ldelllificlitao: Cirtwnstantial idrnlificalioa is by actompanylna pllptrWork and an
id~lifltllion brxcici on lhe rishl wriSl thIl displa)', a p/lolO of tile drceased III well III
demographic information. A $4lllple of ONA is ~ as I maner of IUord.

CAUSE or OEATII: AlIOmalou. Rllb1 COrolll". Al1ery Complicated by
Albtrosd.r04ir C.,.dlo",scullr Dbrax

..
MEDCOM 0313

ACLU Detainee DeathII ARMY MEDCOM 313

,

AUIOPIY (b){6) __
BTU Ad.m •• KuftlD MIMloof

FlNALAUTOPSY DIAGNOSES:

II.

Alllrroiduodr C.rdlo"larul.r Oknar, willi up 10 10·h lumilllJ
nl,",.. hll of Ihr Irft Inlrn'" daundinl"oron.ry .rtrry.1S.JO%
lumln.lnuro_lall ofllir Irn rirtu ...nra toron.ry Irtrry, up 10 60%
lumJlIIlllIlTOwlnll of IIIr npl toro •• ry .rtrry, aDd mild Inllm.1
Illirkrllin, of IlIr len mal. roron.ry .rtrry

Ill.

C.rdlo"''C'1y (H,.rt ..-rlll:"I.uo.,nftll); dll.lllloa of 1M ricbl a"lum
.Itd nlhl vrnlntl.. of IhI' II,.rt

IV.

AII,."lon of Ihr mfilial riehl_rill. COnlUlion of Ib.. pollrrior Irft band
.nd Irn .nhL No olllrr rllrm.1 or Inlrm.l rvldrntr of sic"iflnnl rft'I'lll
Injury

V.

["klrntr of. II...ltd fr.du~ of Ibr npl fr.ur. tonlblrnl _1l11 Ih..
hlilory of injun,. Ill, molor "rhidr , .... b In 1983

VI.

[.rly d«ompo.llioll dllnlln.. Intllldlnl "'Mulu m.rblinll.nd crern
dlJrolorallon of 111ft linu.

VII.

Tollrolclcy ia nrpllvr for rtbanol.nd Hrftnfil drup of .bIlK. Blood
urbolybrlllOll:lobi" ."d I)'.nldr 10""'III,.llonl ar. nOI rlrv'ltd. Blood
.nd bllr IIavr Jm.U •• ounto of .ffton. and l·prop.ool prrHnI.

MEDCOM 0314

ACLU Detainee DeathII ARMY MEDCOM 314

•
AUlops,,(b){6)

J

BTB Adama, KU«ITI M.kloof

EXTERNAL EXAMINATION
The remains are received clad in while wxIenhorts llIId. pIIl1iaJly CUI away while
overgarment. They consist of. wdl-dc\'cloped, well-nourished, male. Early to moderate

decomposition chllllges arc pn:senl. in<:luding green discoloration of soil: tissue and
mubling 'If the vll5l:ulature. livor is pcmcrior and fixed. excepl in Ift&!I cllpoSoed to
pre55Ule. Rigor is pl'e$Cnl but passing. The body Il:mpnalurc is thai orchc reliigcnlion
LU1it.

Tk sc.alp is covered with lTKdiwn length.. blKk hili. in I nonnll distribution. The
eomcae are cloudy and tile eyes have IOSI considerable Hugor. The sclerae are
lI~marklblc. The irides are brown ancIlhe pupils an: round and equal in diameter. The
teeth are naural and in fair condition. Flll:ial hair consists of. black beard ancI muslKhc.
~ is marked sul'lWion of 1M soft tissue orllle (ace and neck. A 118-iMh pigtMnl<:d
nevis i. on the posterior neck.

The Ilttk i. mobile and 1M U'aChea is midline. The chest is symmdric and unmnarbblc.
The abdomen is protuberant bUI free of evidence of injury. A lIB-inch nevis is on the
right upper back. The external genitalia are lhose of a normal adull, circumcised, male.
The IC$lCS afe descended and flee ofml55Cs. Pubic hair i, pteilCllt in a normal
di,trilllilion. The bunocks and anus are mnarkable only for a V,-inc:h ,kin tag on the
superior-medial right bUllOCk. The upper and lower extremities are ,ymmetric and
withoul clubbing oredema. The fingernail, are inlal:l. A 16 x l·inc:h·inch 5CI1 i, on the
lateral ri&hlthigh. There is 15(;11 on the lalen.l. proximallefl arm that is eOll$iMent wilh
a remole vaccination.

~n 'denlilk.u.ion..haD<loll..ll>e.righl wrist Iw a piclure of lhe decedent and l(b){6)
(b){6)

INo tattool or otbcT identifying body mub ue noled.

MEDICAL INTERVENTION
Evilkoce of medical inlervention include3 an cndotn.<:heal lube thaI enters thc: righl
mainstem broochlli vii the mouth, a Foley catheter in the uretlua, and vl$(:ular access
cut-down attempts on the mediall$JlCCt of both wles

RADIOGRAPHS
A complete sct ofpostmonent radiographs is obtained and demonslJalC5 an absclKC of
acute skeletalltluma and melallic foreign bodid. There is evidence ora remote fra<:1Ufl:
ofllle righl fernUl" that is now heated

[VIDENCE Of INJURY
On the posterior aspect of the rigllt hand and ri&ht wriSI;S. I Y, x l·inc:h area of
ecchymosis. A. \f, x Y.-inch abrasion is on the mcdialaspect of the rigttl wriM. There is
no other evidenc:e of sill'lificant kUle injury.

MEDCOM 0315

ACLU Detainee DeathII ARMY MEDCOM 315

...

•

Aulopsy (bJ(6)

BTB Adami, Karffll> Makloof
INTERNAL t:XAMINATIQN

HEAP:

1lle .$alp, sk.ull, and brain have no evidence of Kule injury. ~ Is some soften;"a of
the brain I'R'senl, due to decomposition. The bnin wciJhs I )SO'~J and s«tionina
l'l':Yeals no parenchymal injuries and no nidmcc ofsignirlUlll MIn d i _ procc:ue:s.

NECK:
The strap muscles ofthc anterior nedr. ' " homoac:nous and red-blOWlI., wilhoul
hemorrhage. The thyroid eanilage and hyoid bone '" wilhoul injllf)'. The 1000iUC;s
unmnark.bll:. The larynx is lined by intaet while mllCO$L The thyroid aland is
symmetric and ~d·brown. without cyslK: or nodulll' change.
BODY C,WIIIES:

The ribs, slernwn. and venebrllJ bodies are visibly and palpably illlKl. 80th pJanI
cavities contain 20·rnilliJitcfS ofdecompo$ilion fluid. Then: is no excess ao::umul..ion of
fluid in !he peritoncal "viI)'. There are IO-millililn$ of decompo$ilion nuid in !he
perle-rd;al sa<:. The orpns O(:cupy I/w:ir l.I$Ull ana!Omic positiOfU.
RESPIRATORY SYSTEM:
The right and leR lungs _igll 100 and 67o-~ r6ptttively, and are muluedly
congested. The exlml&l swfacf:ll are red-purple. with moderate anthncOlic pisment
deposition. The pullTlOlllll'y p&R:ndl)'1Jlll is difTuxly COI\icsted. without m.us lesions Of
areas or COIItOlidllion. Tb: pulmonary aneries ate lIllmIlan.ab~.

CARDIOVASCULAR SYSTEM:
The 480-JIWIl hnrt is oon&ained in an inlaCl periurdiar sae. 11 formal Cardiovascular
PalbolOiY oonsulUllion is .vailab~ &I a xpatlle <Iocumenl. In summary. the consulWlI
cktnOlUltIlcd an anomalous rilht coronary anti)' witb a hiJb takeoffand a COI,U'Se!hat
I'\IU between tbe aortic and JlIllmonic IOOlS. The COI1lIW)' circulation is right domilW1l
and tIlen is modaate luminal nanowina by IIhcros;lerosis. with the mostxverely
afTected ves$tl heina the ldl: Ulto:riordescmdina coronary uteTy per the consultant's
report. Deeomposilion changes UId myoc)1t hype,oophy are described 011 tl\IIllination
orllillologic Jc'Cliom of myocardium II pnfonncd by lhe COI1IullanL The aorta gives
riK 10 three intae:1 and patent aR:h VUlCIs. 1M renal and mesenteric vessclsare

~""'.
LIVER'" BILIASYSYSIEM:
The 147().p1lm liver has an inUICI capsule and aslr.arp litlerio!' border. The parenchyma
is .... ·brown and conaesta! No mill lesioN or otller abnonnaJilicJ an IlOted. The
gallbladder contain, 2S-milliliterl of&r«n-bblck bile and no stones. TIle mllOOSlI
surfa¢e is areen and velvety. The ulrahepatil: biliary lrft is palenl.

...

SPLEEN;
Thc 4O-gram spleen has a smooth. Intact. red-purple eapsule. The pannchyma is
maroon. soft, conaeskd. and el\hibilJ early decomposition ehangcs. A l<entimcter
lK'CtsSOf)' spleen is noted.

MEDCOM 0316

ACLU Detainee DeathII ARMY MEDCOM 316

,

AUlopsyl(b)(6)
]
BTB Adlml, Kn~m Mlkloor

PANClttt\5:
The pano;reas is soft 8IId exhibil5 changes of decomposition. The uSLlallobular
&R:hiteelure is p~senl. No mass lesions or ot....r abnormalities ~ seen.
ADRENAL GLANDS:
The right and left ad~naJ glands are symmelriC. willi yellow conices and 8I'y medullae.
Del:omposilion cl1an~s are prominent. No masses or areas ofhernorrhage are identified.

CENITOURINARY SYSTEM:
The ri&lIt and left kidneys wciglllOO and 13G-&r.\rtIs. Tespel:tivcly. The external sUlfates
are inlllCt and smooth. The cut surfaces are Ted-lUI and congested. with uniformly thick
cortices and distinct cortic:omedulillry junctions. The: pelves Ire urvemarlr.able and the
..men; are nonnal in Wllr$C and cali"". White bladder mucosa overlies an intact bladder
WIlli. The urin.ary bJaddc:T is empty. The prostale gland is nonna! in size. with loblliar.
yellow-tan parenchyma. The seminal vesicles are llnrernarkabJe. The lestes are free of
milSS lesions. contusions. or ot....r abnorTTlillhies.

~

CASTKO'NTESTINAL IRACI:
The: csopha&U5 is intact and lined by smoolh. g..y.white mucosa. The: ga5tri(: wall is
intact and lined by un~markable mUCOSl. The: slomach conlains 2G-millili1e<'ll of brown
fluid. The duodenum. loops ofsmall bo_l. and colon are unremarkable. The appendix
is present.
MUSCULQSKELETAL:
No non-traumatic abnonnalities ofmusc:le or bone are identified.
MICROSWPIC EXAM'NAT'ON
Select portions of major organs are ~llIined in formalin. with preparation of microscopic
slides only fOllfle cxamirllllion of the heart (soc Cardiovascular Pathology consultalion).

MEDCOM 0317

ACLU Detainee DeathII ARMY MEDCOM 317

•
ADDITIONAL PROCt:PURESlREMr\RKS
•
•

Documentary phol0il'3Ph~ uc Iaken by OAFME stalTphofograp/lers
Specimens ~lail'led fot lox;eologie t(Stina and/or DNA idcnlifiealion are: heart

•

blood, bile, brain. lung. kidney. liver. spleen, adipose tissue, and psoas muscle
TM dissected orgll1lS are forwarded wilh ~ body

OPINION
This male Iraqi dC1ai~ died as a resull oran anomalous right coronary anery
complicatrd by atherosclerotic c:ardiovu:ular disease. l1Ic abnonnaJ anatomic course of
\he right eoronaIY artel')' would be sufJieienllo account for dc.th due 10. ralll cvdiac
armythmia. TIle atherosclerosis noted atlUlapsy &5 _11 as 1M presence aran enlarged
hean would make an armylhmia even more Iibl)'. The only evidern::e of injury noted at
alllopllY wu small .blUions and conlUilions!ha1 are consistent with the application of

wrist l'CStnUnts. TIle volatiles prescnl on toxicologic studies are consistent with
poSlmonem production due to ~mposilion. Tnt for expo,sun: 10 cyanide and etsbon
mooollide were negative u _ . drug SC~. The manner of death is natural.
(b)(6)

....
r.(.blffi(6"'---,"M'",;;jj;lci'f:E~..C.m~IO"C.,c-------'

MEDCOM 0318

ACLU Detainee DeathII ARMY MEDCOM 318

PATIENT IDENTIFICAnON

I

1(')(6'

-

.

BTB ADAMA. Kareem Mlduoof
j(b)(6)

1(b)(61

September 2. 2005

141) ~h Blvd.

Bid,. 102
Roc:kYm~.

MD 208SO

FINAL DIAGNOSIS

DlAGNOSIS: (b)(6)
I
1. A.IIo.. IIJo,...... t coru.."" am". "'111111"'" tlIbotr.bove comlD1u~rebecW'ecl left
.ad .....' corell8'" nillt I.lId ,rollaaJ co.ne betwftD aol1k.ad pu1llloaic rootl

2. Madtrlte roroauy .tIIel'Oldeftlllt
HiJ1Ol')': 46 year old Male lBqi deWnee foutld

~ve

i.D.jail cell: = 1 c.ompla1llts of

.bdominaI discomfort

Hearl: 480 grImS. per .mopsy protocol; owy pIIIJlle-p1y dltcOloratiOll of epicardial.urf.-.

predominantly right atrium lIDd right ventricle; clollOd fol'l.lnell ovale; l1OI'I1W left ventrkuJar
chamber dimmJions: left vmtricuJar cavity diunekr 35 mm,left vmlric:ulat he wall thic:Iuless
9 mm, venlric:ulw septum thlC:Me$I II nun; dilalilion of ripl .lrium md right ventricle: right
ventricle lhiekneH) mm; l.IIllmI.ubIe valva and etIdoeM;Ilwn; illdunuion and ~ claJll
pwple lllicolOl'Blion ofriJbI atrium and riiht ventricle; hisIolosic sectiom show early postmortem cb:omposltion, mild Iel\ ventricular myoc:)1e hypabophy with pilCh)' subendoeatdial
intnStitiai fibrosis and fa! dq:osition; section:II of rilht ventricle show iotrw;dJu!IJ annular
broWIl piamem consiaem with formalin pipnenl, but DO myocardial llecfO!is i s _

eor-.ry arteries: Ripl dominant ein:uJ_lion; lllOmIlous riahl. COf'OIW}' anery with ostium
located IS mm above commi_ between lell: and n&ht coronary CUll,", ostial ridlle and
pro.. ima!l:O\I$bc:l..ee.. IlOnk and pulmonic roots;
Left main coronary Irtny: Mild lntimll thIckmin&
Left l\l1terior dexendina Irtc:ry (LAD): 40% luminal

narrowina of proximal LAD by
neoinlimal thickening: 70% lWfOWiJI& ofmid LAD by heUed plaque eT05ion with Jn100th
mUltIe riclI oeointiJnal thickening and focal intimal orpnWna fibrin deposition
l..d\ cimunflu Il1cry (LCA): 2S to 30% IIlln'OWina of proximal and mid leA by

"-~

Rip CIDI'l;lIIary arteI)' (RCA): SO% nanowina ofprox.imal RCA by healed erosion with
orpniud and recanali~ lhtomlNs; 60% IWI'OWlna of mid RCA by fibroltberomlo

....

Commenl: The eauxof death iJ altribuled tn lIM: anomalous rip coronary artery in conjWletion
with moderate atherosclerosis. The mechaDism of de.ltb is likely arrb)1h:nic.

MEDCOM 0319

ACLU Detainee DeathII ARMY MEDCOM 319

rr
,
!(b)(6)

Anomalous right COTOIllIry ancry
(b){6)

~CiiijiovasculatPalhologl.'~-"

.ado: II (10 boar\, • COI'lIIIa)' arteries)
...., 26(11 HAE, I M<ntll)

MEDCOM 0320

ACLU Detainee DeathII ARMY MEDCOM 320

_......... ,..........,

- -_ -

~nTFICAll

oF OEATH IOW'IUASj

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(b){6)

•

IMedical examiner

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,

2064
MEDCOM 0321

ACLU Detainee DeathII ARMY MEDCOM 321

(REMOVE REVERSE AH() Rf INSERT CARBONS BEFORE COMPLETING THIS SIDE)

,-

-,

~ONOF REMAINS
;0

1<I:1IMJNlO

I UI.'VIn_IIE"NtU::;'A'~

-""',

IN5TolUATlOH Oft .lDDRE55

.,.."

NME Of CEM!TER'I' ORCAEMAlOln'

loc;;ATIOH Of C6lETE1tY OR CR!.UATORY

"'" ~ """""""

ClATE OF DtSPOSTlON

RfOISlRo'T1OH OF VITAL, STATISTICS
IU:Gl5TRY (T_ _

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DAni. REGI5T1iNlO

FU/'IU!«R
STA1£

/oIAME Of FUN£AAl. D1RECTOft

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OntlER

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Of AIJ'fMCNtlZED INOI"IlOUAL

DD FORM 2064, APR 1177 (BACK)

USAJ'A

MEDCOM 0322

vr.oo

ACLU Detainee DeathII ARMY MEDCOM 322

,,

,
•

ARMED FORCES INSTITUTE OF PATHOLOGY
Oftka of tIM Anaed ,.~ Medical £ ....1....
141l 11::1 : lid! 8tvd., BkIJ. 102
Rottville, MD 20&SO

1-30G-944-7911
AUTOPSY EXAMINATION RU'ORT

NImC: UnkIlown
SSAN: Noc Applicable

Au&opsy No.:(b)tS)
AfIP No.: (b)(6)

DIlle olBirth: Ilnlmnwll
o.tcorDaitb: (b)(6) 200'
o.lc of AI.IOpsy: 09 JUL 2005
Dale of IUport: J I AUG 200S

Rank: Not ApplX:able
p,-: ofDeath: lUqlaDiyah, u.q
Pl-=e of A~: Pan Mortuary,
Dova' Air Force Bac, Dova-, DE

clrn.....ca.r Onl.: nqi Armed f_.oo United States Maine. dr:tained this
\IIlknown individual for suspicious .clivity. He Irtempted 10 flee and, after YeIbaI
colll/TllllCll: 10 IUlp wen lenored, he was cnprcd with dQd]y foree.
AutHriur6a (or A..-.plI)': omce orthe: Ar1Ded Forea MecficaI Examiner,lAW 10
USC 1471

,-

.

L

CAUSE OF DEATH:

Muldplc .......otwHaft

MANNER OF DUTH:

MEOCOM 0323

ACLU Detainee DeathII ARMY MEDCOM 323

,,

,

AUTOPSY REPORT (b)(6)

lIfli'KNOWN

PINAL AUTOPSY DIAGNOSES:
I. Multiple gunshot WOIIlIlb
A. Ounshot wounc! to the t.:k. (III)

I. Enttanee on the center of the bade
2. No 1001 or stippllni pR:5mt
J, Injury 10 the skin; subcullneoUs tWue; muscle; posterior aspect oftbe
left 9th intersplor:; left lung; and anlero-Jilleral aspects of the left ltd,
4th. aod Sib. ribs
4. EJtil on the left aide oflhe cbest
S. No bulkt Of ilqlnenu reeovered
6. Directloo: bllCk to I'ronl, riab! to left, and upward
7. Associated injuries: peueblting injury of tile left luna, ftacture of tile
left Jrd, 4th, and Sib rib!
B. Ounshol wound to the t.clt ('2)
I. Enumee on the left aide of tile b6ck

2. No soot 1M" stipplina preaenl
J. Injury to the skin, IU~ tissue. mUJCle, pomnor·laIetaI upect
of the left 9th rib. left tWig. heart. the anterior uped of the left IA
intenpllce, and the lclt cl'vide
4. Exitlbovc the left clavicle
S. No bulle! or ftaJments IKOvemi
6. Di~on: back to front, left 10 riSlll, and upward
7. AIsoeiatcd injurielll: ~ of the left 9th rib, .,.m~~,••'ting Injury of the
left [WI&. pulpifaetion oflbr: heart, and fracture ohlle left ela.viclc
II. No naruraI d i _ identified wilhin the limitations of tile examlMtion
Ill. No evidenc:e of medJeaI bUlmenl

IV, Modcntc Oec::ompo»ition

V. Toxicology
A. Alcohol
I. Kidney: lr8l:e aeetaldehyde, 91 maldl ethanol. 6 maldl I-propanol
2. Uver: S mWdl..:etaldchydc. 56 maldl ethanol, Il'fICC l·prnpenol
B. ~ drup or.tluse lllld medleatOis: none

MEDCOM 0324

ACLU Detainee DeathII ARMY MEDCOM 324

•
AUTOPSY Rf.fORT (b){6)

J

UNKNOWN'

EXTERNAL IXAMll'ftJION
The body if; that o(.welklcveloped. wdl-llOlllUbed ~ mllKlilar, 67 inc:h taI~
13\ po"nds CaucuokI male. Lividity is falnlon the _It Uld rip it Qem.
Decomposition ebanaes consist ordiffute K.IrI.lippqe, marbJinj: oflhe upper Mel 10_
exlmnities, dlffulc pulRf.aion, and mWlllllif\calion of the lInpl"1 and loa.

The scalp Ui _red with Ibon, IlRlJtd brown hW in. oonnaI dimibution. Facial '-ir
consists of.
he Uld beard. Jut KeWTlulaUon of insect ellS is praentllO\llld \he
left eye. The Irides are bro'WII and !be pupi\J are roWId and eqllll in diameter. The
external -.di1Ory caMlI are dar, Thc an ... 1llllenWbb1e. The I\IIU are ~l and
the Hps are &lmUnl.Uc. The ncne and IrWllU.. ue ptlpably IUbIc. The Ieeth appeIr
natunJ and in pxI condition.

_I"..

The _It iI; straight, met the tnehca is mldUne and mobile. The chell il JYIIUl\drie;
iqjllrics oftba c:hnt are described below. The ~, it
lrUurietoflhe _It Il'll

nat.

described below. The pla/ia 1ft lhose of.llOrmllldult male. The lelia ue
descended and free o r - . Pubic halr b pmcnl in. normal distribution. The
blltloCkJ and mlllS are uaremarkablc.

CLOTHING AND PER5QNAL Et7ICTS

\..

The foUowina c1othi"8ltems and pcnonal cffedl lie previously removed and IUbmined
in. red plastic bq at !he time ofautopty:
• rwo pay socks
• brown leather belt
- green

brie6

- while Jona underwear P'fltJ
- b1l1Ck slacks
- wlIanit top
• plaid shirt
Defects of !he tank lOP and .shirt are COlIlIiJlenl with the underlyinl woWllb.
MEDICAL !1tJ'E8YENTI0N
There is no evidence of mcdieal [nlaVenbon.

RADlOCRAPHS
A complete ~ of poMIOrtem radi~ is obtained and demonstnlct the followtna;:
• fi1K:lun: or the left clavielc
• frII:t\aa oCtile lel\ ritll3 to 5

MEDCOM 0325

ACLU Detainee DeathII ARMY MEDCOM 325

•

•
AUTOPSY REPORT (b)(6)

4

UNKNOWN
E)'IDENCE OF lNJURY
The Of'l!ering of \he followi08 injuries is for descriptive pIIIl)t es only. and is not
lntellllcd to imply orderofinfllaion or relative
All wound palhways ate given
relfllivc: to sunlIard _tomic position.

sevency.

I. Multiple gunshot wounds

A. Gunshot WOUIld 10 the back (/1.1)
A gunshot ellttal\Cc WOWld is on !be eet\1et ofw bet, totaled 11" below the top oflhe
head and 112" left oCthe posterior midline. The cireu1ar wound meaJUfe$ lit" ill
diameter.,..;th. " ... IlCCentric marsinal abrasion on the 3 o'clock border. Sool and
stlpplin& ate not present on \he *-In s\IfI'Oundilli the wound.. l'he wound path Injures the
skin, SUbcUtaneclllS
Illuscle, the po$terior IISpect ohhc: left 9th illlCnpW:e. the lower
and upper lobes ofw Iefl. lung, and the anterior aspects oCtile left 3rt!, 4th, and Sth ribs.
The bIIlld exits via. 3" 112" inqulll"WOWld, loc:Itod D-Ur ~low the lop ohne bead
and )"left of the anterior midline. No lnillet or mcmmtsare m:overed &om the wound

ti_.

pith. The wound pMh iJ diRCtcd back to front, righl to left, and upward. Associ.ted
injuries indude. penetrating injlll)' of the leflllUlR and liactuMofthe left lid, 4th, and
5th ribs.

l.

B. Gwtshot WOWld 10 tbe blck (12)
A sumba! cntr1lllCe wound is on !he left sideofthe back, located. 20.112" belowthe lOP of
the head and S-In"left ofw po:$Ieriorrnidline. The d~ular wolllld measures III" in
diameteTwith. 1/4" eceenuic marainaJ abrNion on \he S to 6 o'clock border. Soot and
S1ipplil\i are not prescnt on the skin sumrundill8lhe wound. The wound pBtb inj1,R5
skin, subcutaneous tissue, muscle. the po5terior-l4tcrallSp«l ofthc: left 9th db, the lower
lobe of the: lung, the: heart, the: ..,!erior upec1 of the right'. intmpMX,"'c\ the left
ell-mle.. The build exits via a )/4" x 112" irrqpIIu wound.loeated 7-112" below the lop
of the helld and 4-112' left of tbe .merior midline. No bullel or fragments an: reeove:red
from the woutIcI path. The woWld pith is direeted baek to front, left to rigill, and upward.
A530ciated il\iuries inelude frlenw oftbe left 9th rib, penetntina injuryoflht: left luna.
plilpifletion of the heast. mel frwetuR, of the left e1avlele

INTERNAL EXAM'NATION

HEAP:
The p1ea1me1 subjaleaJ soft tissues of the scalp aR ftee ofil\iury. The ealvarium i.
inlKl, as is the dun mater beneath
The bl'"Iin weiahs 1130 IP'O- The surf_ of the
brain has mild to moderalll puue&etive eharJies, however the I)'l'i and sulei aR otIlefwiJe
unremarkable. Corone..! seetions demolutrate sharp ~lion betweca white and pay
matter, without hetnol'l'hage or eontusive injury. The vc:ntrU:les aR of nonnaI size. The
baa! sanalia, bninstcm, cettbellurn, and ~a1 systetns are free of injury or other
abnonnalities. There are no skull &aetures. The: atlanto-occipital joint is stable.

n.

MEDCOM 0326

ACLU Detainee DeathII ARMY MEDCOM 326

•

AUTOPSY RUORT:(b)(6"J-~

,

UN~OWN

=,

The: anterior stn.p muselet of the no:k lie homoemous tDd rcd..bfQwn, wltbout
IIcmolrhqe. The tlIyroid canH.ge and hyoid are inIad. The Larynx is lined by InllCl
while m\lQOSI. Tho thyroid is S)'IfllMrie and rcd-brown. without eyttie or nodulu
ehanie. The IOnpe is free of bile marks, hcmorrbIae. or olber iDjuries.

BODY GAyrnfS;
lnjuriesorlbo ribs have been de,cribed. The lIlI.injured ribs, stemwn. and vtilelllli
bodies are visibly IIlld palplbly Intact. No cxcessflllid ill in the plelllll1. pericardia!, or
peritolll:al cavities.. The orpns ~y tbcir II!UaI &nBIOmie positions.
R r::SPlRAIORY SYSTEM:

lnjIaies of!he left hma have been described. The right and left lunp weigh 2S0 and 170
gm., ~vely. The inlIII:t extemallUri'leet at RlIOOth wilb mild \0 II'IOdenle
plIftr.ction. Putrefactive dwIp are..Iso present on !he eIII ~ of the tunp.

~

l.

CARDIOVASCULAR SYSTEM:
InjUly of the heart has been dclcribed. The heart weigha 180 sm. The epicardiWll II
SlI\OOth with minimII fit lnve!lmml The m)'OC8flilum bas severe putrefactive chmps
8Ild it ..ft. lnjurief of !he heart prevent !I.Irther cvalu.tlon of lhc COI'OIlII')' U'teries, heart
valves, and chamber wall5. The unirUlII'elI en1oca"llilllD has putrefactive ehaqes. The
llllIU lives rUe to ~ lnu.et and ~t uo:h vessell. The renllI and maenterie vessdl
are unremarkable.
LIVER A BlyARX SYSTEM:
The no IPtt liver bas an inlaCt, smooth cap;!IIIe and • $harp anterior border. The
parenehynta is tan-brown and ~ with the IISUa1lobular mdUteetun=. No maa
lesiOltS Of ocher lIbnonnalities are teen. The pllb1lddcr contains no bilo lind no JIllneS.
The mllCOllll surface i. green and velvety. The e:xbbepalie biliary tree is patent.

srr FFN~
The 110 gm spleen bas • smooth, illlaCl, red-pwple c:.psuIc. The pumc:hyma is marooD
and '=Iga.led. with distinct Malpijhian 00lpII3Cles.

PANCREAS:
The pancrea$ i. soft and yellow-tLll. with the II$\lI.IIobuIar arebiteeture. No II\US luiOllS
Of other abnorroalities arc IICCll.

APRENAlS:
The right lllld left lIdrmal glanda an 1}'tIIIlIetric, wilh pale yellow conlee. and 80ft ReI
medu./l.e. No lIWSeS Of _
ofhcrnorrhl&c an identified.
GENITOURINARY SymM:
The ri&hl IWIlcft lOOney. wc:iab 10 and 60 am. rcspcdi~y. The: wemal $\lIflll:eSarc
intJiCt and smooch. The cut swfaces an Rd-tall and ~. wilh unifonnly thiek
cortices uxI $Iulrp corticomedullaty jUDCtioaL The pelva an lIIIIaIWbble"" the

MEDCOM 0327

ACLU Detainee DeathII ARMY MEDCOM 327

•

AUTOPSY REPORTICb)(o)

UNKNOWN

umen He IIllIIlUII in course and caliber. While bl.dder mucosa overlies III in*1 bL.dder
wall. The bladder COl'lWIU no urine. The proswe is normtl in size, with Iobullll', yellowWi ~hrrn-. The seminal vesicles ~ unrerrwUble. The IeSIeS He free of mass
lesions, contusiollS, or otheT aboonnalitles.

GASIROINTESTlNAL TRACT:
The esophasus is intact and lined by smooth, grey-while mucosa. The stomach contains
approximately 100 ml of mbed solids Ifld fluids. The guttie wall is intlel. The

duodenwn, loops ofsmall bowel, WId colon life 1lll.l'ell'IaJk1lble. The appendix is present.

APpmONAL PBOCEPUBf.S
I. Ooe\anenW)' pbotopphs lie taken by OANE staff.
2. Personal effects He releue<l 10 the ~opliale mortuary OpomiOIll feplesenwives.
J. Speeimetll retained for toxicologic testirJatndlor DNA identifieation ale: pstric
contents, brain,liver, psou.luna, spleen,ltJdney, and .dipose 1is3ue.
4. Thedi~ted orpns He forwarded with body.

MICROSCOPIC EXAMINATION
Selected porlions of 0rJaN are retained in fonmuin, withoul plqlIrfIUon of histolQSic
slides.

MEDCOM 0328

ACLU Detainee DeathII ARMY MEDCOM 328

· .
AlfrOPSYR£PORT(b)(6)

1

VNXNOWN

OPINION
This IIIlkDlroIIn individIW died of multiple ~ wtlUDl1J. ~ wounds to tbe left
1lll11l uxI heart were lu".jnrd &om two gunshot WllIlllds 10 the back. No evidence of
dose rml&C fin: wu
wollllcllM two WOIIDda &lid no bullets or hgmenla were
R<lOVtred from eitllel" woUDd path. ToldoolosY lcsls for alc:ollollllgat decomposition
chanaes: Ie!U foT Icreclled drugs of lIbuIe and medications are III:ptive. The IIlllIlller of
death is baaUcide. SlDce positive identif\Qtion is pendln&, IhillqlOrt may be amended
shouki !his infonna1ion become available.

p,-.

(b)(6)
(b){6)

(b){6)

MEDCOM 0329

ACLU Detainee DeathII ARMY MEDCOM 329

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MEDCOM 0330

ACLU Detainee DeathII ARMY MEDCOM 330

ARrtn:D FORC....~ li'l~.,.ln

'flo: OF 1'r\TIIOLO(;V

Office "fIIH' Annetl F"rel'S Mediul t~~n,inu
I" 1J Itc"""""h nl> II . 1)1<111. 1112
Rockville. M II :!OJC~U

1·81iO-'/.I.j...7'1l2

AlfrOl'SV

EXAMINATI{),~ ItEI'ORT

Namc:.-'iWl:iilil.LAdnanlvl u.khl.: f S.....' dan
tSN: j{b)(6)

Oat""rBinh:

Un~no....n

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Mil' No.: (b)(6)
R",,~: Nol AI'I"icahlc
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t 'a'\'1" lJlIC",a. Ira,,!

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"f A\I!lll'-~r: 22 MA Y 2005
nate of ReflOrl: 14 JUL 211115

1'1.,..... "I Atll"Il.<Y:
MurlU;,rr.
l)"w. I\i. I "re.: lJ~sc. Dowr. DE

Clnmm.lanu.,. or Ilcwlll: 1 hi. 1'.oIli deu"rn..... I'r':>l:III,-<1 \\ ilh ,lilli.:uh)· hrealhi'l¥ (,
alkr II sub-lOlal lhyn,idcdtltny.
A ulh"rrl.alioll ror A,uupsy:
USC 1471

,,"cc~s

omc.: ,,1' lhe A "","1.1 h'n:cs t..-l,-<lic,,1 Fx:,mincr. 1/\W ! 0

1dcnlific~ lion: ldeoliticlllio" mad.· lhruullh lhe """ "I' hi. 1I"i~"ed J"lemown! Sed:,1

Numhc••
CA USE 0 t· ilEA Til: COllllllical ions "r 'l"h.\'I"u!II Surl(clJ
MANNI'R Ol'11EATlI:

Acelll.·"1

MEOCOM 0331

ACLU Detainee DeathII ARMY MEDCOM 331

l

AUTOI'SY IU':I'OH1{(b)(6)

SWRIDAN. Aunnn 1\'1.5.
I1INAL AUTOI'SV

OIAGNOS~:S:

I. Complicalions "f lh)'roid

~II rgcr~'

A. SI"hIS postlcft hClIlltll)'roiticellllll.'·
11. I~ctaincd fnrei~u hody willlin lhe ~"rl:;eal site
C. reuelraliol1 of the lr'lcllclI
D. Ocehlsion of the Inlcbe:1 from purri"" "f rWrincd

fOl'ci~n

hod)'

11. E.'illcnee of medleal ilJlcrvcntill1l pre!i"'Il. il1c1udil1~ need Ie IlI1Ilcinre Illarks ill
hoth allt~ubilal f05~lle. gnll7.e linnria!:c :rrollllll lire left nntl~cllhit'll fussa.'"ld
II 'I,,' incision on the :lnluior midline uf the Ileek.
III. Mild 11<lst,llortelll c1mn~~ IlreSenl

IV. TOll";CUlllgy tests f"r 'llcohol mill screenc,l ltl"llg5 of 'I bUSt" nd Dlcd icllliollS arc
negati ....

MEDCOM 0332

ACLU Detainee DeathII ARMY MEDCOM 332

,

1

AUTOPSY IU.;l'ORTh:{bi)~(6~)_ _
SWI',IOAN, Adll3n M.S,

The body is Ihal of a well·developed. wdl'I1(l"n"h~~1 appeari"ll. muscular, (,8 in<;h tall,
14 I \1O\lmI5 ,Ial'k·skinncd, C3ueasoidlllale whusc "l'~lmliICl: is ('OUSlslcut with Ihe
rCJlorted age "lOge 000 10 40 years. Lividily is I'0:scm 1l11d I;~cd dlllhc posterior
a~I"''''ls of lhe body, Rigor is 1101 prcsc\ll. The "",Iy Is <,,,hI.
The 51:;\11' is co\'en.'d ",ilh hrowll, ~Ir:li gill hair Ill' mc.liul11 lenglh ;11 a ""rml,l diSlrilllltioll.
The irillcs me llrown. lhe comc"e "0: h,,~y, Ih,' so;lcr.K:
white, UI111 the I'llpiis lIl\; ""1I1d
llml equal III dialllclcr. The eXlem,,1 l\lUlil"l~ c:IlIals <Ire de'''t. The ean< are lUlrcmm\(ab1c.
Bloll·d is J'rcsent in Ille e~ lerl1,,1 nares mu!
":wity, The lips lire ulraumali,. The n"sc
lind maxillac arc l'alpal,ly slahle. The leelh "1'\.....", I\OlluI';11 allll;u gou" c011l1ilioll.

,,'-c

"",I

The \Ice\( is slrni~1\ an,l the trache:. is mi,llin,· 111I" nlUhlle::111 amerior mi,;Jlinc 1/4"
ineisioll exudes pus whell manipulaled :Intl ;11I ~llIeriur 111 i,lI inc 2·1!~" Il"alcd sem' ,~
helow Ihis incision. Tbe dles! is symmelric. Th,' abdomen iSl'nlwllcran1. 11,e IICnillllill
;II-C lhose of 11 nonnal llilullllllllc, The (~ICS ;II'C d",.;c('nded lind free or mass,',;, Pullie
Il;lir is pn.'SCnl 11\ 1I nonmlldislrib"lilln, 11«: I",uocks lind '11111, lITe IInTClllurkalllc.

'Ille upJlCr "n,1 lower eXlrel\lni"s 'lfo s),nmclrie 1111<\ w;lholl' c!ubhi'lll or edema.

(;1.0'1'"11'1(; ANn

P~:ltS(IN"I. ~:H'f:(TS

The following c!olh;ng items and I'erso"al ('rfCCISOlfC presenl On lite ho<ly <II Ihe lillie lIf
;\\\\\\psy:
• Green llild

bloo<I,~o;lke<l

tllwel Wl:.lI'PCoJ around Iho wais\
~ 1Ellie"

I. I N'I'lm VI·:NT Ill:"

• G,lll/.e balldago WI':>\)1......1lUlI"n" th.' \ef\ lim'
• NC<."lIc 1>lllielUre mllrks in III" riShl ;11><1 ldl llllle·cuhillillooSlIC
- 114" incision uftl><; allierior midl;ne orlhe IIc<'1>

R.' 010(; ItA I'll S
A complete SCI or posimoncill r<llhogr,I1'hs is nlnllin.'\! mkl dCIl\OnSlm!C~ no sisnifiC<lnl
injuries,

MEDCOM 0333

ACLU Detainee DeathII ARMY MEDCOM 333

,

,\trrorsY Rt:I'ORT (b)i6)

SWEII)AN, Adnau M.S.
INn:RNAI,

F.SA~IIN"TION

H!!AO:
n,~

I',h:al Ill.... fUb.llalc:1lllOfl tissues uf the S<::llp """ frw M inj ury. The c:lI"urium i~
illl:lCl. lIS.s lho: dUB nlaler bcllC'"~,h il ('lcar ccrrllWSllin:l1 fluid sUn'(lunds lh" 11>40 l!m
brain. which has IInn:markDhlc ~ antl suk' (um""I ....1;lIl11IS d"",mUlrale sh:orp
dc"l:It'ClIli(m hetw.. ",hile :lIItl.ll"') n,"ller. ",'1")111 he",on1la~c Ilr cOlllusive inj IIry.
Tb,; "c",rides afe of IlOnnal lite. 1110: h:'l".l Sall;:li:'. hr:lins.cm. ecrch.:llum. and OIncri:11
Iyslems Drl; fr~"\: o( UlJury or Olher oonomIDII.ics. TIk.TC are 11(1 simi I rra.:llIres. The
allan1o-oo,;",p,lal join. i, s\llble.

=

=,

The anterior sinap muscles o( 1l1e neck are h,"IIO~'fIOO$ :II........"t1-brown. "ItII mild C(/(:mll
or lhe IlrlIll nltlSC1~'5 "~f Ihe Jefl side. The 'ell 1,Jh,,: lI( the thyroid '5 abSCIl!
II bloutl.oll~~..1s\,r:.:;e,,1 go'"ZC is IIf"eSClll m lhe an~~ pre. l"ll$ly oceul>i~"t1 hy 11K: IlIyro,d 101>1; The
ga1l7.!; llend,,"es ;nln tile lum,~1 fir lhe Iracllca IhO\Hlgll a ',5 1"11 ill .hameler 'isluln
involving lhe left lDler:11 a:<p.."C1 or Il,c el1C111l1 eal1lb$. TlIl; gallte occlu,lcs Ihe ail'" DY.
The rillhl lhyroid lobe.s I'resenl :",d unremarl.:lble. n", Ihyroid earl,h1lte alld hyoid arc
inloe\. The IlU'ym. is 11ll~~1 by inl:ocl while m,oo>s;,. 'Tho: 101l,L;lIe i~ f....' " nrbilc ll1"rk~.
hell111rrlmge. nr olher injuries.

",II!

POPY CAVITmS:
TIle ribs, S!emlllll. :lIul \'enebral bu.li.'S arc, isil>ly a,k1 p"J.""'ly mlaCl. No e)(c~'5S llllitl is
in the plellrul, l)crieardi~1. Dr l:>eriloncal c:lvi"..-s. TIM: Of"!;"'1S occupy Ihdr UI""] :lnatOllllt:
l'osiuuns.
RESPIRATORY SYSTI,M:
Ttle righl and len Iuoys weigh (, 10 "lid .WU ~n'. IeSj><."ClIl·cl y 111<: e~km ..1Sllrr~ urt:
smoolh and deel' red-I'lIll>lc. Th.:: pulmonary 1'1IO"~lO:hYl1\a is <Ii rf:lSl;'ly cunlle't",1 :,nd
cdeOl"IOI\S. No nl"SS lesi",,< or "r"",~ of consoli,lmill" at\' I>rL~1l1.
CARDIOVASCULAR SYSTEM:
TI,e J50 Il'" hC"Jrl is elllll"i ,,~'11 in DIl mUICI 1"'l'IearLii;,1 !\:Ie. 1'he e"iearni"l surface i~
smoolh, wilh milllllmi rUI illl cstmem. The elln>llary ""erita lore 1>f\'SC1l1 '" a IM'rllla'
Liistrih"tiu\1. willi a righl-doll1inmll 1':1(1""1. ('''''SS lII.'CliOM or lhe \·~'II.·ls show 110
signifiemll alherosckrosil. The 11lyQwn!i"111 i.I",,\10.llenO'I,';, ......1.1""'w,,. alld linn, The
~ll.VC te.. ncl< arc Ihi,\ and lIIulii Ie. The WILli, "I' Ihe len and I1ghl V,~ll nelcs arc 1.1 ll,ld
U.4·cm thick. rcspeclivcl y The clld''''lInli''lI1 i~ <n",nlh ,,,HI Ilh~le"i"!l. Tt", oorta gives
ri:\C I" Ihl"« ;11lDCI ""d 1l1l1CI1( Drch \'~'ss~ls, The ''1:,,,,1 ""Oll)1L"Scnle, ie vl:);SI:ls uc
un ....·mlrkftblc.
L1VliR & BILIARY SYSTEM:
The 1510 8m liver h'lS an il1h«::'. ,monlh Cl'pSIII" ;111<1

~ shurp :lI1lcrit)r hONer. Tile
l>:1TCllChyma is I"n-brown ~nd eonll~le,!. Willi III..: "~",,I lohul"r "'d ,iIL'CI""'. On
:scc,ioninll. lhere is a 2 enl in d"'I11~1er ~lnlklll""l,1 k'll eysl wilh Ihil\. clUUII)' fluid.

MEOCOM 03304

nl<'

ACLU Detainee DeathII ARMY MEDCOM 334

~­

,\Ul'OI'Sl' I~EPORTI(b){6)
SW~;II"'N.Atln" n f> I.S.

I

;

gallbladder comains ~ on j"lIle amllUlI1 of gn:~n·hl",·k hile and no stones. The mucos:,1
Sllrn,<;c is green and I'd vely. 111<: CXII".tI,CllaI ic I,ili:lr)' lrcc is ",Ilenl.
SPLEEN,
"n,c 190 gill spleen has a Sllh>Olh. intact. rct!-[,u'1,k cal"ule. The p:trl'llcll\,I1W is maroon
'111<.1 COllllestc,t. with dislinct M"II,ighi:1I1 0;011'11":1.:",
I'ANCKEAS:

The pallcrens is linn ,mll yellow-,,,n, with lhe 11.,"'11 (<>l>lIlar mel" I~~·l"""'. No IIH''''' lesions
III olhcr abnormalities arc seen.
A[lRENA1.S,

TI,e ril;ht Rntl len a<.lrunal glllnds me S)'IIII11CIII,·, wilh hr'!;!1! yell"w
medullae. No masses Or areas of hcmOlTh,'g<,' ,,," ;dcnlllic~l.

c(JI1icc~

,,,,\I grey

GENITOURINARY SYSTEM:
The righl am/lcll kidneys weigh 911 and 100 !1m. n.-spcclivcly. The cXlcnml ,,,r(lICes arc

;nl.:J.CI 'lIld sl1\OQlh. Thc CUI sur';'e",. ar" red·lml ""d .. un!l':"I~~1. wilh Ull' r"rmlr Ihick
C<lriices Jud sharp corliconwd"lIary jUllclioll~. 111<' rei,,",,; arc \ll1re'l1Jn.able ulI<.Ilne
u'-clers "re lIonnal in COllrnc and c"lihcr. While hl:uhb II1UCOsa overlies '"' inlaCI bladdcr
w~,Il. The hla<ldcr conlains nPl'fO,XII11"Ic!y I U ce "rdear Urill~·. 'Illc pro,I'llc is lI,mlla 1 ,n
5'7.C, wilh lob"l"r. yellow-wnl'urenchrl11a. 'rh,' SCnll11,,1 ,'c,;iclcs art: ullremarkuble. The
les\cs ure free of "'''ss I....~ions, con(l1sions, or oIlier "h"onll:11 il ics.
GASTROINTESTINAl. TRACr:
Thc C'SOl'hal:llS is illt"el and linCtI by smooll1, $rcy·whilC "'"C'\S", 11,<: slon1"cll conlains
approximately 2.~O m1of 1l1ix...d soli,ls "n<.l nllid., The g;,slnc w:,11 is illiact. Thc
dlloocl1ul11. 1001'S of 5111,,11 Wwc! •• nd col"n.r... lll1rclllll.....u!lI.... The append,x is pn."5<:"I.
,\lllllTIONA" 1'llOCEllIJRES

I. Documelltary phoIOII.r"llhs me laken by 0,\ I'M £ slaff,
2. Trnee e"itlcnce unJ ror\:i!i.n mUler;,,1 are c"I1,'<,;lt~llInd ~; V"II 10 illWSliWl1;lll;
aUlhonlics.
J SIlC(;lllCns rclall1'-.:I for toxicologic lestiny :l",linr DNA iJemi Ik:,tioll are: vitreous.
hlood. bile. brnin. hilly, liver, spleen, k icll1cy. atlil"-"'C. I's";~~. ,""1 <;l,slric eOl'lCI1(S.
~. "nlC diss''Clcd organs lite Iinwm"tkd wilh 1,,"ly.
S. J'ctsonal clTcClS :Ire rclc;lscl! 1,1 Ihe ;'l'pT"lll'ti:l(c lII"n(I;'ty "pct"l i"n~ ''!.'prescnlal;vcs.
t>. Idc"l' ryinlllllarks inchlll,,: scars 1111 Ihe ametior l\1i<l line or 1I11: I1,,<:k. len shoulJcr
Illadc (3 J, 'Olt1 kn ann; hYl'e."iglllenlilln\\l or Ihe len si<Jc of til" chest: ,\lId
hYllVpiwne'llal;on "r (he 1,,,111, or 11le leli 11:11111.
MICROSCQI'IC EXAMINATlO,'I
Selected I"'nions l1rorgun.~ arc relained in rOIl1I"lin, wilhoul prcpur:llIUll urhislologic
slides.

MEDCOM 0335

ACLU Detainee DeathII ARMY MEDCOM 335

AUTO/'SY REPORT (b)(6)
SWEII)AN. Ad"~,, MS.

OJ'lNIUN

Til,s InK}i dcluillI:C(b)(6)
di..\1 of ~0I11111K:mions rrum thyroid SlIrgery.
He developed lIypet1hyro;ullm Iron, 3 goiler
h*' 3 l'am31Ihyn,i,l<X:lomy r"r
lrt:alnl<:m. A rcb;,!<d $UfJlCul sponl,'i: paltlral''tI ,nlll 'he hlln.:u of Ill<: 'r.lC1M::> 1)I;.,\,.mtinJ!
UdCljll:'le air excl1<ln~'C and Ic;"'ing 10 2.'phy..:"" To~ i.... 'klll:>' ll:St~ r« ult:ohol a'I<1
sctl:\:ll''tI dl1ll,'S or al",sc anl! nll:dic3Iiotl$ ar.: n.:b:U"·c 'file marmet' .. rdc:ath ;s ..:(;denl.

' ' <I

(b){6)
(b)(6)

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Medical

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(b)(e)

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MEDeOM 0336

ACLU Detainee DeathII ARMY MEDCOM 336

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~~~~-;,Ib}")

._.

00'· " 2064
MEDCOM 0337

ACLU Detainee DeathII ARMY MEDCOM 337

(REMOVE REVERSE AND RE·/NSERTCARBONS BEFORE COMPLEnNG THIS SlOE)

D1Sf'08rroN OF RaWNS

,

I

G~'

LICENSE NUM5ER AND IilA[E

IflSTALlA,110N OR ADOIlESS

M"

SIGNATURE

NAMF. 01' CEMETERY ffiCREMATOHY

LOCATION G' CEME! ERY OR CREMATORY

.~,

O~Ma

"

A !NG

H~1AINS

lYPE Ol' DISPOSIION

O['iF.

DATE OF DISPOSllON

REGlS'l'RATiON OF IIlTAl STATl9TlCS
REGISTRY lTo_aj)d(;..... ~'i'J

DAlE REGISTERED

FILENUM9ER
STATE

NAME OF FUNEI\III. OIRECTOR

0""'

AD[)RESS

5tCtM IUIlE Of AUHIOHllEO INOl\llOUAL

DD FORM 2064, APR 1977 (BACK)

USAPA VI.DO

MEDCOM 0338

ACLU Detainee DeathII ARMY MEDCOM 338

•

~.

'y'

ARMED FORCES INS'ITI1JTE 01 PATHOLOGY

omee oflb Anaed FolUI Medical EUII:II'-er
141J Research Blvd., Bida- 102
RoekviJIc, Me 20150
\·800-944-7912

AUTOPSY EXAMINATION REPORT
Name: BTJl Hlll:him.Jbrlhim.M-----,

Detainee ,(b)(s)
DaleofBirtll:"RT'R 11;150
Date: of~(6) 12005
Dale

I

AUlOPS)' No.:I(b){6)

AFlPNo.:",(b~}~(6~}

-.1

Rank: CivITian
Place of Death: Camp BUCCI. Iraq
PI..:e of AUlOp3y; Port Mornwy. Dover
MS, DE

of AWO",y: nair 2005

Dale of Report: 26 May 2005
ClmnllftlllleeiJ of O_tlll: By report. this lIfIP"lximately 55 year-okl civiliaa detainee 81
Camp Bucca. &aq "MJdenly CQlI~ while ealina brellk(ast. Medkal ~_Lnnti."......---,
eggs in the upper airway. which they removed durillJ resuJCitation altempts!(b){6 j
I1lportecl. during • medical screening that be was diabetic but by report !heR was no
medical le:JIlinl !O confirm !hi! md he had lIOt recei~ ma;liC8!kl1L He had apparmtly
not eaten for Ihree days prior 10 lib coll'l*.

Authoriutioll for Alllopl)': Office of the Armed Fon:es Medieal Examiner. lAW 10
USC 1471

JdeDtiftC81tlOIl: Tenwive identificaJiOll by CIO. postIrIortem fmgetprint and dental
ellUDinBtions perfonncd. Sample obtaiDed for DNA anaJysis.
CAUSE OF DEATIl: Afteriosclerotic c:ardiovll3eU1al dixase
MANNER 0' DEATH: Natural

MEDCOM 0339

ACLU Detainee DeathII ARMY MEDCOM 339

AUTOPSY Rr:PORT (b)(6)

2

a.dl1JD, Ibrdlm

FINAL AUI'OrsY DIAGNOSES:
L

SwcR COJOIIII'}' .neriose!awiI
A. Left main corwary aMy with tbeIJ 75%.teDOIil
B. Left anterior dell:cnding 00f0lIIl')' arttfy wilh 80.90% proximal rtenoIil,
S007S% mid .temSelI, IIIId 80% Jtel\OIi. oflhe prl)xiJnal rant di.......

""""

C. Left cimlmflex coronIr)' utery with so% proximallteDOliJ aI. tbeIJ
75-,4 mid IteInoJiJ
D.

Rilht ~ "'crywith SOo8O% prox;m.! Itel1OIelI, IUld 50-75% mid
and diNlltenolel

B. Mild ~ ortbo cuonary ClItia

F. Modcnt&-teYenl tlberotclaotie pI.que formatiozt of the dilt:ll aorta, jllJl
ptOltimal to the iii..: ~
G. Mild eard.iomeply JOrwei~ (bcart-$OO granu., prMieted-olO6 pwtU)
1. Left veatricle-lS mID in thicbt...
H. Pu1moncy ocIsna -.d OIl"; IN'Cl (combined wei&ht-12SO crama)

n.

No /'ordp bodywithi.n!be aUw.y
A. Leu thaD 5 ml of IfIftUIar liquid wi!Jlia the tndlea
B. Poor dmtilion

m.

Mild urophy of the bOO
I\. BBi!l weiJbt-I260.B. Mild ...eQtriClllw CII1qemad

TV.

Simple cortical e)'ll or !be riaN kidlley

v.

Mlliti-aod;w.-Ihyroid

va.

PoI1erior!boracic and cenieaI diMeetion neptivc lOr trauml (bifid Ipioo..
oflbe eeMeaI wrtClbne)

proe.,.

MEDCOM 0340

ACLU Detainee DeathII ARMY MEDCOM 340

AUTOPSY REPORTj(b)(6)

)

Hadrlal, IbraJllm

vm.

Minor healing .bluions oflhe Interior righlleg and right cheek

lX.

Mild decomposition conaisting of cloud)' cornelle and etrIy iJ'eelI
dbcolomion oflhe cecum

X.

HiskJry ofdiabdet by self repoll
A. No rqlOrt ofmediClllion tdminiJl11.tion
B. locomplele medic" recordl

Xl

Toxicolol)' ncgarivc

MEDCOM 0341

ACLU Detainee DeathII ARMY MEDCOM 341

AUTOPSY REPORT (b){6)

4

Hadllm, IbnllllD

EXTERNAL EXAMINATION
The body is tt.t of. thin, 69 inch, ISO pouDd elderly nule wbose sweannce i.
consistall. with !he reported age ofSS yean.. Lividity it reG-purple. posterior, and fIXed.
Rigor i. eaily broken.

The sealp ill covered with Ihott. gr.y-bJ.ck hair in s nonna! diltribution. Corneal
cioudina obsc:ureI \be irides. TbeeotljWleUVK md lelen are markedly injedcd, however,
there lie no pereehi.e. tbere are bilateral eelobc CreISCI (FrmIt's .ian). The extcmal
.uditClt)' cmW are unremubble. Tho nara are patent and lIIe lip. are tit'llllJmtic. The
IIO'e and nw:iUae are plllpably .Wlle. The leeth appear in ll'Nero di~ with ~ce
of tile lMjorityo(tIle upperdmtition. Thercare no fordp bodieI wilhin the orophmynx.
The neelt is IlRipl, and the bxhelI g midline IlIId mobile. The chest is symmetric. TIle
Mdomen it ~t. The r;eniWlJ. are those of a notmal.:lull male. The testell are deleended
aDd heofmones Pubic hair i. praent in. nonn.IlI diuribution. The buttocb and Mill
are WII"erDIl'kabIe.

'The upper and

\owere~ties

are l)'ItulIetrie and wil/lDut clubbing oredem..

'LOmING AND PERSONAL EPlICTS
The body i. received nude at the lime ofautopsy.

MEDICAL ImsyENTlON
1'bere are Ill) abebed mediea1 devices at tile time of autopsy.
IW)IOGWHS
A complde Kt of poatmol1em ra4iograplls it cbWncd and demonalnltes no ftxlures or
radiopaqU<: fon:ign bodies.

E\'II)J,NCI OF INJURY
00 the riptebcclt is allmall red "'ion and on tbe lower tipt leg near the ankle are
ll'Nenl auall hu.Una red abnIIlons.
Di..eetion oflhc b.c:k md buttoeb reveal no COl1tuSionI.

INTERNAL EXAMIMtlQlrl

HEAP:

Thepleal and tubgaleal MItt tinues ofttle.ealp are free of injury. Theealvuium is
intael, as is the dW'l mater baleath it. Clear ~pillllJ fluid fWTOuods !he 1260 gm
brain, whicb has lII1leI'IUfbbIe gyri mel .uld. Cororu.l sections demonnrace aharp
denweation belween white and grey matter, witboul ~ oreantvsive injury.
The veolrieles are mildly enIupc1. The bull
braillllml, cerebellum, and arurial
l)'ltems are free ofinjllf}' or otha" IbaolTl'la1ilies. There are no skull fraetlLres. The
a1lanlo-oedpilal join! i. stable.

&'llau.s.

MEDCOM 0342

ACLU Detainee DeathII ARMY MEDCOM 342

,

J

AUTOPSY REPORT (b)(6)

RllCblJD, [braid.

""""
boJDott:Doa

U)'IlI'-wite dj'sectioa of the ncclr: revM tile anterior atnp mlllcles of the neck are
IDd raI-brolll!l. without IIemorrhaac. The lhyroid CIl'til. and hyoid are
Inlaet. 1be ~ it Iilled by IntadWhilo mllOOlL The lhyroid it nodular and red-b1OWll
wilhoul c)'Ilic chIrlae- T1Ie lOngUe if he ofbire merb. hcmorrbage, or other injuriel.

IDtiAoIl and dis

~tion

of the posterior neck demollIlfaIes Del deep paraec:l'\'ic.aJ mlllClllar

il\iur,o Illd no poIleriOl" c:c:rvieal ~ hetwu. Tbefe II no bemorrtIage or Iuity of tile
1piJla11ipmenlL The ec:rvicallpinoul procencs ~ bifid.

BODY CM'IT'ES:

The n'bl., IUmUln, md vertebral bodies are mibly and palpably Intact. No exeeu fluid it
in !be pJearal. pericardia!, or periIoneal cayjties. The mpnI occupy tbcir ...uaJ _tomic

poaitiollL
B

IlSPIBAIORY SYSTEM:

em.

Tbe rilbt ad left lungs weigh 670 md .SlO
rCii)liXtiYely. The alemal AItfaca are
ItDDOIb Iltld d«:p raI-purp1c. The pulmonary parenc:Il)ml if aifrlllcly conaeatod and
rdnn'lous. No maD lefiOIlI 01' ~ of COllIOlidltion .... praall. The maiDllem bronchi
and bnfIch_ are he of obmw:tiOlL

CARPIOVASCl..!l.AR SYSTEM:
The 400 IllJ1 bart (JRdictcd-306 pwuI fOf wc:i&lll) it con.-cd in 111 In\.ld perieardill
Me. The c:pd;aidiallWfau illt1lOOCh. 'With minimal fl1 inv~ The COfOftMy
Irtaies are praenl in • nonnaI m.ributioa. willi • ri&ht40miNa.1 pattern. Ooaa lCCtiOlll
oflhe vessell sbo... mild ItJICI'OIeIOfOCil of tile COl'OIlII')' a.ti.. The \ell main coronary
artc:ry baa I focal 7S% stenosis. Tbe left 1Iltai« cbcaldina ootOIW'Y etery hull! 8G90% proximal stetlOlil, S<l-7S% mid Iltnc 1'"41. Iftd an 8O'K II1enotiI of !he pl'Oltlmal

portion o(the lim diaaonat braneh. 11Ie left citeumfJcrx eoronary artery hu I SO'%

proximaillenoail and I focal 7S% mid 1IaloIis. The riJhl eotOIWy 1Itc:ry hu ,0-80%
proximalltenolel and S<l-,,% mid IDd distalllmOM:l. Tbe myocardium if llomo,alOUa,
red-brown, and fum. The valve lufIelI are thin and mobile. Tho wallt oftbc Je:ft and
ri&llt ventricles are I.S and O.S-em thitlt, ''"4Ipoc:tively. Tho Iepl\Im lneUIIl'ClI I.I-cm In
thiekn'"4l' l'be endocardium illlllOOlh and Ilis\ettini. The aorta siva rile to three in\.ld
IUd patent Itl:Il veaacla. 'I'beR II leveR eak:i6t plll:plO rormation of!be distal aocta
IliJbtly ptQXimaIlO the iliac blfutt;ation, 1be.-l1lld meseaterie _ I t are

.............

UVER 4; SB.WtY SYSTEM:
The 1S30 pllliverhu UI mlltt, ImOOllt ~ure and I tltarp anterior border. The
pumch)1nl il wHnovm crd conpted, willi the Llltllllobular architoctute. No mass
ielioal oro1hct8bnonnaliliell &nl-" The pUbl1dda- tontllins I millll\e amount of

MEOCOM 03043

ACLU Detainee DeathII ARMY MEDCOM 343

,

AUI'OPSYUPORT(b)(6)
........ Ib......

,....

sr--blackbiJo and I)lI ttonct. The IlIIICOaI....n.ce is JI'esI. and velvety. The
I:XtrtIlcpItie biliary me is paleIll.

PANCREAS:
The pMelai is fiml ~ ~llow-l~ with the lIIIIal Iobul., ardUlocture. No IllIU 1oIi0llll
or otbot aboorma1iti~ Il'O 1OOlI.
:lJll!HNA,1 $:
The rigb! IDd klt..maw &Janda an= t)'lJlllldric.....ilh millt yellow conitcllllld 8RY
modul_ No m ofbrmollhqe an identified.

(lI"'"

OI!NITQ!.1lUNA&Y SYSTEM:
The riPI CId loft kidney- wtip 190 1lIIlI22{l JIll. ~voly. Then iltlilllplo cortie.1
e)"l ofllle risbt kidney. OtberwUe.lhaaternsJ ~ aro Inuet and IltIOOIh. The cut
wtf.eel an= rod-tan IIId eooaated..nlh unifonnly 1lIic:k cortic:es and Ibup
eortieomecl.uIllr)' jWJetiOT\l, The pdYa an= llIlIemarbble IDd Ihe urden are IIOfInI.I in
eoIftC and ealiber. While blldder mlltOll oyerli~ an Intaet blldder wall. n.. b*,dcr
eonl.I.ins approximately 10 ml of eloudy yellow 1lIine. The proIIble is IIllImI.1 iIl.ju,
with lobular. yellow-tall parmcbyma. The lICIIlinal yuicl~ are unranarbble. The lest~
till £roe of m... lakmt, eonlUlio... orothw f.bnonntliUot.

GASTRQItITESTINAL IRACT:
The esophqut i. inllcl and lined by tlllOOlh. py· lIJle m _ The IIOTllllC!l eonl&irul
approximately 30 Il\l ofbroWIIliquid. The ptlrie sJllt intact. The duoclenunl, ioopI of
tmtIl bowel, and eolOll an lIlIIC:tDu1lable. The apPfllllix is pretml and 1lII!eIllIlbbIe.

MumoW'RQCEDup!§
•
•

DocummllJ}' pbotoJI'IP1w n taken by AFMES pho\olRPberI
Specimens retained. for toxicologic leItini tndIor DNA identification ate:
vilreolls, blood, uriDe, 1p1e1:n, 1i.... I\lIl.. kidney, brain, bile. patrie., ldipoK IDd

•

Thcdj• ........"

•

"""

ora- are fOl'Wl.l'decl widt!he body
PelWOnl.! etrocu are relet8ed 10 Ibe '4'\iNPl ille morn-y operaUOIllI

~tatiVel

MEDCOM Ol4<1

ACLU Detainee DeathII ARMY MEDCOM 344

AtrrOPSY REPORT (b)(6)

r--

1

Hadllm, Ibm'"

M1cBOSconc EXAMINADON
Conmary Irt«ia: Sections Ibow Itberomalout tb 1M sa QOhClpOndinJ with the aross
imprMlioo.

M)'OCInfium: $cc:bonllbow • mild iDerc lie in paivueular IDd il1ler1titill tibnJ.a. No
IeIIIe ilChcmle dlaDps _ noted miubSiCOjii.cs.lly.
Lunp: Soc:IioDJ &bow vueu1ar eooaatioa Illd 'lr:leetIsil.
Uver: Sectioa Ibows mild ineluse in periportal fibroeb IDd IbcaI pcriportaI dIrooiIC
inf\.nmsliOll
Kidney: Nodulsr Kimmjlstie\.Wi\son Iaions sre not noted. There is no infI,mm,tory
iDfittnte.

ToxieoloJie ansiysb orblood _
druse or lIb__

TOXICOLOGY

neptiYe for CIJbon monoxide. eysnide, dbIDol, JDd

muovs

OlllC(lle wu reported u Ices tUl10 mWdL

MEDCOM

O~5

ACLU Detainee DeathII ARMY MEDCOM 345

•

AUfOPSY REPORT(b){6)
Hadllm, Ibl'llblm
OPINION

This elderly male tivilicl det·inee died of leVeR artaiofl;lerotK: (:Oll)flV)' artery disease
(bardeningand blotlcqe;oftbe blood vQIeIs IlUpplying blood to the heart).
MimlftOPic Iel:tiOni of the heart sbowed the blockqcs oflhc anerics and evidence of
chronic m)'OCltdial iJcbemia. Toxkology was neptive for dhanol and dnlp of lbuse.
Cllbon monoxide and eyanide were not detetted.
VilreOlIS g1lICOIC WIt reported II leas tban 10 mgfdL, COIUmenl with Ilona interval £rom
deatIt 10 time oflelJlina.
Delailod examiIlalian of the inte:mal organa ... well ... dillS«liOJl o£lhe baek, IIllaior
neck. and poaterioI' neck did not reveal OCl:lIU tnWma.
Sudden <:ollapse due 10 aneriOltlerori<: eofOlIIlY artcl')' disease iJ common and is
fioquently the initial JlRSeIltition ofuOOcrlying heart disease. Thc finding offood within
lhc mouth II the timeoftbec:ollllpSC il fell to be secondary to the c:olJapse Mel not causal.
Thc:re were no food particle&: impacted within the Iil'Wly It the time ofautopsy. Severe
COlOIW)' artery dileue and cbronic lKhanic changes ofthe heart wen: noled by viSlJ&l
and miCl'OlCOpic: cxamill&tion.
lhe mlllflCl" of dcalh is nlItun1.

(b)(6)

1
(b){6)

leal ElIIJniner

MEDCOM 0346

ACLU Detainee DeathII ARMY MEDCOM 346

,
DeJ'Aiti 731' Of DtFEHii

.-I'CII:at..-rTl\m; III' ""'TIlOLOOY
"'1" ,UM,OC
1111

~{b'"H"")'---'

-

AID' ..

.........

l'b

(WPJt1I OJ'THI

' •

NII_.'

H" ·

t.

l

K.\CHIM, lIIAAHIW ~(b){6)

AIlMID fOItCa MIDICA.L

AltMID roacu IN8TrI't1n or PATHOLOGY
WASlIINGTOfrl, DC . ,.. ' .

SSAft:

J

.l~

T·" ' U'"
..... [(b){6)_~---­
DlUlIlpMtC_111M: ~ 12,2005

,

CONSIlLLmONBlMllTPNOONTIIWUTOBMA'(EIlW.
UPOtlT orroXlCOLOCICAl. nAMlr'U.T1ON

C.dlli•• ofSfled-_' GOOD
Dahi otlMtdnlt;
o.c. R ,h"', SlIOI'lOO$
CARBON MONOXIDE: 1'be eerboxybemoliobiD lIlUntioa in the blood _lela tt.a.
1% uddl=rmiDed by speelJoP:io/ometrJ witb 'lJmiI ofqulldiClltion oft"- ~ b i D
AIInliomI oC0-3% are oxpx:ted for-..mobrJ IDd 3-10% for smokers. smntlOIl& IIbow
10%.., "<JDIidered e1entcd. arid are confirmed by au cbmm'""'IJ:ilIpb.y.

VOLATILI:S: The BLOOD AND URINJ, - 0 .... Mninrod fortbo prl,nleO oCerb.....l
•• eaotrof20 1D&'dL. Noetbmol_"""ec'-d

iii'

DRUGS: The BLOODwu ... ewICd for
brt'mine, &lltidc:pt
fl,'ntlhlf!Sminet,
bcblttntet, ben" d1aup/nA. ""...hinolda. chIoroquIDlJ, ......... IM, ~ Ijdoab,
nctotic ...1....... opIaIa. pbalcydidine, pbcnotftiezi-. 1)"'P'rMmjmt'fjc IlI'l!Mt md
wrll*Jlil by ps~. coIoI"lcIt or lmm'moenay. 1blI tollowiDg drup_
cIclIecbed:

(b){G)
(b){6)

MEDCOM 0347

ACLU Detainee DeathII ARMY MEDCOM 347

1

_",,_0- -_..__ - _. - - -_.- --. ,,-- _.- ....

--

COllll''''''~or_lIO~

.

_",-

_ _'b_ _

BTO ~I~ Ibr8IP. ~

.

C""""

-

...,-

(b)(6)

-_......
-.....- ,.,-_.
..."-._
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"'-_.
....- - _
. __
-.
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.....-...... _
.. _.....q ......, .

0

(b)(6) )1950

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X

,

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co.".,..,

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""" .... _ _ .,.,. _ , . , . , - _1"- _ _ _

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c.o..-OO'_... _ _ _ _ "'....
e - ... _ _ _ _ _ .. _

----_....
_. -_
_................
_-......._,
........... <OM>t _ _·cm..-rn",...'

-_.
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Arleriosclerolic Cardiova"",lar 0;........ (ASCVD)

M"",las

_'

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_'><L>OM'

~",-.--

..-- -_. _..........
_
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.--..
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---,... - _.... _, -'- '" ..-_
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(b)(6)

IMedic.al &aminer

"""''''''''''''-''
nn-, ."" N:....,<IOn'>

(b).l~

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'---"---~
-. ..-

00'''''2064

..--=-

(b}(6)

_--~---~~

_~._

...........•.... _ _ " . . " ...... _

........_

....... ....,. . . . - . n L

MEDCOM 034B

ACLU Detainee DeathII ARMY MEDCOM 348

•

...

ARMED FORCES INSTITUTE OF PATHOLOGV
omu of Ibe Anned ForftJ Medlul Eumlnu
l.. lJ ReHlrtb Bh·o.. Bid.. 101

Rl)l:kvlllr, M'D 20850
1-300-94"'7911

FINAL AUTOPSY EXAMINATION REPORT
Name: BTU Kadr, Mohammed M.
Ddalatt Numbu: (b)(6)

Da,uf8irtbl(bl(§.l 1976
Oa,r of DU1bllb}(60200$

1

Ni•1•.~'_~lb~)(~~==_1.

AulOpty
AFI' No.:~)(6)
Rulu CiviliantDel.lintt

,Iut of Dealb: Iraq

Oalr of AulOpsy: 3 MAY 200$
Dale of Report: 24 MAY 200$

Place of Aul0P'Y: Port Mortuary.
Dovcr AFB, DE

Ci n:lIms,anUI of Death: This 29-year-old Iraqi male was killed. during 8Jl .hcr<:.lion 8\
~ Camp Bucca, Iraq deW_ facilit)'. Accardins to the investigative informalion
IVlIiif,b1e. a fight had broken out between TWO groups of Inmale!.

AUlbonutloo for AUlop.)': Anncd Fo«es Medical Examiner. per 10 U.S. Code 1471
'"

Idenlificalloa: I'fe!umpt;vc identification is ar.:complished villlCCOlTlpanying paperwork

IUld 1M detain« identiCiClllion number provided. A postmortem drolll C1t&lll;I\.I';OI1 and
fingerprintinlJ is performed and a DNA sample is talc.en durinlJ \he autopsy. bul

antemortem specimens are not available for compari!lOrt.

CAUSE OF DEATH; Blunt Fon:e Injurln ortM Held and Sbrp Force lnjunr. or
Ihe N«k

MANNER OF DEATH: Homlelde

...
MEDCOM 0349

ACLU Detainee DeathII ARMY MEDCOM 349

,

AUIOI"YIQ?}(~
BT8 Kldr, MobammC'd M.

FINAL AUTOPSV DIAGNOSES:

I. 81uo.I force Injuries
A. Injulin oflhe Hud

I. Oftpslellllelnu.llonoflhe,ulp.wllb undutylnll;
cOlDlDinulC'd fradure oftbe calv.rlum
1. Two nnear Ilceniions oflbe scllp Ihll ellend to Ibe skull
3. Multiple llcenllo<r.s or Ibe rice
4. ColIll,,'nulC'd rnchlres oftbe h,llir skull...lib lauralloos
ortbe Inferior ..Ilftl ortbe brain Ind lublrachnoid
hemorrblee
5. Lauratlon over lbe left eye. us.ncl.tfll ..ilb rr.Ullr" ortbe
left orbitlnd lefl znomltic bone
6. CommlnUled rracillre orlbe ldl mums; 'Iuralion' oflbe
Ilveolar liuue .blve t«lb 9 .nd 10
7. frachlre orlhe IIIlndlblc••U«llied ..Itb up.ratlon bclWeea
leelb 24 Ind 25
8. Lace...llonl....bion of 1M bel"; Ind lobe orthe left ear

....

B. lajuric' orthe Tono
I. Llr&f. horizonl.llbradell-conlusionl across Ihe lower cbal

Ind upper Ibdomen
2. Multiple lUle conlullonllnd Ibraded-coahlllon' or the
rich! upper cheol, back, rlpl n.nk, Ind ripl bunnell.
l. Mulliple SIDIU conlu,lon" Ibnslon" Ind cODlused·lbrasloos
or lbe 10no
C. Injurl" orthe l:lInmltifl
I. Mulliple Ibrasionl' conluslo05, .nd conlused-.braslon. of Ibe
upper ellnmilles, bftomllli connuenl In some 10CllIions
2. Muiliple Ibraslon,. conluslon•• Ind coalu.ed·.b....lons oflbe
lo..er utnmilla, becoming connuenlln lOlDe locations
II. Sh.rp Fom Injuri"
A. Pend...ting ..ound (.llb ..ound) or Ibe upper, IIIUII, len side of Ihe neck
Ibrougb skin, sllbcutaacoullLosue, Ind mllscle (stllliled 7 'I.-1ncbes belo..
the lop oflhe hud .nd 6-lnche.len or Ibe .nlerior mldUne; lrngulu
5116-lneh plInClure ..ound)

-

U. Penelnllnll ..nund (sllb ..ou nd) of lhe Ioonr, .nlerio....l.fenl, len.ide of
Ibe neck Ihroueb .kin, .ubc:ullneous tiIIue, .nd lIlusde, ..lib IranUdlon
of Ihe nternlljllflllir nln (lllllllCil lQ..incbn belo.. tbe top of Ihe bud
lad I 'I.-inchn left ortbe Inlerior midline; Yo-Inch plInclure ..ound)

MEDCOM 0350

ACLU Detainee DeathII ARMY MEDCOM 350

,

A;utoPI~.~(b"}"(6,} -,------:0:

....

BTH I(ldr, Mohlmmed M•

C. Pendntiag ....ound (stlb wound) of lhe ehln, thoug" skin, subeutaDeIlUI
tluue aDd mll"ele (,llllaled 9 %.lnch... below tbe top of the hud and I 'I..
inches "'It of the anttrior midliJle; ISlI61 Y...incb curvilinear uulilan of
lkin Ind soft tlnue)

II.

Atheroscltrotlc cardlonscular dilClle. focally modtnle

IV.

TOIlicoloC' il nesative for ICl'ftlled dnlJ$ of abun. cibanol. aod CYln'de.
The carbosyhemolJobln Inell14 pereenl.

MEDCOM 0351

ACLU Detainee DeathII ARMY MEDCOM 351

...

AUIOPSYI(b}(6)
BTD Kadr. Mobammed M.

EXTERNAL EXAMINATION
The mnaill5 are Il:Ceived clad ollly ill blue shorllI. A lllIli ClIp a<:cornpllllies the body. The
body is lhat of a wel1-devel()Jltd, ....ell-nourished appearillg, 66-ioches, l70-pounds male.
whose: appcillllJlCC is cOllsislellt with the reponed Bie of 29 yelll1l. lividity is fixed on the
posterior swfaee of the body, cxccpt in areM exposed to pressure. Rillor' is present but
passillg and th~ are signs of early cIecomposiliOll changes. illCludillg palchy blue-glftll
discoloration of soft tissue and mlll'blillll. The body tempcrauue is that of the
refrigc.nllion unit.

The JICll.!p is covered by 101111 (averases 7-inehes), blBl:k lIair. The eomeae are cloudy.
The SC!eTBC are wvemarkBble, withoul petechial hemorrhages. The iritlcs are brown and
lhe pupils are round and equal in dillJllCter. The head and flll:e are remBrbble for injuries
IlIat will be: described. The teem IlK Mlural IlIld ill fair conditioll, with injuries thai will
be described. Facial hair consists ofa black mustBdle and !lew stubble.
The ocek is mobile and the tracllea is midline. The e!\est is symmetric. lbc; abdomen is
scaphoid. lbc; exleTRal gellitalia are \h.osc of a I\Onnal adult, circwm:i5Cd, maJe. The
lestes arc: descended and me of mllSscs. Pubic ltair is JIl'escnt in a nonnaI distribution.
The blltlocks and anus arc: remarkable only for injuries that will be de$Clibed.

....

The upper and lower extmnities are symmetric and withoUI clubbinll or edema. The
fingernails ate inlBct. Identifying body marks include two circular ucas ofatrophie skin,
ClIeh averaging I Y... inches in diameter. on the: ~1crior len leg and on tnc rillhUower--,
back/Ow.l(b)(6)

[(~(6)

j talloo(b}(6}

I

-.I

M£DICAL INTEJM:NDON
There is no evidcoce ofmedical interwllliolt on the: body at the time of the autopsy.

RADIOGRAPHS
Total body postmortem radiographs are obtaifted and demonstrate the injwin as
describlod and 1\0 recovelllble metallic foreigll objects.
EVlpt:NCEOf INJURy
I. MlIlllple Slunl Forte IlIllI',"
A. InJllrin orlbe lind and Neck
There is a I Yo-inch laceration on the left side of the forehead. above me left cye.lhal
extends to Wldcrlyiog skull. A IS-inch 11ICeT'lIItion is over the rillbt eye IlIld inferior to
the eyebrow. There is marked periorbital ecchymosis. A I x IS-ioch abrasion is 00
the low<=r left side of the face with a small, irt'Cgtllar lacC11ltion of the IdjllCtnl upper
lip and an Idditional Yo-illCh laceration lalefll! to the abrasion. The skin above the
upper lip is abraded. Three lacera,ions are on the occiput and top of the held. The
lal'llest is a 4 \I. x 2 IS-inch stellate WDuncl. The other wounds are IWO linear
I_rulions, J·inches lItId I ~inches in length. A I Yo·inch jagged lacmtion hu
multed in avulsive loss ofpart of tile helix of the left ear. There is a I \I.·inch
laceration involving the lower left car thai eXlends throullb the earlobe. fractures or

*

....

MEDCOM 0352

ACLU Detainee DeathII ARMY MEDCOM 352

....

,

A.'ops} (b)(6)
BT8 "'adr. Mohammed M•

llle left orbil and left lYlOmalic bone are noleli. Comminuted fractlll'eS of the left
m.ur.illll are lSIOCiltecl wilh lacerations of alveolar tiuuc: lbove IeIt1h 9 &lid 10. T'hcre
is I displaced t'racttln oflhe mandiblc associlte(! with separation between tmh 24 and
2S. Rf,nection ofw scllp reveals 12K It 2-ir.:h .uofsubpkal htmon'ht&c over
the riallllcmponl1 &reB and subpleal hemorfhaa:e eovcrinl the entire left tempoB!·
parieuJ area. ~ is I Yo-inch J-=erlltion of tho: bucetJ upet:t of tho: lower lip.
Comminuled fracIures involve both Imerior fossae: ofthc builar skull.peirtieularl, on
the left. There are fractlll'eS in\'olvinillw: riabtsphmoid wina and the Icft pctrOUS
ridle alonl with disNplion of tIM: selll 1lA:a.
B. InJurlaoflbeTono

Thcre is II It I ~·inch Pf-llem rontusion on the rilhl upper che$!. A \'I·inch Ibrasion
is on the mid upper ehestllowct neck. There is I) It 11I·lnch Ibrasion on the left side
of tile cheSI. Inferior to thll i, I larSC area eonsisl;nl of multiple punttale, superflcill
penclratinl wounds and small abrasions. Three horizontally oriented, pallem
contuscd-Ilnsioll5, each fix I Yo·inches, are on lower Chesl and Ibdomen. A 6 It)·
inch eontused-abrasion is on the left upper back. There is I I Yo x lIB-inch Ilnsion
on the posterior riabt shoulder. A I % x l·inch abrasion i, on the nabt upper 'Nell..
There is I 4 Yo x4-inch contusion on the mid _k,left of the posterior midline. 11.7
Yo x S-inc.h purple-red contusion is on the ri&ht mid back. There i, I 6 x 4-lnch
conlusion on the right lower back. A) Yo x 2-inch Ibraded<ontusion i, on the lower
back. len of the po'teriOf midline. Three contusions, up to) x Yo·lnches in greatest
dimcll5ions,arc on lhe ript butlOCk. A 2 x I-inch contusion is on the Illcralleft hip.
C. Injuries oflbe E.lrcml,re"
There is I ) Yo x 2·inch IRI or purple ca::h)'lllOlis O\Tl" the anlerior right wriSI.
Multiple linear Ibradecl<oniusions. up to 2 'I. x Y..inches in l/Utesl dimension" arc
on lhe poStcmor-lllerai right ann. 11.4 Y, x 2-lnch Ibtaded<onlusion covers the
posterior aspecl of the rilht elbow. Two I-inch eonNsiOl\J are on the posterior upcct
or\hc rialll forearm. There is I 2 x 2 Y.-inch contwiion on the docvJ riabt hind.
Nearl, the enure tnleriOf-111cnl1 Upecl of the left upper elttremil, is cov~ by
ecch,mosis. A S It )·inch contusion i. on lbe proximal. lateral left ann. Multiple
small alnuioru, up 10 Y,-inch in llJUlest dimension, arc on the posterior riiht upper
extremity. Two abrl.'lions, 1 Y, x Yo·inches and Yo x y..inch. an: on the posterior upect
of tile riallt r01Ufl1l.
Two Ibnsioru and one Ilnded-contusion, up 10) x )-inches in &relicS! dimensions.
arc on the anterior aspecl of\he rialltlowerextmnll)'. bcllirvtinajustlbove the knee.
A S x 2-inch IteI of ca::hymosis is on the Illend riabt thiall. There is I) II 2-inch
conlusion on the mcdiallSpcCl of the Icft knee. Scallercd amlll Ibrasions are on the
anterior left lei. T1Icre is I S It I Y,·inch tOOIltused-Ibrasion on lhat covcrs tbe left
medial mlnco/ua and adjaccnllll'ell orthe left fool. A) II Y,·inch Inion i, on the
poslcnor·lllctllleft knee. There is I 2 x Y,.inch Ibrasion on tbe proximal, posterior·
Iltenllcftlel-

MEOCOM 0353

ACLU Detainee DeathII ARMY MEDCOM 353

,
II. Shrp Force Injuria
A. Slab Wound or tbe Upper,uferal WI Side ortbe Neck
~ is an irregular stab wound 10 the upper, 1.ICfllI. lcl'l side Ofl~ neo::i., situated 7 y..
inches br:!ow!he top orlh. head and 6-inches lel\ of the anterior midline. The 5fl6inch puncture wound goes Ihroullh skin, subl:utanl:o\1s \;$5ue, and muscle to. deplh of
approximately 'I.-inch, without. dislin<:t sharp or dull nu.rain. The wound pillA is
directed lell: 10 right and slightly fronl to bact:.
B. Stab Wouad of Ibe Lower. Anterior-Latenl, Left Side ortb. Neck
There is lIIl irregular stab wound lo the lower, anterior-lateral, left side of tile neck,
situated IO-irn:hes below the lOp afthe head and I Y.-;lIChes left of the anterior
midline. The Y.-inch PWlCture wound l0e5 tlvouj:h skin, subcutaneous tissue. and
muscle to a depth of approximately l·indt, willi ttansection of!he exlemaljugularvein.
The«: is associated MmQrrh-aC inlo the adjlll:efll strap muselcs of the left side of the
neck. No sharp or dull margin can be apprecimd. ~ wound path is directed left 10
righl and ,Iiahtly !Tom 10 back.

C. Slab Wound oflhe Chin,
There is an irregular uab wound 10 the: dun, Silullled 9 Y.rinches below the top ofthc:
head and I l1-in<:hes left oflht; anterior midline. The wound is a 15/16)( %-iro::h

curvilinear avulsion of skin and subo:uWleOus tissw only.
D. ClItllnl: WOllnd oflbe Ripl Hand
The~ is a superficial cutting wound on the palm of the rislll hand thaI is I·inch in
lensth and IDeS though skin and superficial subcuWleous liulle only

INT£RNAL EXAMINATION
HEAD:

The $C3lp, skull and brain !lave the previously desl;ribed injuries. The brain weillhs 1340grams. No non-traumalic abnDmlalilies are noted. The atlanto-oecipitaljoint is stable.
NECK:
The: strap muscles of the iUllerior neck are !lomogenous and red-brown, with the
previously described area ofhemorr!lalle. The: thyroid cartilage atId hyoid bone are
intact. The: larynx is lined by inlact while mucosa. The thyroid Iland is symmetric: and
m1-brown. without cyslic or noduJarchange. The lonluc has no contusions or other
InJunes.

....

BODY CAVITIES:
The sternum, and venebral bodies arc visibly and palpably inUltt. The rib injuries hive
been previously described. There it no eXCG5 accumulation of fluid in the left pleural or
pericardial cavities. The organs occupy their usual analomic posilionJ.

MEDCOM 0354

ACLU Detainee DeathII ARMY MEDCOM 354

•

...

Autopsy fCbX6)
]
8TB Ktodr. Mohammed M•

7

RESPIRATORy SYSTEM:
The riWIt and left IWlgS ~igh 570 and 410-iJ'Mls, respc<:tively, and are diffusely
congesled. lllc external surfaces arc deep red·purple. with moderate llnlhneolie
mouling. Sectioning reveals no mass lesions or ICe&!I ofconsolidation present. The
pulmonary arteries are unmnarkable.
Ct\BDIOV,\SCULAR sySTEM:

The: 340-gram heart is contained in an intact pericardial sac. The epicardial surface has
minimal rat investment. The rororwy arteries are preKnl in a normal distribution. wilh.
right-dominant pattern. There is SW.luminal nllm:lwing or!he proximal left anterior
descending coronary artery and 40% luminal narrowing of the left cill:umnex coronary
lIItery. The right coronary artery is free ofsignifieanl athCJl)S(lerosis. The thkknesses of
tk left vcntride, Kplum, and right ventricle are 1.1, 1.1, and O.4·ccnlimders.,
~spectively. Seclioning ofthc: hear! ~veals normal appearing myocardium, chambcn,
and heal1 valves. The aona gives riK to ~ intact and patent arch vessc:ls. The ~na1
and mcsenlen<: vessels are UJII'e1TIlIrltable.
LIVER & BILIARy sySTEM:
The 2S10-gn.m liver is intact. The parenchyma is yellOW-lin, greasy, and congested with
the usual lobular archileCture. No ma.s.s lesions or other non-tnIumalic abnonnllliues are
noted. The gallbladder contains 2-milliliterl oflreetl-bJack bile and no stones. The
mucosal surface is &fUn and velvety. The e~lrIhepitie bilillt)' tree is patent.

SPLEEN:
The 9O-gram spleen is uninjumi The parenchyma is maroon, firm, and slighlly
congested.
PANCREAS:
The pancreas is finn and yellow-tan, with the usu.allobullU" architeclU~. No IT\&S$lesions
or other abnormalities are seen.

ADRENAL GLANDS:
ad~nal glands are symmeuic, with bright yellowCO!1ices and Il"Iy
medullae. There are no areas ofhemorrllage CIT maues identified.

The right and left

GENITOURINARY SYSTEM:
The niht and left kidneys weiab 120 and 13o-ifIfllS. respectively. The eltlmlal surfaces
are intact and smooth. The cut surfa~s are red-tan and slightly congested. with
unifonnly thick cortices and distinct eorticomedullary junctions. The pelves are
unremarkable and the umm are nonnal in course IlId caliber. White bladder mucosa
overlies an intact bladder wall. The urinary bllldder contains SO-milliliters oflight yellow
urine. 1lle prmltate gland is normal in size, with lobular, yellow-tan parenchyma. The
seminal vesicles are unre:marll.ebJe. The testes are ~ of mass lesions. contusions, or
other abnonnalitks.

MEDCOM 0355

ACLU Detainee DeathII ARMY MEDCOM 355

A..

top~~'(b~}(~6h}-;::~~

8

BTB Kadr, Mob.lII~ed M.

CASIBOINT£STINALTRACI:
The esophagus is intacl and lioed by smooth. gray·while m\lCOSl. The g.~ilric wall is
intact. The stomKh lumen contains S50-millilitersofpartiaJly digesled food. The
duodenum,loops of small bowel, and colon are unremarkable. The appendix is present.
MUSCULOSKELETAL:
No non·lnlumalic: aooonnaJities of mll5l:le or bone are idenlilied.

•
•

•
•

•

•

ADDITIONAL PROCEDIlB!}5I&MMKS
Doc:umenlMy photographs are Iaken by DAFME staff photographers
Specimens retained for loxicologic lesling and/or DNA idenlifiu.tion are: heart
blood, spleen. liver, brain,ll,IIlg, bile. kidney, urine, adipose ti.5sue, gastric:
oolllenu, and psoas musc:le
FilII body ~iograplls are obtained and demonSlnlle!he injuries as described
Selected poltions of 0lllaIU are retained in fonnaJill, withoul preparalion of
histologic slides
lbc dis5CC1ed organs are forwarded witlllhc body
Personal effeel5 are lelCilsed 10 Ihc mOTt\llr)' affairs representlltive

opiNION
"This Iraqi male detaillee died 15 a result ofblwl! force injuries of the head and sharp force
illjuries of lhe neck sustained in a fighl witll otbcr detainees al Camp Bucu.. In addilion
10 !he lelhal injuries, lie sustained mulliple blWlt force injuries of the torso and
utremities. Toxicology was negalive for ~ dnigs of.buse, e!lIanol, and cyanide.
Carboxyhemoglobin level, were not elevated. The manner of dnth i, homicide.
[(6)'(6)

(b)(6)

'Medical EUllliner'(b)(6)

MEDCOM 0356

ACLU Detainee DeathII ARMY MEDCOM 356

DEJ'ARTIIIIBfT OF DEFENSE

.u-o HlItCU lIIIlTlVrI ~ ~"'1'HOLOOY
..,......HINOTON.IlC "1 I IGOa

AftPJ(b}(6}
,mINT IDErD'IVc.mDN
.urIPAI; I ha,NII_lwr
~_
,(b){6)

,,-

..........

omo: Or1H! ARMED FORClS MEDICAL

KADR, MOHAMMED,(b){6)

ARMED FORCES tNSTITtI'n or PATHOLOGY
WASHINCTON, DC 103Gf fOOl

SSAl'I:

r;;

A~IOpoy:l"'lb"'''16IT'-;::=~

TOllcololr A«UI1oa .w:,{b1(6)
0.100 Raporl

enc..I"',

\'

I

May 12, 200S

CONSI.ILIAUQN BEPORION CONWBUIOR MADBlAL
AFJP DlACNOSIS

JU:PORT or TOXICOLOGICAL EXAMINATlON

Coadltioa orspeelmc»: 0000
Date or (addeat:(b){6)
~OOS
,

Date ReceiYed: S/10I200s

CARBON MONOXIDE; The; cvbo~yhcmoglobin S&\Urltion in \be blood was 4% as
detmnined by spubopbolOmetry with. limit ofqUllltilltioll of 1%. Carboxyhemoglobin
saturalions of 0-3% are expected for non-.lInOken and 3-10% for smoken. Saturations above
10% are considerm elevated and are confirmed by gas cbnlmalOliJ8.phy.

_

CYANlDE; ~ was DO cyanide detected In \be blood. The: limit of qUIDlilltiOll for
cyanide Is O.2S mgfL. Nonnal blood cyanick COllC«ltratiOlll are less thaD O.lS mgIL. LcthaI
eoncentnltions of cyanide are ;reatc:r than 3 m&ll...

It •

VOLATILES; The BLOOD AND URINE
ClllOff0(20 mgldL. No C\baool was detoc:ted.

weft;

examined for the presence ofet!wlol

DRUGS; 1be URINE was xremed for IIllphctamine, antidepreuants, antihiswui.nes,
barbitunlte5, benzodiaupines, c:annabinoidJ, c:hloroqlliDc:, c:oc:a.inc:, dcxtromcthorpban, lidocaine,
IlIl'COtic anaIpic:s, opiates, phencyclidine, phenodliazincs, $)'lIIpathomimctic amines and
verapamil by gas ehromatopphy, color IeSl or immllllOUSlly. The foltowinS drop were
dctecte<l;

Nooe were fOWld.
(b)(6)

l(b}(6}

J

I

MEDCOM 0357

ACLU Detainee DeathII ARMY MEDCOM 357

_. _---- __-,,--

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MEDCOM 0358

ACLU Detainee DeathII ARMY MEDCOM 358

(fi.EMOVE. REYfIfSE ANO;iE

~'1SERTV._"<lSO,'JS a"'FORE

CCMPt.ETlt,.:c; THIS SIDE)

OISPO!tITION OF REMAINS

H'.... Of'L:Mlll:."'l' "ltV'>IIlMG Fl£l.lt.lIO.'\

~~

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REGfSTRA 'f1Ot,I OF VIT At STAnsw:S
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00 FORM

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APR 1017 (!IAC,IQ

USAPAVI.llll

MEDCOM 0359

ACLU Detainee DeathII ARMY MEDCOM 359

ARMED FORCES INSTITUTE OF PATHOLOGY
Ornec of the Armed Forces Medical Elamlncr
1413 Resurch Blvd" Blda. 102
Rockville, MD 20SSO
I-Soo-n4-8427
AUTOPSY EXAMINATION REPORT
Name: BTB Ahmed, Read Hikmel
.
Date of Blnh: Unlr""....,
Dale ofDeath[(b)(6} ~2005
Date of Autopsy: 26 MAR 2005
Dale ofReporl: 24 OCT 2005

Captu«: Tag No.llb}(6) --

NWI(j(b~'~"~I==~1

AUlOPSY
AFIP No.: (b}J~
i
Rank: Detainee
Place ofDcal/l: Camp Charlie, Iraq
Placc of Autopsy: POrl Mortuuy
Dovcr AFB, DE

Clreumualle6 of neath: This male Iraqi civilian was reponedly detained by Iraqi
Poli" after coming to the police to reporl he and anotltcr detainee had been kidnapped
and bealen up by a rival clan. The surviving detainee staled !he Iraqi police physically
assaulted thc pair. The decedent and his associale were taken by US forces 10 Camp
Charlie, which is conlJOlied by Polish forces. The decedcnl was under Polish medicaL--..,
c~ receiving treatment fot his injuries wilen he was prDlIOWlCcd deceased ori{b)(6)
I
2005. The treatment for the injuries reportedly incillticd inlravenous fluids and
antibiotics. The eircumsllnccs immediately preccdinglhe decedent's death arc still
uncenoin bUI may have iocluded the: removal of tile intl1lvenous calltetC'r$ by the
decedent. Polislt autltoritics arc not providina any additional information to US
investigators.
Authorizallon for Autops)': Office of the Armed Forces Medical Examiner,lA W 10
USC 1471.
Identification: Identifiulion is presumptive based on capture 18g number.
CAUSE OF DEATH: UndetermillCd
MANNER OF DEATII: Undetermined

MEDCOM 0360

ACLU Detainee DeathII ARMY MEDCOM 360

AUTOPSY REPORT!~(b~)(~61
BTB Ahmed, Raad Hikmd

_

FINAL AUTOPSY DIAGNOSES:
l.

Blunt Force Injuries
A. Injuries ofille Head
1. A 1.3 l 0.4 em lacention on the vertn oflbe ItiIlp.
2. A 6.0 l 2.3 cm subgalCiI ecchymosis of the midline ofllle
superior posterior pmetal scalp
3. Patchy l:ICChymoscs of the frontal scalp
4. Bilaleral eceh)'ltlO5C5 of Ihe anterior snp muscles of the neck
to the depth of lhe thyroid gland
5. Superfieial ecchymo&is oflhe thymus

B. Injuries of the Torso
J. A 4.5 II 3.5 cm ecchymosis over lhe anlerior surface oftbe
right acromion
2. Contusions of !he leA fiM and sixth inlen:05lal spaces
3. A g.O x 7.0 em conlusion oflhe 1efllowerquadranl oflhe
abdomen lhal overlies a 10.0 l 8.0 em contusion of the oblique
mll5Clcs of tile left lower quadr.utt of the abdomen
4. A 11.5 x 1.0 em contusion of the rightlowerquadrutt onhe
abdomen wilhin an aruofskin slipplge
5. A 7.0 x 6.0 em superficial eon IUS ion ofw anlerior surface of
lhe upper lobe ofthc left lung
6. A 5.0 x 4.0 em conlusion of the Illeralsurface of tile lower
lobe of the right lung with yellow eentral portion.
1. Bihueral hemol1lom <right 600 ml and left 50 ml)
8. An IIjIproximately 9.0 II 6.0 em contusion oflhe righl scapular
arel at !he poslerior surface of tile ribs and a 7.0 II 6.0 cm lII'ea
ofcontusion on lhc left scapular area It the poslerior surface of
lhe ribs
9. A 2.1 II 1.0 em cnlsled aru on the left nank

...

C.

U.

Injuries of trn: Extremities
J. A 5.0 II 2.5 em area ofabrasions on lhe laleral surface of the
left forearm
2. A 3.8 II 0.4 an cru51ed Ibrasion on the Iefl.lmee

Other Injuries
I. A 23.7 II 19.8 em arel ofdiscolored denuded skin with
erythematous bue and crust formalion on the right scapula.
consistenl with helling blln\s of varying scverity
2. A 22.1 l 9.6 cm area of discolored denuded skin with
erythemalous base and erust formation on the lellscapula..
consislenl with healing buntll of varying $CVerily
J. A 15.1 II 1.5 em linear area ofdcnuded skin on the leA scapula

MEDCOM 0361

ACLU Detainee DeathII ARMY MEDCOM 361

1
AUTOPSY REPORT (b){6)
BTB Ahmed, Rud Hikmet

immediately inferior and latml the above area, consi,tenl wilh
a pallcmcd bum
..t. A I S:I S em Ira of$Ultcrcd erusled abruiOlll 011 the ecnl/lll
miO bllC:k
S. ClUSlcd abRsiOll$ 01\ the matilllnd Illmllwfacu of tile left

wri.l

6. Crusled abnsioru of the mcdill, lalcnl and poslerior .wfICCli
ofthe "1111 ....,.;.1
1. SuperfICial pauefI'ICICI abrasion of !he medi.l right ankle
8. Two- 0.2:1 0.2 em round abruiolll wilh erythemalOUS bIsc lllal
an 1.9 em lpan on the riabt palm, possible patterned injury
9. EcehyntOlCS of the posterior surface of the riihl upper arm, lhe
righllower leg, lhe left lower lelllld lhe nihl ankJc are II'CU
of purple discoloraliOll Uuil range in site from 2.S l I.S em to
1.0l).Ocm.

Ill.

Medici' lall!ncntion (pollSible rclllICitalion artifacts)
I. A 2).4l 11, I em area ofred/purple discoloBlioni with
multiple auperimposcd m:tlngullr Ibruion. on lhe lef\ ches!.
2. A 9.S l 8.S em recWlgular IbruiOll on lhe npl ebcsl
). Sepan.lion oflhc righl )"·S" ribs from the co,I,1 eartilagc, no
luociated ecch~
4. Sqwalion of1hc Jef\)M and 4'" ribs from !he cenlll ca.rlillge,
no UIOCi,led CItlChymoK5
S. Fracture of the anterior upecl oflhe niht and lef\ .econd ribs.
immedialely laleral 10 the lnaenlon inlo the centll eartillge
6. Pun,u~ marks in the antecubilll fOUie ('wo in riabl, one in
left)

IV.

IdentifYinll marks
I. (b}(6)

,.2.

t)(')

4. (bl!6l

'l.llaos (b){6)

(b)(6)

llloll00•.".,V\l,.,,--------1

,. (b)(')
(b){6)

6. A horitontal.ClI' on the right knee

V.

No .ignificlIlt n,lural diseases identified, wilhin limilllioRJ of
the naminalion

VI.

Mild decomposition

MEDCOM 0362

ACLU Detainee DeathII ARMY MEDCOM 362

AUTOPSY REPORT (b)(6)

...

BTB Ahmed, R&Id Hikrnet
VIL

CardiovUCLIlar patboloKY lXlrI$ullllion
MDiacnosis:{b)(6)
; Heart: Foc:al submdoclldiall:ontnJction
band neerosis and myoe)'lc nec;rosis wilh associaled mixed chronic

inflammatory infilfJJlC eonlIi"ing of maaophases and
l)11Iphoe)'les"

vm.

Neuropatbology eonsulUitioll
~Di.a:nosi.: (b)(6)

Brain, postmortem: Patchy acute neuronal

injwy. Autolysis with foul baelctbl overgrowth

M

IX.

Tolticology is ncgllive for ethanol and Kreened drugs ofabu5e.

X.

Vitreo\ll eleelrol)1es

~

consilient wilh decompo$ition.

EXTERNAL EXAMINATION
The body iawl of. well-developed well-nourished appcwing 70 ~ inch long, 208
pound Iraqi male civilian. Hi. Ige IppCIlS to be 30-40 years. U...idity is fixed posteriorly
with JlfCUlI1e bearing arc. pallor. Rigor IS "'aninI IJId easily brolr::en in the n:tmnitic$.
The is mild decomposition changes orltlc remains thai include discolorllion oftbc skin
oflhe flCe, chest and back, rnarblillJ of the llITII5 and m:u orlkin slippage on the neck,
righl shoulder, tipl abdomirull wall and left thigb..

...

The scalp is covered with dark brown to black hair in I normal disuiblilion. The iridell
are blOW" IlIId the pupil. are round and equal in diamder. The eonjUtlClivae are e<lngested
but free of any peteeltiae. The external auditory clIIUIls are free of ablKlrmal secretions.
The e1l'5 are wvcmlltuble. The nares are patent and the lips are atnwnatic. The nose
and mLllillM: are palpably stable. Thc frenula of the lips ate intact. The tcelll appear
n.tural and in f.it rep.ir. The facial hair consists ofa black bcW and mustache.
An 'pprollim.tely 2. II 11 cm area ofsk.in .lippage and vesicle fonn.lioa is on the right
side of the neek and • 16 II 8 cm aJeI ofskin slippage and vesicle fonnalion is on the left
and anterior .utface of the neck. A 21 II 16 cm area of skin slipp.ge and vesicle formation
i, on the upper right chest. Eal:h of these arcaa lrC eonai5lcnt willi decomposition.

The neek is straight, and the tl1lchca is midline and mobile. The chest is symmelric. The
abdomen is flit. The geni"lia are those of. nonn.1 eirtumcised adult male. The testes
arc dellCended and flU of masses. Pubic hair is present in • nonnal distribution. l1Ie
ri&ht buttock has. 14116 cm &n:.ofsm.lI-etttered SCIQ and the left bunock has a 10 x
10 em &eU of small-eratered scan. A pilonidal cyst i. It the proxim.ltip ofthc natal
cleR. Thc anus is unremlrit.ble.
The upper and lowel' eXln:mitles 8fC symmetric and without clubbing or edema.

...

Identifying mlll'U illCludcrcb){6)
(b){6)

lanoo (b){6)

MEOCOM 0363

ACLU Detainee DeathII ARMY MEDCOM 363

AUTOPSY REPORT[(lij{6)
BTB Ahmed, Raad Hikmct
(b}(6}
(b)(6)

- - ' I""~"~;;;;s](b)(6)

'taUoo'(b)(6)

A hori:rontal KI1 is on the righl knee.
CLOTHING AND PERSONAL EffECTS
The body is received Willi a pair ofnavy blue shorts with lIle labc:l'"G-AMMA" on lIle
right ITont pocket. The righl bUllOCk oflhe sham is mud eovemi.

I.
2.
3.
4.

S.
6.

MEDICAL INTERVENTION
A 23.4 x 17.1 em ~a ofmllpurple discolorations with mulliple supc1"imposed
reclangular abrasions on the left chest
A 9.S x 8.S em reetangulu abrasion on the right chest
Separation oflhe right 3"'through Sill ribs fTom the costal canilage, no lIS$OCialed
ecchymoses
Separation of the left 3n1 and 4'1 ribs from the costal cartilage, no associated
ecchymoses
Fr~ of the anterior aspect ofille righl and left second ribs. immediately lateral 10
the insenion into the costal cartilage
Punture ml1ks in the antecubital fossae (t'.vo in righl. onc in left)

The above described injuries are consiSlent with attempted cardiopulmonary resuscitation
including electrical defibrillalion.
RADIOGRAPHS
A eomplete"t ofpostmonem radiogr~hs is oblained and demons,",tes neither lona
bone fTactures nor any foreign bodies.

f;VIDENCEOf INJURy
The ordering of the following injuries is for descriptive PU/)105CS only. and is not
inlended 10 imply order of infliclion or relalive severity. AU wound pathways are given
relative to standard analomic posilion.
Injuries oCme HAd:
On the vencx (lop) ofllle head;s I 1.3 ~ 0.4 cm lilI«T1Ilion. A 6.0 II 2.3 cm 5ubgaleal
ecchymosis is in the midline of the superior posterior parietal scalp and there an:
scatlered ecchymoses oCllle Cronlal scalp.
Anlerior neck dissection reveals bilalCfllI ecclI)'l1\OSe5 of lhe anterior strap m\ISCles that
penetrale down to !he level oftlle thyroid gland. l'1lere are superficial ecch)'lllOKS of tile
lhymus gland. Posterior neck disseclion reveals congestion oCtile muscles consistent willl
livor monis;w:l no ecchymoses.
Injuries ofille Iono:
On the leflabdominal watt ;s an Ix 7 an red·green contusion thaI overlies a 10 x 8 cm
eonlusion of the oblique muscles oCtbe left lower quadranl oCtile abdomen. In the right
Iowerqulldtant oCtbe abdomen is an 11,S ~ 7.0 cm conlU$ion that is witbin a 2) II 17 cm

MEDCOM 0364

ACLU Detainee DeathII ARMY MEDCOM 364

P1lc6ofll

AUTOPSY REPORT!(b","_ _
8T8 Ahmed, Raad Hildiiet

orson slippage. On the medial aspect ofthiscon\\Ision asId olllside \he skin slippage
is I 12 x 1 em geo~lric sh.aped blue-bla<:k area.

~

11.23.7 l( 19.8 em lIlU of discolo~ denuded skin with crythemato\lll base and crust
fOf1J1llioD is on the righl scapular area lll'Id 122.1 l 9.6 em area of discolored denlKled
skin wilh erytbematous base and crust formation is on lhe left scapular area. Within lilt
left Kapular area is I 3.8 x I.S em crusted patterned injury (rcclanglc). Immediately
inferior and lateral to Ihe arca on the left scapula ill IS.I x 1.5 em linear area of denuded
skin. These injuries are consistent with bWT15 of varying severity in various stages of
healing.

A 1S x S em area of crusted abrasions is on the eentnJ back and a 2.1
area of abrasion is on lhe left nank.

...

It

1.0 em cnJste<!

Internal examination reveals a 4.5 x 3.S em ecchymosis over the anterior surface orthe
rig.bl acromion and contusions oflhe left lifth and sixth ribs. A 7.0 x 6.0 em supcriicial
conlU$ion is on the upper lobe of the left lung and a resolving j.O x 4.0 cm contusion is
on the 'aleTIl surface of the lower lobe of the righllung. There is a 600 ml hemolhorax on
the righl side and 50 ml on tile leI\. Latml to the lil"gc skin bums of the scapular &rea!
ace a 9.0:116.0 cm conlU$ion of the right side that extends 10 the POSlerior surf;w:es oflhe
ribs and a 7.0:11 6.0 cm contusion on Ihe left side IMI also extends to po$lcriorsurfaces of
the ribs.
Injuriq oftM Extremities
A 5.0 x 2.j em area of brush abrasiON is on the latCTllI surface orthe left forearm.
Muhiple crusled linear abrasions are on the medial and laleral surfaces of lhe left wrist
and the me4i.1l, lateral and posterior surfaces of the right wrist. On the right palm are two
0.211 0.2 em round abrasiOll5that have ef}thematous bases and are 1.9 em apan,
representing a possible pallemed injury. A 3.g x 0.4 em erusted abrasion is on Ihe left
knee and there is a superficial pallemed abtuion on the medial right ankle.

INIERNAL EXAMINAtiON
HEAD:
The galeal and subgaleal soR tissues orthc scalp are free of injury. The calvarium is
intact, as is the dUfa mater beneath it. ClarCClcblospinal fluid sUlTOunds the 1550 gm
brain, which has unremarkablc gyri and sulci. The brain is submitted for Neuropathology
consultalion (see report below). There are no skullli'actures. The atlanto-occipital joint is
5Iable.
NECK:

....

The anterior atrap muscles of the neck are homogenous and red-brown. The posterior
neck muscles ace congested and there are no cervical spine fractures. The thyroid
cartilage and hyoid bone are intacl. The IIl)'llJl is lined by inbct white mucosa. The
Ihyroid gland is symmetric and red-brown. without c)'Stic or nodular change. The tongue
is free of bite mm, hemorrhage, or other injuries.

MEDCOM 0365

ACLU Detainee DeathII ARMY MEDCOM 365

AUTOPSY REPORT (b)(6)

'lIt 7 of II

eTB Aluncd. Rud Hikmet
~

BOpY CAYIJJFS;
Excepl whCfC notallboye, lhe ribs, sternum, IIld YCfldnl bodia Il1: vilibly aIlli
pllplbly intlCt No exec:" fluid il in !he pericardill or perito~11 clvitiQ. lbe Ofpnl
oceupy !heir usuallllalomic pot.itionl.

RfSPlRATQRY SysTEM:
The riglltllld left lungl weigll720 and 690 JIll. rapecliYllly. Excepl w~ notal aboYe'.
the C1.tcmallurfaces are ImOOIh and dtql n:d-purple. The pulmonary pannchyml il
cOIl£esled aIlli edemltous. No IT\U$ ~liOnl Of arc" ofeonsolidlliOll are presenl.

CARDIOYASCULAR SYSTfM:
The 420 gm ball is contained in 11\ inlad. periCllllillsK. The epicardill surface i.
lIlTIooIh. wilb miniTTIII fll innlllnClll. The coronary aneric. are pl'CNfIl in I normal
distribution, willi I right-dominant pUtcm. Cros.lClCtionso(lhe _ I s show 110
Ithetl)$Clctolil. The myocstdium il homo8ff'Ous, red-brown. and firm. lbe hcarl i.
lubmilled for CanlioYuo;:ular 'sthology consuliition (_ repal1 below).
The IOnI giyes rise to thn!c inl.:! and palent ardt YClieIL Thc rC1l11 and mesenteric
ycssel, arc unremarkable.

UVEa & PlUMY SYSTEM;
TIle 2160 am liyer hu 111 int.:!, smoolll capSlllc IIld I slIarp Intcrior bordu. Thc
parenchyma is soft, llll-brown and congesled, wilh thc lIIulllobular arcltitec:turc. No
masslesionl or other abnormllities an: 1«f1. Thc pllbladder contlinll mlnutc smount
of grun-black bilc and no stones. Thc pllbladdermucolIl,urfsc:c i. il"C'cn and yclyety.
Thc cxtnhepalic bilill'}' tree il palent.

SPLEEN:
Thc 3S0 ill! spleen hu I.moolll, intact, red·purple c&pIule. The parenchyml il maroon
and congested. with distinct MllpiBhian corpuscles.
PANCREAS:
The plllCrul is soft and yellow_Ian, with tlte usual lobular If(:hitectute. No mualcsionl
or other Ibnonnllitia Ite seen.
ADRENAl S:
The right and left adrenll glands arc lutolyzed. No muses or areas ofhcntorrhlSC Il'C
idc:nlificd.

.

GENITOURINARy SVSTfM;
The rigllL and Icft kidneys wcW! 250 IIld 280 pn, rclpeCtiycly. The ClItemaJ lurf'lca arc
intact and smooth. The cutl\llf.locl; an: red-Ian and cdcmliOUl, wilh uniformly tltlck
cortices and s./tarp corticomcdullll)' jijnctions. The pclva are u~marlablc and tile
limen an: nOfTll11 in caulK and cllibcr. Whilc bladder mllCOll OY'Cl"licslll intact bladder
Will. The bladder eantlins IC&Ilt utll\C. The proatlle il normal in liu. with lobular•

MEDCOM 0366

ACLU Detainee DeathII ARMY MEDCOM 366

"trrOPSY REroRT[(b)(6)
BTB Ahmed, Raad Hikmet

Pacc 8 of 11

yellow-tan paren<:hymL The s.eminal VQielc:s an: unrcmarka.ble. The lesles an: free of
mass lesions, contusions, or olher abllOmJillities.
GASTROINTESTINAL TRACT:
The esophagwl ii IntllGl and lined by smooth, grey_while mucos.. The slomacll contains
approximalely 30 ml of brown liquid. The gastric wall is intact. The dllOdcnwn, loops of
small bowcl, and colon an: llllI'eIJIarUble. The appenda is presen!.

•
•
•

•
•

ADDITIONAL PROCEDURES
Docwnenwy photograplls an: taken by an OAFME pholographeT.
Trace evidence and foreiWl malerial Is not collected
Sp«imens rClained for 10J.icologic Icsllng and/or DNA identificalion an::
vitreous, blood (eardiac), kidr>ey, spleen, lung, livcr. bilc, pirie contents, adipose
lissue and psoas muscle
The dissected orpni are forwarded with body
Personal effects an: released lO lIle appropriate mortuary operations
rcprescntativca

CudloyascullI Pathology CQnou!latlop (Oc.partmenl ofCardlovucular PltholOC,

"np, WashlnClon DC):

=~~

"D1AGNOSIS:(b)(6)
Hurt: Foeal subendocardial eoolractloD band DKrw\ll
and myocylC nKrosls wllh associated mlnd chronic Innammalory Infiltrale
cOllslsliog of maerOphaC" a..d l)omphocyles.
Clinical History. This male lraql civilian, age eslimaled al 25-40 yean.. was taken inlo US
cuslodyat Camp Charlie, Iraq on J/191OS; he wu pronounced deceased orlJ~1 OS; the
eireumslar1Ces of his dealll are under investigalion.
~
Han: 397 gramS; normal epieardial fat; closed foramen ovale; left ventricular cavity
diameter 2.8 cm, lel\ ventricular &ee wal1lhickness 1.6 cm; venll"icular septum thickness
I.S em; right ventricle lhickness 0.4 em. without gross scan or abrlOm'la1 fal infiltrales;
groasly UIlfematkable valves and endocardium; no gross myocardial fibrosis or necrosis;
hi$lologie $CClions show focal conb'action band necrosis and myocyle necrosis with
associaled mllCroplu.ge and lymphoeylic infillrall:S, predominantly in the s\lbendocardillm
and Inlerstitium.

Coronary arteriC$; nonnal ostia; right dominance; no grOS$ ooron81)' atherosclerosis

-

COmmenl: The cause and circumslanCes of the palienl's inilial collapse an: uoclear. The
submitted elinieal history indicates lhal the decedent may have received antemortem
applicalion of electrical current. We elMOll\lle oul the possibilily lhal electrical injury
may lIavc: led 10 a ventricular arrhythmia i{the clinical histOly is Subslantialed. There is
no coronary disease 10 suggesl an ischemic evenl. The subendocardial conlm:tion band
necrosis and mixed chronic inflammalorycell infiltrales a:e suggCSlive of calecholamineIndU«d injury that may be sccn in lhe setling ofresuscilalion".

MEDCOM 0367

ACLU Detainee DeathII ARMY MEDCOM 367

AUTOPSV REPORT (b)(6)

...

BTB Ahmed, Rud Hikmcl
Signed bi!b){6)

_

I
Cardio","ul... Pathologist on May 4, 200S (oricinal

signatllrc on filc)Neuropatholosy Consultation (Department of Neuropathology and Ophthalmic
Pathology. AFII'. Washington DC):
(b)@)
lOrain, poSlmOnem: Patchy atIItc nClIJOnal injlll')'. Al,llOlysis with focal
bacterial overgrowth.

We cumincd lhe IS3S'gnIm formalin fixed bBin lIIbmiued in refcn:ncc 10 tbis
case. A small pie« prlbe falx eerebri is incll.ldcd wilh the brain. This dura is without
hematoma, Ihrombus or neoplasm. Then: is lOme opacification ofltK: basal

leptomeninge$. No leptomeningeal hemOl'Thage is noted. The gyral pattern is nannal; me
gyri aTe swollen and compressed. No hemormagc or tonlu.sion is identified. 'The crall;,1

nerve slumps identified are unremarlcablc. The circle of Willis shows a normal
configuration, with no l.I\eurysm or malfonnatlon seen. No uncal, tonsillar, or s\lbf.lcinc
hemialion is identified. The ccn:bc:llum, brainslcm and u.ppcm1OS1 o;crvical spinal cord are
modenlely swollen bUI nonnal in shape. CoronaJ sections of the cerebrum show no
abnormalilies ofthc cortex, while maner or deep gray mailer nuclei. No focalle.sions and
no hemorrhages are identified. The ventricles an: compressed and Wilhoul hemorrllage.
The. substanlia nigra and locu,,; eoe.rule.us are nonnally pigmenled for plIlient age. CUI
surfaces Oflhc eerebellum, midbrain. pons, medulla and uppc:nnost cervical spinal cord
show no focal lesioRS and no hemorrhage. The aqueduct and IVlh venlricle an: patenl and
wilhout hcmorrhage. Gross phologt'llplls are laken (CD enclosed).
Summary oflissue sections: I. RighI superior/middle fronlal gyrwiI. 2. Right
inferior parietal lobe. 3. RighI superior/middle temporal gyrus. 4. Right cingulaleg)'nls.
S. RighI hippocampus. 6. RighI c.lldateiputamen. 1. Left po.ltamcnlpallidum. 8. Righi.
!hafamuslhypo!halamus al the mlllfliitary bodies. 9. Subslanlia nignlmidbBin. 10. Pons.
II. Medu HI.. 12. RighI cerebellum/dentate., 13. Uppc:rntOSI cervical spinal cord. Tissue
was processed in paraffin for histology; slides were stained wilh H&E. The malm;1l Wi\$
reviewed in conference by staffofthe. 0ep1. ofNeumpatholosy and Ophthalmic
Palholosy·
Stallered neurons Ihroughoullhe ccrt:brum show pale eosinophilic di5(olotltion
consislenl with acule neuronal injury. There. are aulolytic chan&es wilh scattered foci of
bacterial overgrowth, a.ssoc:ialed mostly wilh small blood. vessels. Fealures diagnostic for
infC:Clion or neoplasm Ire not observed. No pathological hemofThase is idenlified".
Signed b)(b}(6}
IstafTPatholosisl, Dqll. ofNeuropalhology and
Ophlhalmic Pa!hol08yon April 22, 20QS (orginal signalUre. on file).
MICROSCOPIC EXAMINATION
Skin of Back- Consislent Wilh bums. firSl tIuoogh third degree.
AbrupllrlUlsilion from normal skin 10 an area wilh absence oCthe e.pidennis.,
subepidermal $plinina, eXlensive coagulalive nCO;:l'I)Sis ofllle papillary and rdicular

MEDCOM 0368

ACLU Detainee DeathII ARMY MEDCOM 368

AUTOPSY REPORT (b)(6)
BTB Ahmed, Raad Hilanet

...

-_.
dmnis,

ul~nsiv~ nucl~ar debris

and tea11~~ inflammalOry response, focal subepidermal

abc:~ssCi destruction of some oftIK ckrmal appenda&es associated ...ith mild
vlCuoliwion of the appendagc Jlands. Bacterial colonization without innammatory

J.w!g- Consislent wilh resolving contusion
An l1'I'a of necrotic luna ~nr;hyma wi!h!he prneroce ofhe~iderin laden
macrop~1 oollincd by border of dilated bloclIHlIIed vessels with occuional
microthrombi. Bacterial eoloniwion witllout innarronltory respanIC.

~lected

poclionsof other orpns ~ retained in formalin, without preparlliion of
histologic slides..

°MNION
This Iraqi eivilian mile died while being treated for blunt force trauma injuries and bums
of tile back while detained in Polish custody. The eVCllIl immediltely precedinlthe death
ofille decedcnla!!: not provided and a lpecilic meclwlism of death was not determined
from lutopsy examlru.tion.
Thc current availlblc infOfmation suggestlthe decedent WI! physically injun:d by I rival
clan of Iraqis (decedent's .ceount) Of by Iraqi Police (decedcnt', lSIOCilte'l account),
AUlopsy c~umin.tion indic.teathe preserKC ofconluslons(bruiscs), abruions and
internal injuries, as well" bums oftIK back !hll ~ ofvaryinl severity. 11lc featu~s of
the injuries are cOJUistenl with the: injuries oc:cwring prior to Ihe decedenl's dca!h,
Sp«ilic injuri~s furthcr Indicate the possible manner in which lhe decedent obt.Ined
these injuries. The: ecchymoses of the neck muscles i"uIllestlve ofthe: decedent belnll
TCSlnIincd by the neck. AbrlSIons oflllc wrist and ankles Ire conslstem wi!h the:
decedent's hands and feet being previously restrained wilh unspecified inllrumenls,
The minimll infonnllion IVlilable reproinl the decedent's medical trestment in Polish
custody suggcsllth~ decedent WII in Itable condition and receiving inlllvcnous nuids
and antibiotics. Tl\r; decedent's death was sudden and appllClltly unexpected because
there Is nidence 1M Polisb mec!iCl.!lcam tried vilorollslyto resu5Cilale lhe decedent.
Expert consult.tion uuninations orthe heart and bnin reveal no contributing flCtorsto
the death and only changcslhat can be anributed 10 reuscllalion effor1.,
It is po"ible the decedent died orcomplicllions ofbi. injurie. 1M thus homicide would
be lhe manner ordealh, but without a complete history orthe nen" Immediltely
prccedina his desth, the Ippllent ".tsble" eondition ortM decedent prior to death snd no
specific meclwlism detmnined bylulOpsyeumination, an intervening mechanism or
death cannot be nJled 0111. Thcrefore, the CSIl$C and manner or ckSlh II usiancd IS
Undetermined.

MEDCOM 0369

ACLU Detainee DeathII ARMY MEDCOM 369

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ACLU
Detainee DeathII
ARMY MEDCOM 370
00,'3,"1.2064 .............. _ ..... ...... ".'uO.
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(REMOVE REVEnSE AND RE·/NSERT C/IRBONS BEFORE COMPLETING .,HlS SIDE)
DISPOSITION OF REMAINS
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liceNSE NUl.In.eR AND STATe

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LOCATION Of C£ME'Tt:;nv OR CIlEMATOflV

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MEDCOM 0371

ACLU Detainee DeathII ARMY MEDCOM 371

ARMED FORC[S tNSTITUTEOF PATIIOLOGY
Office 01 the ArQ1ed Yorcts Medlnl Eumincr
1413 Resemh Blvd.• Bldg. 102
Rockville. MD 20850
1-800-944-1912
FINAL AUTOPSY EXAMINATION REPORT

No.~·~(b~"~6)'===1

Name: RTR AI K 1lUaf, Majamc:y
ISNI(b){6)
Date ofBinh: UnIcnown
Dale ofDcath:(b)(6) 2005
Dale of AUlop!Y: 15 MAR 2005
Dale of Report: 091UN 2005

....

Autopsy
AfIP No.: (b)(6)
Rank: Civilian
Place ofDcath: '2" CSH. TaJliI.lraq
Place of Autopsy: Port Mornwy
Dover AFB. DE

C1rcumsl.nces of DUlb: This Iraqi NatioJl.li male dcuinec ofthc US Forces suffered a
myocanlial infarclion on 21 JanlllJy 2005 while being held II Camp Bucca, Iraq. The
dea::dent reported having Chesl pain and when evalUllted al the: cUnit: al Camp BUl:u was
found to have EKO changes consistent with an acute myocardial infan:tion. He was
transferred to lhe 82'" Combat Support HO$pilal (CSH) in Tallil.lraq. whe~ ICcording 10
!he medical rewrds provided, the: lnflll'l:1ion was conlirmed and treatment for the infan:tion
was iniliatcd. llvombolysis was nOl performed because oflnumatie aUempts al placing a
foley catheter at Camp Bueca. which resulted in an IClively bleedinll sile. The d«edcnt had
a cllcstJl·ny consiSlent with heart fail~ pancm, which Rqui~d intubation. During the
decedent's hospilllizalion there were: multiple trials ofWCill\ing him from the ventilator bUI
all were unsuccessful. The decedent's blood prcSl~ remained labile throUghoUl his
hospilaliz.ation. He received a tracheostomy and gastroslomy for eJllCnOed care. On ~~t@),-_
2005. he possibly suffered another myocardial infarc1ion and died despilc emergcnl life
saving efforts. The medical records of the lUI days of his hospilalizalion are not available
for review. The decedent also has a reporled hislory of poorly controlled adult onset
diabeles mellitus.
AUlborUllion for Aulopsy: Office ofthc: Anned Forces Medical ElIIminer.IA W 10 USC
1411.
Id~nllficatioll:
Presumptive identification ili C!IlIblis~ by !he ISN (Inlernmenl Serial
Number). Fingerprints and a DNA sample were lal(ct'I for idenlificalioll PLIrJIOSCs shOllld an
ClIemplar become available.

CAUSE OF DEATH: Atherosclcrotic Canliova.5Cwar Disease
MANNER OF DEATH: Natural

MEDCOM 0372

ACLU Detainee DeathII ARMY MEDCOM 372

AUTOPSY REPORT(b)(6)
BTB AI Jallld, MIJlmey

Pile 2 oU

Fll'iALAUTOPSY DIAGNOSES:
I.

Atherosc'<:foti~

Cardiovuc:ular Disease

A. Athero$Cleroti~ Cardiovueular Disease
I. Per Canliovuc:ular Plthology COrulultltion: "1) Cardiorneglly
(582 pns) with left venlri~ulll1 hypertrophy. 2) Sever>:
coronlTy .thero5C~ia with eal~ification. two vessel disease;
occlusive organizing thrombus, mid left antmor descending
anery. J) Healing tran5mural myocardial infarction, left
posterollteral WIt!. 4) Huled transrnunl myocardill infan:tion,
tpe:e, left anterior ventricular wall and upturn." (See full
eon~l13tion rqIOf1 below)
2. Moderate .tbcrosc:lerolfs of the aorta.
3. Modelate to lev~ atherosclerosis of the builar anery and the
Cirele of Willis (cercbralll'leries).
4. Finely granular oorti~al SurflloCCS of the kidneys.

II.

Other Autopsy Findings
I. Severe pulmonaryedcma with right pleulal effusion (1500 ml of
serosanguineous nuid).
2. Cholest",is with gallbladder will thickening.
:J. Bilatelal rentl conical cysts (no greater than 0.4 ~m in diameter)
4. Hemorrhagic mucosa oftbe trigone and lower urinary bladder
5. Anuan:llSSOCilted with billteral conjUJ'lCtiv.1 eclcm., pining
edema of the extremities and digilll and massive scro131
dillClllion.
6. Crusted abruionson the left chest. superior ponion orlbe
abdomen, left anterior CO$IaI margin, rightthigb and right
sIIoulder.
7. A 8 x 7 ~m II'CI. of erythema on the inferior ccntnl abdominal

.oJ,

8. A 9.2 x 7.0 ~m decubitus ulcer of the sllCl"Il area

111.

.

Medi~al

Intervention
I. Tracheostomy
2. Left ~hestlubc (6 110 inlmOStlll space) l$Socilted with dense but
easily brollcn adhesions of the left parietal pleura to the left lung
and thickening of the pleura
:J. Prior left ~hcsltube silt (sutured skin ineisiofl and perforation of
the 4" intercostal space)
4. Triple lumen catheter in left subclavian vein
5. Anmal catbcter right radial incry

MEDCOM 0373

ACLU Detainee DeathII ARMY MEDCOM 373

AUTOPSY REPORT~6")---:=::

DTS AI Kbal.r, MaJllIlt)' -

6. Status POSI ga.nroslOmy lube placement with stapled skin
incision and associllled with euily broken adhesions afllle liver,
slomach and trU\lVetSe colol17. Foley c.thelem.lion ortlle urinary bladder
8. Status POSI ~iopulmonary resuscitation uaocialed with
fractures of the righlliflh rib and left fourth and fifth ribs.
9. Selfadhesive eleclroeardiogJallllcad on the left abdominal will

-.

10. Needle puncture site in the left antecubital fom

II. Bio-occlusivc dressing on posterior left thigh
IV.

Mild decomposition with areasofvcsidc formal ion and skin slippage on \he
scalp, face:, leR and right upper nlrcmilies. left abdomen, upper back, left
IhiJh, and biialenillower lcp

V.

ldenlifying tofarUu~_,
1.1(!l).@)

tl 1ltoo(b)(6)

2. Hypcrpigmmled &ear on Ihe~"",:::~'m:O·",O"=",,au orlhe right hand
J. HypelJligmenled anu of skin on the righllowcr abdominal
qullJranl
VI.

Toxicology is negative for ct/wlol and drugs ofabusc. Midazol&lll (.
benzodiazepine) is in the blood (0.10 mgll).

MEDCOM 0374

ACLU Detainee DeathII ARMY MEDCOM 374

AUTOPSY REPORT (b)(6)
8TH AI kIIa'af, MaJlmty
W'ERNAL EXAMINATION
The unclad body il lMt oft well-developed. well·nowUtted appearing. 69 inch long. 243
pound Iraqi nalional malt whose appeannce is consistent with III Ige range of 40-50 y~.
Uvidity il flin! and filed Ilonglbe back. Rigor mortis is absent. There is mild anasan:L
Early decomposilion ehinges. whith intllKlc vesitle fonnation and skin slippage. arc on
the: scllp. the left .ide oflbe fllCe and neck. the: upper eltremities, the left side ofthe
abdomen. the upper b..:k. the: left thiah and lower \ep.

The "lIp il covered with cW"lyblllCk hair in I IIOrmll distribution. 1be irides are brown.
and the pupill are round and equll in diameter. The conjunctivae are edematous and there
is bilateral peri-orbital edema. The utemalaullitory CIIIIls are Ike ofabnormal acrClions.
The carl are unrernarbble. The nares are patentllld !he lips are atraumatic. 'The nose and
lIWliliae are palpably Itable. The decedent is edemulous. 'The facial hair consilll5 ofa black
IIld gray mustache IIld beard.
The neck il straiJht. and \he lI'IChu il midline and mobile. A tracheostomy Nbe is in p1.lce
in the central antcrior neck. The chest iSlymmetric. A 2.4 l O.g cm tnlJited Ibrasion is on
the left tllelt. A 1.2 l 0.2 em crusted abrasion il immediltely below the left costal margin.
On the upper central abdomen are four trW ofabruions with early skin slippage. The
areas range from 1.2 l 0.3 cm to 2.0 l 0.3cm. The abdomen is globoid and without mllSSC5.
An 8 l 7 cm area of erythema is on the lkin ofthe inferior central abdomen. In the right
lower quadnnt of the abdomen lie two I/'CU ofhyperpigmentcd Ikin (10 II: 3 cm and 4 l 4
cm). The genitalia are those of. normal adult cin;:umcised male. The testes arc: descended
and free of museI. Pubic hair is present in I normal distribution. On the right uppt'r back
is a 2.4 II. 0.7 cm C!\llted abrasion. Overlying the utrum is a 9.2 II. 7.0 cm decubiNs ulcer.
The buttocks and anus are unremarkable. A bio-occlusive dressing is a!tlU:hed to Ibe
posterior prollimilleft thigh.
The upper and lower ellTemities are symmetric and free ofobvious deformities. On the
anterior sUlfllCe ofthe right thigh are I 5.3 II: 2.5 cm are. of seaneredlbrasions and a 3.8 l
1.5 cm arCl of C!\lsted akin slippag:e.
CLOTHING AND PERSONAL EFFECTS
The following clotlUng items and per10nal errectsiccomplllied the body .tthe time of
autopsy:
A wlUte "ClI1ier Pans" t·slUrt.l!fCCl'I strob pllllS. "Madaen"sandals, green lIOCU, an
Iraqi gannentand brown jacket.
MEDICM.llfiERVElfiION
I. Tracheoslomy
2. Left chest tube (6'" intCTalstal space) associated with dense bUI easily broken
adhesiolU of the left parieta' pleul1l to the left lung and tlUckening ofthe pleura
3. Prior leR chest tube .ite (sutured skin incision Illd perforation ofthe 4'"
intercoml space)
4. Triple lumen catheter in left whelavilll vein

MEOCOM 0375

ACLU Detainee DeathII ARMY MEDCOM 375

AUTOPSY REPORT (b)(6)
BTB Al Kball', MIJlmcy

Pilf 5 orl

5. Arterial catheltr ri&ht Bdial artcrj
6. S1&tUS post pstroIIomy tlIbc placement wilh stapled lkin ineiskm and
auoci&lcd willi easily btokCtl adhesiolll orthc liver, ltomach &rid rnnsvene
colon.
7. Foley calheterizalion oftbe uriMl)' bladder
I. Sl&lW poll cardiopulmonary l'nlIICil&tion usociatcd with &acWTes of the rithl
(jll:h rib and Iell: fourth and lill:h rit..
9. Selradhesive elaclrocardiocr-m lead Oil the lell: abdominlll wall
10. Needle ~ aite in the Iell: _ecubital fossa
II. BiG-OCclusive dreuina on posterior left lhi&h
8ADIOCMPHS
A complete set ofpostmoncm ndiogaphl il obl&incd and demonstrates no long bone
ftac1UTca or mUICI. Thefe an no foreign bodies uccpt for the medical devices deseribcd
above.

EVIDENCE Of U~JURX
"T'bcn: are no acute injuries.
ImBNAL EXAMINr\TION

HEAP:
'-

Thc pleal and I\IbpleallOll: tiuues oCtile _Ip an tree of injury. 1bc e:alvarium il intact•
.. is the dura mater beneath it. Clear ccu,brospinllll'hiid lurruWldI the 1490 pn brain,
which hll I dusky appearance and ge:nersliud IOIl:CtIina of the parenc:h)'llla. The a)'ri and
lule:; an lWefIIubblc. Coronal sections dl:mORllT&lt: lharp demarealioo betweell white
alld ll"C-y maner, wilhoul hcmorrhqe or conllllivc illjUry. Tbc ventricles an oCnormai
lile. "The: bIIaI pnalia, brainstcm, and cerebellum are Ifec of iojury or ocher
Ibnonnl!ilicl. There il modc:nlc 10 1C\'m: IlIlcrolClcnKil of the basilar Ulery and Cifl:.le
orWillil (cc~bn.1 anmes). ThcR an: no skull &xtvrcs. The allant~c:ipitaljoinl il
liable.

NECK:
1bc anterior ItTap muxln or,hl: neck an: homoacnous and red·brown. wilhou,
h~ge:. The tlIyroid cartilaae and hyoid bone are inllCl and calcified.. A traeh_tomy
i, in lhe enco.lh)'RIid mcmtnne and il lI~alcd with a IlCCnIlion ohbe i,thmus oftlle
thyroid aland. The l&ryn:ll: illined by inlaCl white: 1'1I--' The thyroid gland is symmetric
and red-brown, without cystic or nodular change:. The edematous toneuc is &c:c.ofbile
marti, hcmoll'bage:. or othrr illjuries.

BODY CAylI[fS:
TM ribl (uccpt wbeR 1I0led above). sternum. and vcr1ebnl bodies Ire visibly IIId
palpably illtact. No excelS fluid is ill 1I'lc periURIial tlvity. The ri&ht hemithorax contains
lSOO ml of bloody ICTOIlS Ruid-. The left hcmithoru. hu dense but Cllily broken ~hClions
between the left luna and lhe parietal plC\ITL The peritoneal cavity contains IppfOltiml1cly
200 1'1I1 of brown and bilious nuid. The orpns occupy their usuallr1llomic posilionl.

MEDeOM 0376

ACLU Detainee DeathII ARMY MEDCOM 376

AUTOPSY REPOR1'].S{b~){~6)
BTB Al Kblaf, r.hJam~

_

RESPIRATORY SysTEM:
The righl and lel'llungs weigh 1130 and 1060 gin, rapcclively. The eXlernal sudaees are

smoolh and deep red·purple. The pulmorwy parenchyma is severely ,",,"gesled and
edematous. There are no areas of li'ank purulence. No mass lesions orareu of
consolidalion arc: present.
CARQlOVASOJLAR SYSTEM:
The 610 tpn hear1 iii soft and conlained in an inlaCt pericardial sac. The epiclt«liaJ surface
is smoolh, wilh minimal fal investment. The epicardial surface oflhe left venllicle has a

dark speckled appc:anrn:e. The coronary arteries arc: present in a normal disU'ibution.
Cross so;:lions of ttle left coronary artcry allow severe atherosclerosis ofllH: left anlerior
dcsc:ending branch oflhe left coronary anery. See full Cardiac Pathology Consultalion
Report below.
TIle aorta gives rise 10 lhree inlact and patent arch vessels. There is model1lle ulc:el'lltcd

atheroselerosia throughout Ihe course orille aona. The renal and mesenteric vessels llI'e
unremarlc:able.

-...

UyER & 8tL!ARY SYSTEM;
The 2260 gm liver has an inlllCl, smoolh capsule and a sharp anterior border. The
parenchyma is lan·brown and congesled, willlihe lISIlallobular archilecture. No mass
lesions or Ol.her abROrmalities are seen. The gallbladder contains approximately 20·30 ml
ofvillCous green-blllCk bile and no stones. The gallbladder wall thickened and the mucosal
surface is green and vclvely. The exlrahepatic biliary llee is palent.
SPLEEN:
The 330 gm spleen has a smooth, inlaCt, red·purple eapsule_ The parenehyrna is soft and

liquified.
PANCREAS:
The pancreas is firm and

~1I0W-Ian,

with lIH: usuallohular archileclUIe. No ITI&SS lesions

or other abROnnalilic:s are seen.
ADRENAl S;
The righl and left Idrenalglands are symmctTie, Wilh bright ~lIow cortices and grey
aUlolyzed medullae.

GENtI0tlRINMX SYSTEM:
The righl and left kidlleys weigh 2]0 gm each. Thc eXlernal surfaces are inlllCl and arc
finely gnwular. Each kidney haa sevel'lll small cortical cysu, nonc of wllieh ate grealer lllan
0.4 cm in diameter. The cuI SurfacCli an: red-WI and congcsted, willi unifonnly thick
cortices and sharp cortieomedullary junctions. 111<: p<:lves are unr<:lltarlr.able and the uretc:rs
are normal in course and caliber. While bladder mucosa overlies an inlacl bladder walilhal
has a~a ofhanonttag<: surrounrlina and incll.ldinS tile lrigone. The bladlkr conlains no
urin<:. Thc= plOStal<: is nol'TlUll in size, with lobular. yellow-Ian parenc:hymL TlM: .seminal

MEDCOM 0377

ACLU Detainee DeathII ARMY MEDCOM 377

AUTOPSY REPORT (b)(6)
BTB Al Kbald, M_Jamty

~

v«icleJ are unremarkable. The le$les are free ofmass Icsions, contusions, or otha"
abnonnalities.
GASTRQMESTINAL TRAct:
The esopl\lgU5 il intKt and lined by $JnOOIh, grey.white mucosa. The Itomlth eon\JlillJ
Ippro:lilTlltely 120 ml of brown fluid. A gastrostomy lUbe perfotltcsthe pslrie wall. The
tube il pllenl. The duodenum, loops of small bowel and colon are unremarkable. The
appmdi:l is present and unremarkable.

•
•

•

•

ADDITlON6L PROCEQUI!ES
Doeumentary photognphs arc taken by &Il OAf ME phololUllpher.
Spocirnens retained for lO:lirolope teslillllld'or DNA identilication are: vitreolll,
blood. urine. spleen, llU\&. Ddney.liver, brain, bile. pltne contents, adipose til$ue
and psoai musele.
The di5S«led organs are forwarded with body
Ilersonal elfects are released to the IIppiOpnatc: morllWy opeBtions represenlatives

CONSULTATIONS
Cardilt Pathology ColI$ullalion (I)epanrnent ofCardiovueular Pathology, MIP,
WuhinBlon D.C.):
•

"Dlacnosls1(b)(6)
: Hur1:
I. Cardlomrgaly wllb left vutrkular byptr1roplly
1. Se~", corona". IIberosdn-OIIl1 wltll uklnUllon, two vft$d dlHlSe;
oc:t1uslve orcUW1l1: t1lrombu$, ""d kft anterlo, dlKtndlncar1e".
), 81111nl: IfI,um",..1 myOC'ardltl1 htrandon.left poUerolUeralvenlriullr
4. Huled tranlmuflllll)'OCudlalldlrclkHl. Ipt:l,IeR Inlerklr VUlriClilar
"'llIlnd septum
Clinkal hislory: This Iraqi National male ctelaineeofthe US Force luffered I myocvdial
tral\Iremd to the hospilal where he reportedl)' sutrCfCd
infarction orlb:H6 '05 and
anolhcl' myocardial infarclion o{(b)lOll and died de.pile emc:raent live saving efforu.

11I''

Heart: 582 grams; nomtll epielrdial fat; probe: ,.tcnl foramen ovale; left veIllrK:ularuvily
diameler 5.5 cm, left vmlrlcular IKe wall thickneu 1.6 em; ventricular septum thkkness
1.7 em; ri&hl vf:l1triele thic:kneu 0.) cm, withoul gross scarl or abnormal fat infiltnles;
8J1'1I1), unrernlr'nblc valves and mdoeIrdium; scarring ohhc Icft anterior ventric:ular wall
and 1epIUm; eircumferential aumnl of the apc:Il; postcrolatCtlI wall Sholli'I tan'8J1IY
softened Ileal; ailllcd IOnk 1'00I; histoloJic secliOlll show transmural repllCemenl librosis
ohhe len anlerior vmlrleular wall and scpI\lm and the a transmural hulinl infarction of
seven! wedc.s duntion seen in the left posteroilicral wail cl\lracteriud by Qtensive
IfWllllation lb5ue rOlTl'lalion with i1IlihTalion of numCTOlls mltTophases and lymphocytes
Corona.., arteries; nonnal ostia: left dominance: severe eoronary alhcrosclcroli. wilh
ealciliution
Left main coronary (lM): 40% lu.mina! narrowing lIy libf'oatbavmllOlll plaque

MEDGOM 0378

ACLU Detainee DeathII ARMY MEDCOM 378

A.UTOPSY Rf.PORT (b)(6)
BTB A.l lQ,a'ar, "hJamey

Patt' of'

Left arumordescendifll artery (LAD): Partial wnp uound LAD with up 10 1'% luminal
IWJOwing by nlcified Iibroalhel"oma; occlusive orpnil.inBthrombus mid l.AO: total
occlU$ion of diagonal branell by ealeilied fiblOiltherom,
uft circumflu mery (LCA): 7S% luminal narrowina oflhc distal LeA by calcified
Iibroatheroma
Righi C()f(Wtal)' artery (flCA): )0"..4 luminal nanowinB by IibroathetomalOua plaque"
Signed by Renu Vinnani. M.D. Cardiovascular PatllolOBiu (Ori,JlII.ls;plurc of tile in the

OAfME).

MICROSCOPIC EXAMINATION
Except where noted above. selected portiON oforpna
prepantion ofhillOlogic slides.

...
~

lite

telained in fonnalin, without

OPINION
Thil; Iraqi National male detainee of the US Foreel ,uffered a myocardial infarction on (b){6)
(b)(6)
200S while bcinB held.1 Cwp BlICU, Iraq. Hi.lloapilll course was complicated
by continued blood pres'ure nuctuatiOlUl m:I rcspiratory difficultiea. Based on the
examination of hia han there wu eXlensive damage and scarrinl from two luge
infarctiona (heart IUacltl). which reaulted from $CY= Itherosc:lcrosia. The mochaniillT1 of
death i. most commonly 11\ arrlt)'lhmia (inegul.llca.rt bell) ariaing in the dam.ged lreas
oflhe hean. The manroer of death is nllW'll!.
(b){6)

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Ei"iiilincr·------

j

MEDeOM 0379

ACLU Detainee DeathII ARMY MEDCOM 379

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~edical Examin..'

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ACLU Detainee DeathII ARMY MEDCOM 380

/REIoIOVE REVERSE AND RE·INSERf CAROONS BEFORE CONPLETING THIS SIDE}

,

D1SPOSlTlOH OF REMAINS
....A M£ Of' I.lOftTICIf<" PREPARlHG RB.\A.lNS

.""',

UCENSE HUMOEA lIMO STillE

'llSrA,lLA llOH 00 "I)()RESS

0''''

"""""'.,

--

IOTIIEII

3/15/2005
HME OF' CHEf ERY OR CAfINuonr

LOCA11lJ1.1

or CEMETlORY 00 Cl'U'IMTORY

OATE OF llISt'OSITlON

fYPE Of'DlSPOSnlOH

REGlSTAAnoN OF vtfAl STATISTICS
flECI$IRY

/r,~"

_c_1I)1

OATE AF.GlSTEn£O

NAMe:

l,l~

FUNEllAl OlllECT()I(

I

~UtNI.tIlER

STATE

OTHER

""""'"

SIGN" fUllF. OF IIV'! HORIZEO lHOlVlOUAI.

DO FORM

2D~4,

USN''' VI.()l)

APR 1977 (BACK)

MEDCOM 0381

ACLU Detainee DeathII ARMY MEDCOM 381

,
ARMID FORCES INS'ITIVI'E OF PATHOLOGY
omu of tbe AnaecI Fortell Medk:ai Euad.llft'
1413 Reaarclt Blvd., BidS. 102

Rockville, MD 20850
1-8Ol).944-7912
FINAL AUTOPSV lXAMINATION REPORT

""_
AFlPN01(b}(6)
Rank: CivililUl
Plate olDea1h; 1rIq
Pl_ of Autopty; Army Mortuai)'
Camp Vidcny.1taq

~

O",eofSirtb:(bJ(6j
pmOaIeof~6)~OO5
OaIeorAu~~:SF~200S

Date of Report: OS April 200S
Cin:1I. .wca or Dark: Thil 21-year-old male
durina I prilOn diwrbanee.

==j

~,~.~!{b~I~(6~1

Name: BlB Tlwfeedr:, Salmany
ISN(b)(6l

wu • civilian detainee who wu Iho!

Alltitoriudo.lor "limp.,.: Offil>:e oftbeAnned Forces Modieal Eumiuer,lAW ]0

USC 1471.
Ilkatiflcatio.:

Identifi~o.n i.

etlIblWled by meant of the au.adIed idellliflClliollIql.

CAUSE OF DEATBI G.....OC wOQlf.rtlacMlldMANNER OF DEATH, HOIIIidde.

fINAL AVI'OPSY DIAGNOSES
I.

perforatiJl8lJUll1bot wound of the be.d:
A. Entry. right poaaior parietal resioa ofbead

B. No evidence 0(IlOO( or ppowder Itippling i, pracnt on tile skin
arO\IfId the ~ wound.
C. Path: lkia ofrigln pocerior parietal ICIlp, right posterior parietal resioo
of the akul~ risk, cell,b",l1 hemUpIIere of the brain, ript puietal regioo
of the lkull.

D. Pro;mile: yellow metal hgment reoovend.
E. Exit: riahl parietal regioa of tile head.
F. Direc:tion: be.dt 10 &ord &lid upwards.
G. AlIQcilted injuries:
1. Multipl. Iinur hetvra of tile rig"l pariecal and vatex
regions oftbe ulvarium.

2. Perf'on1in8laeeradon of the right_tibial hemilpbeR.
1. Subp1eaJ hemorrllqe in the biparieul UId occipital resiona.

MEDCOM 0382

ACLU Detainee DeathII ARMY MEDCOM 382

2 ore;

AUTOPSY RJ:PORT(b){6)
TAWREEK, Salatuy
"'"

U.

AdditiOlIaI injuries:
A Cireular abruiollS on left laIn c.... loft upper ann, riJbt foteann IIId
the left thigh.

m.

Toxicology: Negative.

MEDCOM 0383

ACLU Detainee DeathII ARMY MEDCOM 383

•

,"6

AUTOPSY REPORT (b)(6)

TAWnEEK. S....·.)'

EmMAL J.XAMJNADON
The body I. thai of. well-developed, wdl..-riMod mtle u.t weip ~lIUIldy 112
pounds, is 61 incba In Jenatb IUld IppeUt c:ompalible with the reported .oU7 yarI.
Uvidily is tIud on the posterior IUtfiecI o(the body exc.ept in IRII expoIed I(I~.
Ria« is complete. The.ealp Mir II bllCk. Faa" hair eoNW or. bid be.-d IUld
murtaehe. Tho irides.,. Wk. Thc......
' we eloudy. The conjulldiYae are
unrelllal'bbio. The Klme are white. The extenlII .udllOl'y cuals. CXlemaI_ and onI
e&vilyare h. o(~ip llIIteriaJ IIld IbnonMllKl'etioftt,. The teeth are rIIt\nI ancI ill
aood condition. The nedI: is w.igbt UId the trxhet. ~ midline aad mobile. neebat iI
urnmarbble. Tbe abdomen il fl•. The upper and lower eldremitielllll symmetric. The
IKUllllf1II "2" il wrineo 011 the donum of the riabl b.aad. The finacmlillllll Intact. A 2 'Ii
It ~ meh blnd-like hyperter.lotie Ita it ~ on the dOl1llIW'f1ee ofbodl r.t. AD
k1ellliflwion ttall pi_ill on the riaht I lOe beuilll ~BTB [lb)(6)
_ The
genitalia are thoR of I nomW adul1 male.. The; bIrttodla aod ImU are wvemarbble.
CLOTBING AND PEMONAL IEfRCTS

The followilll penonal tll'ed• .ccompany the body.
I. ASOOODlllII"bIonkMl8-2. A band wilh~(b)(6)

demoppllie infomwlcm
EymENCE Of MlDICbL mu,;,ry

1. An .ndol:l'Uhea1 tube.
2. A nuopstrie tlIbe.
1, tntBvueul1J" Clthcterlln praent in the left llIteeublt&l folllllld ripl inauinal

rqion.
4. A Illenpeulie needle punaure lile in the right IIllecubitaJ ro....
S. A Foley ealheter.
6. Defibrillator pad. on lhe right upper IUld left literal ellea.

EVIDENg OF INlllBl'
The orderina of the followillJ injuria ill for delcriptiY'll pIll'JlC*l only, .nd il not
inleDGed 10 imply Of'der orlnfHClion or rdltiY'll Mlverily. All woulld pIIhw1ylare Jivea
relldiY'llIO JlIIIdard aNlomle polition.
Perf'orada.JIllldot WHlld eltlM bud:
Then dill a1ypic:aJ pmllot woomd ofenlranee litUlled Inlbe riabl poJler1or parietal
rqiOll of!he heM! loel.led I Y.o inchell bdow!he lOP ortho bwIlnd 2 l4 inc.hea riaN or
the pGIIer10r midline. 11lo wound meuures 'I.i It I" inch. There d_tric: IIIIIJinIl
abrQionloelted infero-medi.lly haviq an.venae width of l/lllll:h. No evidllllClO or

MEDeOM 0384

ACLU Detainee DeathII ARMY MEDCOM 384

SaI_,. .

A.UTOPSY IlUORTi(b)(6)'-===
TAWFJ:EEK,

4of6

or JlIl1pO'1V11u Itippting 11 present on the *iD an:JUnd the entrarK:e wound. The
Idjaeem imem• .lIy beveled akuU defect meuures ~ x 14 inch. The wound path puseI
through the skin altho riaJu posterior parielal tcIlp. rigid poIlcrior paritUJ region oftbc
skull, right eercblal hemisphere ofthe braiD" riahl parietal region of the skullllId the
right pariel&l tca./p. A tleII.te ~ wound iI praent in we right parieul region of the head
loeIted on the top ofl.be bold, tentered 2 ~ indies rig!ll oftbe Ulterior midliM. The elri1
$OOl

wound

mcuurea <4

~

x 2 ~ illCbeI. The trIjeelmy oftbe I\Wbot wounlI il bact 10 ltonl

and upward. A I nun yellow meW hpIent iJ recovered from tile right parieta1 .... bpleaJ
regiCXI.. Auoci,ted with tbe gunshot wound are ID\lltiple linear ~ oftbc right
puieuland ~ regiOlU of the ealvuium, pa10Rtina IlCeRtioo of the right cetebnI
bemilphere and subpleal hellllllTb.ge in the biJ*ietal and occipiral rqiona.
Addllloa.ll.ajury:

1b«e are muhiple circular .WOIII aver88insl4 inch in diameter di#ributed II foJIoWI:

1. Left mandibular ~n oftbe &ceo
2. Left lalcn1 surUce of the chest (2).
3. Po.eIior IUtface of the right forearm..
<t. Anterior $Ilrfice oCtile left upper tnIl..

,. Posterior lateral surfiloe oflbe left tbip.

INDBNAL EXAMINADON
HEAP:

(See above "Evidenc:f= of lJIj\ll'}"').
The IQIp iI rdllletcd. The calvarium oftbe skull il ~ The leptomeninaea are thin
and delicate. Coroll&llectiollll del!:lonJtnIetlwp demarcation betwec:a the lI.llinjlnd
white and gey m.tler. The ventricle. 11" of DOmlIl aize. The brain weighll15SO gm. The
lltIamo-occipitai joint i. sttble.

The anterior map IllUJeles of!he neck are homogencullllld red-brown, without
bemorrll'8~, The thyroid cartill8~ and byoid Ire intut. Tbe lal)'NI is lined by intact
while - . The thyroid ilsylDDletric and rcd-browII. The to!J3Ue it &ee orbile marks.
IIemorrfLaae, or othet injuriel.
BODY CM'11lES:
The rlml.im is visibly and palpably inllC:t. No exeeu fluid i. prueot in !he pericardia!,
pleural or peritonoal avilies. The orpns 0CCIIJlY their U1U&I anMomi<: podliona.

MEDCOM 0385

ACLU Detainee DeathII ARMY MEDCOM 385

•

AUTOPSY REPORT·~(b.::)(6.'-)

_

50'6

TAWFEEEK. him.,.

RFSPIMIORY SYStEM:

am.

The riSht and left lunp weigh 385 and 291
respectively. The extemal.maee, are
IIJlOOlh and deql red-purple. The pulmolWy parenchyml iJ difRuely OOfI8Wed and

edematOUs. No mus IClionl or areas ofcolllOlidation are present.
CAllPIOYASCULA& SYSTEM:
The 324 P tte.n is contained in an intact pericardialaae. The epic:ardiaJ.1lIJface i.
wooch, willi llliAimal fat investment. The eoronary lI'leriu arise normally, follow the
II1UI.I dillriblitiOll and are widely pIIad without evide_ of .ignifiCUlI ~ti. or
tlvOTllb<».i.. The myocardium i. bomogooous, red-brOWll, and firm. The valvo leafletl are
thin and mobile. The endoeardium is IIt100Ih and &Iisteni.... The ucending aorta siva
rile to three iDla.et mid pllen! vth veltel•. The rellll and melenteril: veaels an
IllIl'eIlWbble.

LIVER" Bn dAIly SysTEM:

The 1184 sm liver Iw an InUlet, Rnooth capwle llId I slwp anterior border. The
~hym. illan-brown and eonp:sted. with the usuaIloWlu udlitecrure. No TlIUI
le.iOfU or 0Iber IIbllOl1IIalities are teen. The p1/bLaddet eom~l1Il_ than S mI o(green·
black bile. The mueoaaJ surflce i. sroen and vdve.y. The extraIIes*k: bilil,r)' Me i•

...-.

8PJ EEN:
The 61 g.m Ipleen has. smooth, intt.et, ~e elPlUle. The pUUlehyrul. maroon
and eongested, with disdnel Malpighilll corpuscle..
PANCREAS:

The pIllfnU i• .aft Uld yellow-tin, with tlK IISUal lobular udlileetwe. No IrIUI lesiOtlll
or other abnormalities are aeea.

APRENA'S:
The right and left albenal glands are aymmetrie, wilh bnall! yellow cortic:a aDd 8Jey
medullie. No musa or ueu ofhemorrhqe are idelllified.
0ENIT01JRINARX SYSTEM·

The fiihl kidney weighs 10 JIll; tho left 10) am. The externaltur&ce. are intact and
smootb. The tllIlUtfIee:s ate red·ttn and o;onaated, with uniformly thick coniees and
I/wp coniconledullll'y junaiolU. The pelves are utln!lII&Ibble and the umera ate nonnaI
in COUl'Ie and ~ibet. Tan bll4der mUC:OM overlies an imlCl blldder wall. The blldder iJ
empty. The prosrae is normal in tilZ, with lob.ilar, yellow-tan pvt!nCbyma. The Jelllinll

MEDCOM 0386

ACLU Detainee DeathII ARMY MEDCOM 386

AUTOPSY Ul'ORT (bH6)
TAwn~lk.

60(6

S.,. . .,

vqic!a are IIrnmarbble. The tilt. ~ he or m. . laiona, eorltllliOlla, or odlcr

Ibaormalilia.
Q,:\STRQll:[IESTINbL 'BACT:

The aophaps ia lined by IrIlOOtb, llRY-wbita ",,'COP Tbo -.-=h OOIlWIlI
",proximUdy 100 mI of'ura,ray f1occu1e:Dl material Tbe pRric WlI1I ia inw:l. The
duodenum, Ioopa IIMll ~ eobt, UId ~ ~ lItIRmartable.

or

MICROSCOPIC IXAMINATION
Selet:led ponlcKll ororpm are ret:tJned III lbmllIill., without ~ of tu.toIope
Jlidea.

APDWONAL PJtOCEpllB"NUMAB"S
I

Documewry pbotoppItJ are tIba by OAFME .uJfpboloppbel" (b1(6)
(b)(6)

I

5petimelll r....i....... roftoxieoJoP: ladlll andIorDN':\ idelltifiealiOD are: blood,.

vitreoIII. bile., pstric: contents, JPIeen and liver.
I

Full body ~ are obl'ilft! and demollltrlte the illjuriet .. desaibed..
Selrtend minule metallic: hgmt:lltl are __ ndiograpbic:ally ill the ~ of the
"'" - . I .

•

The d;.I~«I 0l'JUII'" fot'warded with the body.
The _ucellllflll1lic: &qmenI il p1al:ceI ill a labeled c:ontIinet-alllI re1eIIed 10

I

PU10lIIl

I

the alteodilll inY'Utiplive
dfec:tl are nl
repretUlWivq,

aaema.

c

, .

to the appropriate mort\IIfy

0fIU"Ili0aI

OPINION

Thil 27·)'Mr~ld mala ciyilian detainee dicel olalJllDlbol wound 10 the held. There wu
no evidence of c:1o.. ranp flriq 011 the Kin Il"OlIIId the enumce wound. The IIIll1hot
wound puIlIl tbrou&h the head caulina exteIlIive Injury 10 the akuU aDd braiD.':\ lingle
pn>jel:tile lnImen! WIII'fICO\1nld.
The 1JlI~ or deltll is Ilomic:ide.
(b)(6)

(b){6)

MedieaJ Euminer

MEDCOM 0387

ACLU Detainee DeathII ARMY MEDCOM 387

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IMedieal examiner

1['.......-""_
[)clw( ~a. Q!; 19902

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05 Fab 2005

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MEDCOM 0388

ACLU Detainee DeathII ARMY MEDCOM 388

.

fREMOVE REVERSE ANDRE-INSERT CARBONS BEFORE COMPLETING THIS SJOE)
DISPOsmON OF REMAINS
tw.tE Of IoCATJCl,lH PFlEPAJIIMG AEIIWIIS

""""

UCElfSE NUtoIllEA MlOSTA1E

INS'fAL.....llON DR ACDfIESS

OA1"E

.G""'"''

NAIoIIE OF CDIE1ER't DR CA£lAATDR't'

lOCATIOH OF caETEIn' OR CREMATORY

IOTHEIt

,
o-.n: Of OlSPOSmOH

T'l'PE OF 0ISP0S1TI0H

REGISTRATION OF VITAL STATlSncS
R£GISTRf {T-..

ne-,J

CAll: REG/STEREO

FilE "lUIoIllEA

",.n
H.w£ Of

~

OIAECTDR

1°....

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SlGNAf\IFlE 01' AlJ'TMClIillUD INDlV1DlJloL

OD FORM 2'N4, APR

,gn (BACK'

OSAPA Vl.00

MEDCOM 0389

ACLU Detainee DeathII ARMY MEDCOM 389

•

...

ARMED FORCES INSTITUTE OF PATROLOCV
omu of Ih~ Armt'd Force! Mcdi~.l Euminer
141l ReJUtch Blvd.• Bldg. 102

Rockvillt, MD 20850
1-800-944-7912

FINAL AUTOPSY EJ(AMlNAT10N REPORT

Autopsy N~~.~'bt)l~6~'

Name: BTB ..\bid, hmail Hammed
ISN!~(~

Date orBi"IILl~_ 6

AFtP No.~b)(6)
RInk: Civilian
Place o(Death: Irlq

1916

DatcofDeld(b)(6)
2005
Oate of Autopsy: S Fcbruuy 200S
Date ofRepol\: 29 March 200S

__j

Place of "utopay: Arm)' Morruary
Camp Viclory. Iraq

Cin:umSllncu of DeJllb: Thil 29-yar-old mate was I civilian detainee soot during I
prison distuibll'lCc.
AUlhorizalion (or AUlopsy: Office of tile Armed forces Medicil Examiner. lAW to
USC 147.

....

ldcntifiulion: Identification il cstabti,1Ied by means of Ihe Ittached idenlification lagl.
CAUSE OF DEATH: GUlllhollll'ouod arlhe [heIC.
MANNER OF DEATH: Homicide.

MEDCOM 0390

ACLU Detainee DeathII ARMY MEDCOM 390

•

AUTOPSY REPORTll b)(6}
BTB ABlD,lImail Dammed

20r6

flNALAUlorsy DIAGNOSES

I.

Perforating gunshot wound orllle chesl:
A Entry: left side orllle back.
B. No evidence of lOOt or gunpowder Jlipplilll is presellt on the akin
lUOund the enlTJl\Ce WO\lnd.
C. Pllh: skin oflhe back, the leA ,,, rib, tel\ lung. descending &ona, righl
lung. right 6" and ..,.. ribs. skin of the right chclt.
D. Exit; right lateral CheSI,
E. Direttion: left to right, btek to lToot and upward.
F. Auoeialed injury:
l. Fracture ofille po5lerior Illera' aspect orllle left S· rib.
2. Fractures ortlle l.terJl a"peCI ortlle right 6" and ..,.. rilli,
l. Perforating Jlcefllion of the descending aorta.
I. Bilateral hemothoraces (righl SOO m!.lcft 1000 ml).
4. Esophagealilcefition.
S. Perforatinglacc:mion orllle middle and lower lobes orille
righllung.
6. Perforating laceration orlhe lower lobe of the left IlIlII.

II.

No significant nltural dilelse5 identified. wilhin Ii mitltions of
the ex.mination.

Ill.

Toxicology: NegaliYl:.
EXTERNAL EXAMINATION

The body is tllal ofa wen·developed, well·nourished male tllal weighs approximately JII
pounds, is 67 inches in lengtllalld appears compatible willilhe reponed age of29 yeatl.
LiYidity is Ii~ed on the po5lerior JUrface oflhe body exeept in areas exposed III preuure.
Rigor is eompltle. The sealp hair is blKk. A blaek beard alld mustaehe are abo presenl.
The irides are dark. The oomeae are eloudy. The eonjunetivae are unremarkable. The
selerae are white. The e~temal auditory eanals, ntemal nares and onll eavity are !Tee of
foreisn material and abnonnal secretions. The teeth are nall...,a1 and in good c:ondilion.
The neek is straight, and the traehea is midline and mobile. The ehm shows evidence of
injUT)' 10 be fur1her described below. The abdomen is flat The fingernaillare inllel. The
upper and lower elCIremities are sYmmetrie~ldenlifieation tlllue present on lhe I- loe of
each foot. bearinglhe name BT8(b}(6}
The genilalia are those ora normal &dull
male. The buttocks Illld anUI are unremarkable.
CLOTHING AND PERSONAL £ffEQS

The followins elOlhing itemslnl! peTloOI1al effeas Iccompany the body:
I. A 1000 DinarblllknolC.
2. An idenlifiulion eard in Arabie.

MEDCOM 0391

ACLU Detainee DeathII ARMY MEDCOM 391

•

...

AUTOPSY REPORl1"l(b,:,){,,"-,--_ _
BTB ABID. hm.n HIIIIIDW

3. A band wilh"<b"'"<'"'~

30{6

•

...J

it

pholo alld demographic information.

[WENCE Of MEDICAL THERAry
I. An endotracMal Nbc.
EVIDENCE Of iNJURy

The ordering orlhe following injurics is for descriptive pIlJ'llOKI only, and is not
intended 10 imply order ofinfliClion or relative seventy. All wound pathways are given
relative to standard anatomie posilion.
f'cr(onting gunlhol wouod orlhe (hul:
There is I gunshot wound of entrance .itulled on the left side orllle back louted 18 ~
inchcs below the lop oflhe head and 6 inches left onlle po5tcrior midline. The wound
menures 118 inch. There is e«cntric marginal.bruion ranging in width from 1/16 inch
to 118 inch in the ) to 12 o'clock position. A 1116 inch lacer.lion is located in the 2
o'cloek position. No evidence of$OOl or Btmpowdcr stippling;s prnenl on the skin
a10und the entrance wound. The wound patlt passes tltrough tile Jkin of tile ~ck, tile left
,110 rib. leA lung, dC;S(;Cnding IlOna, riglK lung, rigtu 6110 and 1'" ribs Ind skin of tile right
chest. An exit wound is prncnt on tile right ,ide oftltc chest located 16 incllcs below tile
lop of Tile Ileld and 6 'h incltu rigltt of tile IIITeriot midlinc. The uit wound measurcs %
x If, inch. The trajectory Ofllle gunshot woulld is left 10 right. back to {rOllland upwlJd.
No projcctile or projectile frallmenls are recovered !Tom the wO\Jnd trick. AssocilJed
witlt the gunshol wound arc fracture oflltcFterior Illerilupect oftltc left ,. rib,
fraetures of tile lateral aspect ofllle right 6 and"" ribs, pcrfOr.tinlllac:cration of the
dC;S(;Cnding IOn&.. billteral hemOThoraces (SOO ml on the rillht and 1000 ml on file left),
llOmltion of the e$Ophagus, perforating lacerations of Tile middle and lower lobes of lite
rillh! lung and perfOIllTins llcerltion of the IoWCf lobe of tlte left luns
INTERNAL EXAMINATION
HEAP:

The scalp is reflceted. The calvarium ofllte skull is removed. The leptomeninges Ire thin
and dclicate. Coronal sections demonstrate sharp demarcllion betwccn white Ind grty
miller The ventricles arc ofnormal siu. The blllin weighs lS08 gm. The Itlwooccipitll joint is stable.

Tile Interior strip muscles of the neck Ife homogCflOlls and red-brown. without
Ilemorrhlge. The thyroid cmillge.Ad hyoid.~ intlet. Tile larynx is lined by intact
white mucosa.. The thyroid is symmetric and red·btown. The longue is frt'C of bite m&Jks,
hemorrhlge. or OIlier injuries.

MEDCOM 0392

ACLU Detainee DeathII ARMY MEDCOM 392

,

•

AUTOPSY REPOR,,(b)(6)

• 0(,

BTB ABID, b",.il HUIDltd
BOPY CAVITIES,
(Sec above "Evidence o(J"jury~)

The Ilernum is visibly and palpably illlICl. No ace» fluid i. present in the perieardial 01
peritonul gvilies. Tile Oflans OCQlpy their UJUllanalomic positions.

R£SPIMIQIl.Y SYSTEM:
(Sec above "Evidence of Injury")

ne rilh! Md left Iunss weigh 261 and 264gm. r~lively. The uninjured eJ{lemlJ
$Lrlacts Itt _mooch and d«p led-purple. 1lIe uninjured pulmol\lr)' pucnchyml is
difli.,sely congested and ~mIIOUJ. No mus lesions or areas of consolidation arc present.
CARDIOyASCULAR SySTEM:
(See above "Evidenee of Injury~)

The l~ am han is conlained in an imaet perlC&fdial SlIe. The epicardial surflce is
lmooth, witb minimal fit invatmmt. The corooary .netic. arise normally, follow the
ulUal distribution and an: widely palenl witlloul evidcnl:c of significant IlhcrofCh:ro,i. or
thrombosis. The myocardium isllofl\Ogmous. red-aoWll. and firm. The YlIlve leaflets arc
......

thin and mobile. The ~dium is smooth and glistening. The: ascellding 1011. gives
rille to INee ;nllel and palall ardl W:SKls. The renal Ind mnenteri<: vessels are
......cmarbble.
LIVER." Sn.IARY SYSTEM:

The 1293 8m livft" Iw &II intlCl. smooIh capsule IIld a "wp anterior bord«. The
pUellChyml is lan-brown and congesled, with 1he 1I_llobIIlar architectllre. No Il\IJJ
lesions or other abnormalities are seen. The plibl.delCf COfUins .woltim.tely 10 Illl or
8JftlI-blad< bile. The nalcosal surface is P'ftrt Ind velvety_ TM wrahtpltic biliary lree
is partllt.
SpLEEN:

Tile 126 am spleen has a smooth, illlaa, n:d-purple capsule. The parmchyml is maroon

and COnSesled, wilh distinct Malpishiln t'OrpIlKICI.
PANCREAS;

The pancreu illOft and yellOW-Ian. wilh the llsuallobulu uchilectlile. No II\ISIlaiom
or other abnormalities ue Ren.

MEDCOM 0393

ACLU Detainee DeathII ARMY MEDCOM 393

...

AUTOPSYREPORTt~=}=~~}
BTB ASm, "mill H.mmed

__

S of6

APRENALS:

The right &lid IrA adrenal glands iUC symmetric, with. briSllt yellow cortices.1ld grey
medullae. No mane, or an:IS orhcmorrha&e arc identified.

GENlIOllRINARY SYSTEM:
The right and lell: kidney. UtI! weigh 122 gm. The e>eternal surraces are intact ItId
smooth.. The cut surfaces are red-tan and COO8e5ted, with uniformly thick cortices and

s!larl' ool1ieomedulluy junctions. The Pflvts ~ unrcmll'klblc IllId the ureters arc normal
in course and c.llibcr. Tan bladder mucosa overlies an intact bladder .....11. The bladder
com';n, approximately 10 mt of clear amber- urine. The prostate is normal in si"- with
lobular, yetJow-11lll pareo<:hymL The seminal vcsiclcll1e unremarkable. The testes Ire
ITec ofml" lesions. eornusions, or other abnornulitics.
GASTROINTESTINAL TRACT:
(See above "Evidence of Injury")

The uninjured oophagus is lined by

,_II. grey-while mucosa. The stomacll contains

approltimltely 60 ml of Ian flocCll!ent ITIIlmal, The glltric wall is intact. The duodenum,
loops of sm.II bowel, colon, and appel'ldi~ au: ulU'emarkable.
MICROSCOPIC EXAMINATION

Sele<:te1l portions of orglllls are retained in formalin, without preparation ofhi51ologic
slidn
ADDITIONAL P8OCEDllB£S!RI:MARKS

•
•
•
•
•

Documentary phOiograplls are taketl by the OAFME $IaffphOlographer.
Specimens retained for tolticologie testing and/or DNA identification are: blood.
vitreous. bile, gUrlc contents. spleen, liver and urine.
Full body radiographs are obtained. No definitive projectile or lTagments are
identified radiographically.
The dissected orglllS are forwarded wilh the body.
Pet$Ollal effects are released to the anending investigative ageney alld appropriate
mortuary operations represemalives.

MEDCOM 0394

ACLU Detainee DeathII ARMY MEDCOM 394

o

o·

AUTOPSY REPORT (b)(6)

60(6

BTB ABID, hmlil Hlmmfd
OPINION

This 29-yur-old male civilian detainee died oflllul\£lIot wound to the dlest. There was
no evidence ofclose range firing on the sltin around the entrance wound. The gunshot
woond jnued through the thoracic CIIVil)' causing hemorrhage and injury to intern,l
organs. A projectile WIS 11(I1 re<:overed,
T'h.e manner"o(death is homicid,.._,

(b)(6)

(b){6)

Medic.1 E~aminet

MEDCOM 0395

ACLU Detainee DeathII ARMY MEDCOM 395

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MEDCOM 0196

ACLU Detainee DeathII ARMY MEDCOM 396

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MEOCOM 0397

ACLU Detainee DeathII ARMY MEDCOM 397