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Death abroad: Medico-legal autopsy results of repatriated corpses A retrospective analysis of cases at the Department of Legal Medicine in Frankfurt am Main
مرگ در خارج از کشور: نتایج کالبد شکافی پزشکی قانونی اجساد برگشت یافته یک تجزیه و تحلیل گذشته نگر از پرونده ها در بخش پزشکی قانونی در فرانکفورت-2020 Introduction: Repatriated corpses may have been autopsied abroad. The aim of the study was to compare
the findings from second medico-legal autopsies with those from primary autopsies abroad to spotlight
possible implications for the management of repatriated corpses.
Material and Methods: All autopsies from a 20-year period at the Institute of Legal Medicine in Frankfurt
am Main on repatriated corpses of German citizens were reviewed. The results were compared with
the information from the body passports, the protocols of the autopsies in the country of death, and the
police files.
Results: In total, 151 corpses repatriated from 56 different countries were autopsied. The interval between
death and autopsy in Germany was 2–603 days (median: 11 days). 91 of the repatriated corpses (59.5%)
had previously been autopsied abroad. Three body cavities had been opened in 78.0% (71/91) of the
original autopsies; among them, there were 11 cases (15.5%) with dissection of all organs, as opposed to 7
cases (9.9%) with all organs intact and in situ.
Of the previously autopsied corpses, 62.6% were accompanied by a body passport that noted the cause of
death. In nearly 75% of these cases, the stated cause of death was compatible with that established at
second autopsy. In 5 cases (10.2%), the cause of death established in the second autopsy disagreed with
that on the body passport. The most prominent disparity was a cranial gunshot wound rather than the
stated fatal fall.
Discussion: This analysis of individual cases spotlights the problematics of an uncritical approval of the
body passport. In light of the different procedural autopsy standards around the world, the validity of an
autopsy abroad is discussed in the context of the second autopsy results.
Conclusion: A second external postmortem examination by qualified medical practitioners should be
obligatory in all cases of repatriated corpses, with notification of the criminal police in all cases of nonnatural
or undetermined death. A timely second autopsy is recommended even in cases with previous
autopsy abroad. Keywords: Transfer of mortal remains | Body passport | Repatriation | Embalmed | Second autopsy | Vienna Convention |
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