关键词: Forensic Pathology Genital Mutilation Hemorrhagic Shock Infant Death Male Circumcision

Mesh : Humans Circumcision, Male / adverse effects Male Shock, Hemorrhagic / etiology Ceremonial Behavior Fatal Outcome Infant, Newborn

来  源:   DOI:10.7417/CT.2024.5104

Abstract:
UNASSIGNED: Male circumcision (MC) is a practice involving the surgical excision of the foreskin to expose the glans and it is often performed for religious reasons. Ritual circumcision is frequently carried out by unqualified practitioners in inadequate settings, which can also lead to the death of the individual.
UNASSIGNED: A 28-day-old infant was undergoing circumcision by a man that performed the circumcision using a razor blade. During the same day, the child experienced continuous bleeding from the wound and, finally, died after about 20 hours. At autopsy, a cutaneous sharp injury was revealed with ablation of the foreskin and part of the penile body. The lesion had irregular and jagged margins, with diffuse hemorrhagic infiltration. The glans and upper fascia of the penis appeared edematous and hyperemic and there were abundant hemorrhagic infiltrations in the frenulum area. The child\'s death was attributed to hemorrhagic shock in a child undergoing genital mutilation surgery. The finding of a significant hemorrhagic infiltration of the frenulum region indicated that the frenular artery had been severed.
UNASSIGNED: Around 35% of ritual male circumcisions are performed clandestinely in Italy, and typically by unqualified practitioners. In such events, the forensic investigation of the injuries inflicted on the victim allows for determining whether the procedure was performed appropriately or not, to verify the existence of a causal link between the procedure itself and the death of the individual.
摘要:
男性包皮环切术(MC)是一种涉及手术切除包皮以暴露龟头的做法,并且通常出于宗教原因进行。仪式包皮环切术经常由不合格的从业者在不适当的环境中进行,这也可能导致个人死亡。
一名28天大的婴儿正在接受一名男子的包皮环切术,该男子使用剃刀刀片进行包皮环切术。在同一天,孩子经历了伤口的持续出血,最后,大约20小时后死亡。尸检时,切除包皮和阴茎的一部分,发现皮肤锐器受伤。病变有不规则和锯齿状的边缘,弥漫性出血性浸润。阴茎的龟头和上筋膜出现水肿和充血,并且在系带区域有大量的出血性浸润。该儿童的死亡归因于一名接受生殖器切割手术的儿童的失血性休克。发现系带区域有明显的出血性浸润,表明系带动脉已被切断。
约35%的男性包皮环切术是在意大利秘密进行的,通常是由不合格的从业者。在这样的事件中,对受害者造成的伤害的法医调查允许确定该程序是否被适当地执行,以验证程序本身与个人死亡之间是否存在因果关系。
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