Beyond the Scalpel: The Power of Questioning in Autopsy and chasing the truth – a case series
Keywords:
Forensic medicine, Medico-legal autopsy, DNA analysis, Scientific rigour, Professional disagreementsAbstract
The word autopsy is derived from the Greek term autopsia, meaning to “see for oneself ” and is the keystone of forensic medicine. The medico-legal autopsies in India are performed at the request of an investigative officer as guided under the Bharatiya Nagarik Suraksha Sanhita (BNSS) 2023, replacing the former Criminal Procedure Code (CrPC) 1973. A com plete and meticulous autopsy is always necessary, as minor omissions can lead to misinterpretation of findings, affecting judicial outcomes. Post-mortem artefacts and handling-related alterations can further complicate the interpretations, resulting in obscure or negative autopsies where no definitive cause of death is established. Incongruities among forensic experts can sometimes create professional disagreements, yet such wide-ranging outlooks can ultimately enhance justice delivery. This article presents a case series highlighting the significance of preserving trivial evidence, conducting a com plete post-mortem examination, and looking at the post-mortem case through an open-eyed approach. Through three post-mortem cases, we demonstrate how scientific rigour, DNA analysis, histopathology, radiology, and toxicology con tributed to solving complicated cases. Our findings highlight the need for a systematic and neutral approach in forensic pathology to prevent wrongful accusations and ensure reliable post-mortem examinations
References
Dehner LP. The medical autopsy: past, present, and dubious future. Mo Med. 2010 Mar-Apr;107(2):94-100.
King LS, Meehan MC. A history of the autopsy. A review. Am J Pathol. 1973;73:514-44.
The Bharatiya Nagarik Suraksha Sanhita. New Delhi: Gazette of India; 25, December 2023. No. 46 of 2023. Available from: https://www.mha.gov.in/sites/default/files/202404/250884_2_english_01042024.pdf
The Code of Criminal Procedure. India: Gazette of India; 1974. Available from: https://www.mha.gov.in/sites/default/files/2022-09/ccp1973%5B1%5D.pdf
Menezes RG, Monteiro FN. Forensic Autopsy. [Updated 2023 Sep 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK539901/
Scendoni R, Fedeli P, Cannovo N, Cingolani M. The “Magnificent Seven Errors” in Forensic Autopsy Practice: The Italian Context. Acad Forensic Pathol. 2021 Dec;11(4):208-14.
Benbow EW, Roberts IS. The autopsy: complete or not complete?. Histopathology. 2003 May;42(5):417-23.
Kumar K, Kumar V, Sharma N, Gaba K, Kaushik R. The definitive indefinite cause of death. Medical Research Archives. 2023 Dec 26;11(12).
Cohle SD, Sampson BA. The negative autopsy: sudden cardiac death or other?. Cardiovascular Pathology. 2001 Sep 1;10(5):219-22.
Path JL. The Obscure Autopsy and Neuroleptic Malignant Syndrome. Medicine, Science and the Law. 1997 Jan;37(1):79-81.
Rani S, Nair GS, Shetty SS, Sapna Patel MC, Arun M. Death due to trauma or disease? - A case report. Journal of Forensic Medicine and Toxicology. 2023;40(1):121-4.
Turner SA, Barnard JJ, Spotswood SD, Prahlow JA. “Homicide by heart attack” revisited. J Forensic Sci. 2004;49(3):598-600.
Alvarez-Cubero MJ, Saiz M, Martinez-Gonzalez LJ, Alvarez JC, Eisenberg AJ, Budowle B, Lorente JA. Genetic identification of missing persons: DNA analysis of human remains and compromised samples. Pathobiology. 2012 Jun 21;79(5):228-38.
Kumar N, Maitray A, Gupta R, Shukla SK. Effects of preservative on foetus tissues and DNA profiling in forensic cases. International Journal of Molecular Biology. 2018;3(4):165-7.
Latham KE, Miller JJ. DNA recovery and analysis from skeletal material in modern forensic contexts. Forensic Sci Res. 2018 Oct 8;4(1):51-59.
Cecchetto G, Amagliani A, Giraudo C, Fais P, Cavarzeran F, Montisci M, Feltrin G, Viel G, Ferrara SD. MicroCT detection of gunshotresidue in fresh and decomposed firearm wounds. Int J Legal Med. 2012 May;126(3):377-83.
Taborelli A, Gibelli D, Rizzi A, Andreola S, Brandone A, Cattaneo C. Gunshot residues on dry bone after decomposition – a pilot study. J Forensic Sci. 2012 Sep;57(5):1281-4.
Ramalingam S, Veeravijayan A, Narayanan S. A meticulous autopsy halts erroneous justice – Case report. Indian J Forensic Community Med. 2023;10(1):52-56.
