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SPONTANEOUSLY ARISING DISEASE: REVIEW ARTICLE

Some Challenges in Forensic Veterinary Pathology:


A Review
R. Munro*,† and H. M. C. Munro†
* Royal Veterinary College, London and † Royal (Dick) School of Veterinary Studies, Edinburgh, UK

Summary
Forensic veterinary pathology is a diverse discipline that is in an early phase of its development. Common chal-
lenges include estimation of the age of skin wounds and bruises, the diagnosis of drowning and estimation of the
time since death. However, many details of the pathological findings related to these various aspects await val-
idation. The ‘multispecies’ nature of veterinary pathology, combined with the preponderance of published ob-
servations originating from animal experimentation, rather than casework, poses two challenges. Firstly,
extrapolation of results between species may jeopardize the reliability (and credibility) of the forensic opinion.
Secondly, experimental studies may not truly reflect the spectrum of changes seen in actual cases (e.g. extent of
injuries, infection, age and health of victim). With regard to drowning, diagnosis based on post-mortem find-
ings remains problematical. Methods for estimation of the time since death (also known as the post-mortem
interval) continue to be a major focus of study, with fresh avenues such as post-mortem diagnostic imaging of-
fering interesting possibilities.
Ó 2012 Elsevier Ltd. All rights reserved.

Keywords: bruising; drowning; forensic veterinary pathology; time since death

Contents

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
What is the Meaning of ‘Forensic’? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Brief History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Estimation of the Age of Skin Wounds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Estimation of the Age of Bruises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Gross Examination of Bruises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Microscopical Examination of Bruises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Other Tests of Bruises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Bruising in Poultry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Drowning: A Difficult Diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Experiments on Drowning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Lung Weights of Drowned Dogs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Microscopical Examination of the Lungs from Drowned Animals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
The Diatom Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Estimation of Time since Death . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Methods for Estimating Time since Death . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Temperature-Based Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Post-mortem Chemistry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Histopathology and Electron Microscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Post-mortem Radiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68

Correspondence to: R. Munro (e-mail: Ranald.Munro@ed.ac.uk).

0021-9975/$ - see front matter Ó 2012 Elsevier Ltd. All rights reserved.
http://dx.doi.org/10.1016/j.jcpa.2012.10.001
58 R. Munro and H.M.C. Munro

Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Conflict of Interest Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

Introduction 2007b). For the purpose of this review, the word ‘fo-
rensic’ is used in the context of ‘relating to the law’.
The work of the forensic medical pathologist and the Further confusion can arise through differing inter-
forensic veterinary pathologist is essentially similar, pretations of the terms ‘forensic medicine’, ‘forensic
but there is a major difference. The work of the former pathology’ and ‘forensic science’.
focuses on one species only, while that of the latter en- ‘Forensic medicine’ (sometimes also called ‘legal
compasses multiple species of great variety, ranging as medicine’) refers to the application of medical and
it does through cases involving companion animals veterinary knowledge to the elucidation of evidence
(including exotic species), farmed livestock and wild- for the courts. To some, forensic medicine and forensic
life. The complexity of multispecies forensic pathol- pathology are recognized as being separate, but
ogy renders a review of all aspects, in all species, closely allied to one another; hence the departmental
unwieldy and confusing. For this reason, the present title ‘Pathology and Forensic Medicine’ that is found
review concentrates on four selected aspects of foren- in many veterinary institutes worldwide. ‘Forensic
sic veterinary pathology that, in the present state of science’, however, is generally understood to encom-
knowledge, are sources of difficulty. These areas are pass factors such as scenes of crime examination,
(1) estimation of the age of skin wounds, (2) estima- ballistics tests, DNA analysis, toxicology, etc. Never-
tion of the age of bruising, (3) the diagnosis of drown- theless, it should be recognized that some workers
ing and (4) estimation of the time since death. may include pathology under the term ‘forensic sci-
Veterinary pathologists are often encouraged to ence’.
state when a skin wound was inflicted or to give opin- Reports from forensic veterinary pathologists may
ions on the age of bruises. Similarly, it is often of pri- be requested in both criminal and civil cases. Civil
mary interest to investigators to establish the time of cases are concerned with the settlement of private dif-
death as accurately as possible and there is an expec- ferences between members of a community and are
tation that the pathologist can provide the answer. distinct from cases where a criminal charge is in-
Also included in the challenges facing the veterinary volved. The standard of proof necessary in civil cases
pathologist is the troublesome subject of drowning, is often less exacting than that required in criminal
which has been the focus of extensive research on cases, with the decision depending on the ‘balance
both human corpses and experimental drowning of of probabilities’ rather than a need ‘to satisfy the court
various other species. Courts rely on veterinary pa- beyond reasonable doubt’ that a crime has been com-
thologists to unravel the necropsy evidence with mitted (Ross and Chalmers, 2009). Nevertheless, the
a view to establishing whether an animal, recovered task of the forensic pathologist remains the same: to
from water, was alive at the time of immersion. Addi- provide meticulous records, care and attention to de-
tionally, the veterinary pathologist will from time to tail, clear reporting and recognition that the report is
time be required to examine a cadaver where there produced to aid the court to arrive at a just decision
is concern that the animal may have been drowned (Munro and Munro, 2008b). Given the nature of civil
in a bath or other receptacle. Such cases may be fur- proceedings, which frequently are settled out of court
ther complicated if the body has been moved to an- and therefore may not come to the attention of the
other location. general public, very little has been published, in En-
glish language peer-reviewed journals, on the details
What is the Meaning of ‘Forensic’? of veterinary evidence in civil cases. Thus, this review
is biased towards criminal offences.
Definitions are important in the avoidance of misun-
derstandings and this is particularly relevant when
Brief History
words or phrases are used both in ‘everyday language’
and in medical terminology. ‘Forensic’ is just such an In the medical field, the development of forensic med-
example, since its original meaning of ‘relating to the icine (using the term in its broadest sense) has been
law’ has broadened over recent years to implying ‘a well documented (Fisher and Platt, 1993; Wecht,
detailed investigation and collection of evidence re- 2005). At the forefront was Italy, and by the second
gardless of whether or not there is a specific legal half of the 16th century medical legal autopsies were
case or enquiry pending’ (Cooper and Cooper, being conducted in a number of European countries.
Challenges in Forensic Veterinary Pathology 59

The first formal academic lectures in forensic pathol- wound healing in the species of animals under inves-
ogy were held by Johann Michaelis and Johannes tigation. However, there may be no such current
Bohn at the University of Leipzig in the mid to late knowledge!
17th century (Smith, 1954 cited by Finkbeiner et al., Wound healing is complex, but detailed knowledge
2009). Towards the end of the 18th century, three of the process has expanded greatly since the 1980s
Chairs in forensic medicine were created in Paris, (Swaim and Krahwinkel, 2006). Much of the under-
Montpellier and Strasbourg, but it was not until standing of the stages of wound healing, based on mi-
1807 that the first Chair of Legal Medicine in the En- croscopy, has been gleaned from experimental studies
glish speaking world was established in Edinburgh, in a range of animals including mice (Hiss et al., 1988;
Scotland. Shortly after, the first Professor of Medical Birch et al., 2005), pigs (Sullivan et al., 2001) and
Jurisprudence was created by the College of Physi- guinea pigs (Cox et al., 1989). Therein lies a problem,
cians and Surgeons of New York City in 1813 because experimental studies may not truly reflect the
(Camps, 1976). spectrum of changes related to the size, type and an-
In contrast, the development of forensic veterinary atomical location of the wound, or take account of
medicine has not been formally documented. How- the extent of infection in the wound, or the age, spe-
ever, in recent years the publication of a number of cies or health of the victim. The complications affect-
English language textbooks and journal articles high- ing wound healing are considered by Demetriou and
lights the increasing interest in this area (Stroud, Stein (2011).
1995; Cooper, 1998; PAW, 2005; Sinclair et al., Animal models are frequently used in researching
2006a; Cooper and Cooper, 2007a, 2008; Merck, human conditions. The results of these experiments
2007a; Munro and Munro, 2008a, 2011; Newbery are then extrapolated despite substantial differences
and Munro, 2011). Wildlife forensic investigation existing between the reactions of the ‘model’ and hu-
continues to generate attention throughout the world man beings. For this reason, Saukko and Knight
and two recent textbooks covering this complex area (2004c) consider the use of results from animal exper-
(Huffman and Wallace, 2012; Cooper and Cooper, iments as an unreliable basis for opinions in the con-
2012) are a welcome addition to the literature. text of human forensic pathology. An example
concerns the dating of human wounds using rats as
the experimental model. Conclusions based on such
Estimation of the Age of Skin Wounds
extrapolated data should be viewed with some cau-
Ohshima (2000) was of the view that in forensic pa- tion since the major process involved in wound closure
thology ‘wound examination is the most important in rats is contraction, whereas epithelialization is the
matter and that it requires much experience of foren- primary mechanism in people (Gottrup et al., 2000).
sic practice’. Other pathologists may place the em- The obverse of that must also be true, where the dat-
phasis elsewhere, but in many cases it can be of ing of wound closure in rats based on the published
considerable evidential interest to determine whether rate of epithelialization of human wounds would be
a wound occurred before or after death. This is not al- unsound. This has wide implications for forensic vet-
ways an easy or simple distinction since the lack of re- erinary pathology, for it casts doubt on the reliance
action around the wound margin does not necessarily paid, in many veterinary publications, on extrapola-
indicate that a wound occurred post mortem. How- tion of results from studies on people to a range of an-
ever, a well-developed response around the wound imal species. As noted above, and by other researchers
margin is a clear guide to ante-mortem injury. Even (Chvapil et al., 1979), direct inter-species comparisons
so, care should be taken when assessing microscopical suffer from the same uncertainties.
changes. For example, it has been recognized for Hosgood (2006) provides a detailed review of the
many years that small numbers of leucocytes at stages of wound healing. The healing process is tradi-
wound margins do not necessarily signify ante- tionally divided into three phases: inflammatory, pro-
mortem injury (Raekallio, 1980). Indeed, Saukko liferative and maturation (Ohshima, 2000).
and Knight (2004d) caution that leucocytic infiltra- However, these phases are not defined precisely in
tion can occur in wounds in people ‘even several hours time and all overlap to some extent (Baum and
after death’. Arpey, 2005). Early blood clotting and the develop-
If the wound is adjudged to be ante-mortem in ment of provisional extracellular matrix are
character, the period that has elapsed from the time followed by scab formation, inflammation and de-
of injury to death of the animal (or presentation for bridement (including migration of leucocytes into
veterinary examination) may be of significance. Ide- the injury and a shift from neutrophil predomination
ally, forensic veterinary pathologists should have in the early inflammatory period to macrophages
a thorough understanding of the pathophysiology of in the older lesions), angiogenesis, fibroplasia,
60 R. Munro and H.M.C. Munro

epithelialization, contraction and remodelling/matu- histopathological observations at various stages are


ration. These observations provide the pathologist shown in Table 1.
with guidelines that may facilitate the development The plethora of papers covering numerous aspects
of evidence-based estimates of the time that has of wound healing in people and laboratory rodents
elapsed since injury. Investigators interested in the may tempt the well-meaning, but unwary, to use
detection of vasoactive compounds or mediators of this information during the compilation of forensic
wound healing may find the original papers cited by veterinary reports. However, it would be wise to
Hosgood (2006) helpful. Additionally, the excellent bear in mind the words of Lucius Accius (170e86
overview by Kondo (2007) of collagens, cytokines BC) ‘vigilandum est semper; multae insidiae sunt
and growth factors, as markers for wound viability bonis’ (‘always be on your guard; there are many
and age, points the direction for future research. snares for the good’).
The old veterinary saying ‘cats are not small dogs’
is particularly apposite in forensic work. Wound heal-
ing in cats generally occurs more slowly than in dogs. Estimation of the Age of Bruises
Granulation tissue, for example, appears at approxi-
mately the same time in both species, but Bohling Vanezis (2001) defined a bruise as ‘.a collection of
et al. (2004) found that the subsequent rate of forma- blood, visible to the naked eye as an area of discolou-
tion was more rapid in dogs, resulting in the median ration, which has extravasated into the surrounding
filling time of wounds in dogs to be 8 days compared tissues after vascular disruption, principally as a re-
with 20 days in cats. Epithelialization, contraction sult of trauma or occasionally spontaneously, as a re-
and time to total healing also showed specific differ- sult of a disease process’. A broader definition by
ences, with each of these processes being slower in May and Hamdy (1966) that bruising is ‘tissue in-
cats compared with dogs (Bohling and Henderson jury, without laceration whereby cells and blood
2006). vessels are crushed with a resulting release of cellular
Similarly, ‘ponies are not small horses’ when it fluids and blood into the injured area’ supports the
comes to wound healing. In ponies, the early inflam- view that bruising may involve degeneration and
matory response is more intense than in the horse,
leading to uncomplicated healing. Studies by
Wilmink et al. (1999a) and Wilmink and van Table 1
Weeren (2005) showed second intention healing in Healing of wounds in cattle and buffalo ears following
application of ear tags
ponies to be significantly quicker compared with
horses, with the rate of wound contraction being bet- Time Observations
ter. These authors point out that granulation tissue in
1e3 days Haemorrhage, oedema,
horses remains irregular and purulent for longer. At
necrosis, neutrophilic
the histological level, neutrophil populations in sec- infiltration
ond intention in ponies are high during the first 7 days Appearance of healing in
3 weeks then decrease rapidly. In horses, they are the form of vascular
slower to rise, but persist for longer. Additionally, connective tissue
2 weeks Regeneration of
there is strict organization of myofibroblasts in ponies
epithelium begins
compared with horses, particularly in metatarsal 3 weeks Healing of auricular
wounds (Wilmink et al., 1999b). It is also worthy of cartilage observed in
note that metatarsal wounds in horses are unrepresen- both cattle and buffalo
tative of other cutaneous wounds and may increase in and epithelialization
in cattle complete
size during the first 2 weeks post injury (Wilmink et al.,
4 weeks Complete healing of the
1999a). dermis and epidermis
Responses to cutaneous wounding differ in horses in cattle but
and cattle, with horses showing a more rapid develop- epithelialization in
ment of granulation tissue, while growth and differen- buffalo incomplete
6 weeks Epithelialization
tiation of connective tissue in cattle 10 days post
complete in buffalo
injury is more pronounced than in horses (Dinev 8e26 weeks Scar tissue avascular and
and Dzhurov, 1987). Shehata et al. (1992) conducted contracted
an interesting investigation into the healing of the accompanied by
wounds in the pinnae of cattle and buffalo ears follow- absence of hair follicles
and both sweat and
ing the application of plastic ear tags. Species differ-
sebaceous glands
ences in the rate of healing were highlighted. The
Challenges in Forensic Veterinary Pathology 61

inflammation of muscle and adipose tissue Earlier experimental work by McCausland and
(Thornton and Jolly, 1986). Dougherty (1978) found that lesions inflicted at
Trauma is often the primary focus in a forensic in- slaughter showed reddening of subcutaneous and
vestigation. More specifically, assessment of when muscle tissue. Examination of the injuries 8 and
trauma occurred vis-a-vis the time of death can be ev- 24 h after they were induced showed no significant
identially crucial. The pressure to define the time that difference in the appearance of the lesions at these
has elapsed since injury has generated considerable two times. However, compared with earlier lesions,
research into methods for dating of bruises in a range the reddened area was wider and deeper, with a small
of species including guinea pigs, rats, rabbits, quantity of clear fluid detectable in the muscle fascia
poultry, calves, adult cattle and lambs (Hamdy and subcutaneous tissues of both calves and lambs.
et al., 1957; May and Hamdy, 1966; McCausland ‘Pockets of un-clotted blood’ affected the reddened
and Dougherty, 1978; Thornton and Jolly, 1986). areas in some lambs. By 48 h, some differences were
There are, however, no objective reports on the devel- noted between lambs and calves. Generally, the le-
opment and healing of bruises in, for example, dogs, sions in lambs were similar to those seen during the
cats or horses. 8e24 h post-injury period, although the fluid collec-
Inter-species variability in the detail of the timing tions tended to be yellow or green. In calves, at
of the appearance of markers such as haemosiderin 48 h, the affected muscle was yellowered and the le-
can be considerable (Vanezis, 2001). Consequently, sions were drier and smaller.
despite the confidence expressed by Thornton and Tramline bruising caused by sticks or poles is often
Jolly (1986) that ‘experiments using animals will re- referred to as ‘stick marks’ (McNally and Warriss,
main the most practicable means of developing and 1996) and are described by Wilson (2005) as ‘two
refining wound ageing techniques for eventual foren- straight red weals with a clear area in between’.
sic application’, considerable caution should be exer- Such lesions are commonly noted in pigs, but can
cised in the extrapolation of data from one species to also affect cattle (McNally and Warriss, 1996). Simi-
another. lar lesions are well described in medical forensic texts
Economic loss related to bruising of livestock going (Saukko and Knight, 2004b). The parallel bruises re-
to slaughter is recognized as a worldwide problem sult from stretching and rupture of small blood vessels
(Anon, 1954; McManus and Grieve, 1964; at the margins of the line of compression correspond-
Marshall, 1977; McNally and Warriss, 1996; Gallo ing to the strike of the stick.
et al., 2005; Andrade et al., 2009; Huertas, 2009;
Alende, 2010). The potential financial benefit of elim-
Microscopical Examination of Bruises
inating these unnecessary costs to the industry has
driven efforts to identify the causes of bruising and McCausland and Dougherty (1978) studied the histo-
the times when it occurs (McCausland and Millar, logical changes in bruises induced experimentally in
1982). Central to these investigations is the develop- calves and lambs. Based on the extent of haemor-
ment of reliable ways of dating bruises (Hamdy rhage, fibrin formation, relative numbers of neutro-
et al., 1957). phils and macrophages and muscle fibre damage,
Various approaches have been attempted to deter- they proposed a scheme for ageing bruises up to
mine the length of time that has elapsed between the 2 days old. Observations in this study were made at
event causing the injury and the post-mortem exam- 0, 8, 24 and 48 h and reference should be made to
ination of the bruise. These investigations have the original paper for the details of the changes de-
considerable relevance to forensic pathology when scribed. Little difference was found between the reac-
improper use of sticks or poor livestock handling are tions in these two species and the authors further
the focus of welfare prosecutions. believe that the results are equally applicable to ma-
ture animals.
To overcome some of the inherent variability asso-
Gross Examination of Bruises
ciated with observer error and interpretation of histo-
Gross examination of bruises may permit estimation pathological changes, Thornton and Jolly (1986)
of an approximate age based on the criteria set out investigated ageing of ovine bruises over 0e72 h by
by Gracey et al. (1999). These authors consider that application of a Bayesian probability model. The con-
at 0e10 h post injury, bruises are red and haemor- fidence values suggested that the Bayesian probability
rhagic. By 24 h the colour has darkened and the bruise model could be applied successfully to age bruises into
becomes watery in consistency between 24 and 38 h. two broad categories only: 1e20 h and 24e72 h (c.f.
Bruises over 3 days old appear rustyeorange and the more optimistic view of McCausland and
have a ‘soapy’ feel. Dougherty, 1978). However, Thornton and Jolly
62 R. Munro and H.M.C. Munro

(1986) do point out that accuracy was increased when Johnston (1996) consider these signs are suitable for
more than one tissue sample was examined and that use in ‘fresh carcasses’ (although these authors do
for forensic purposes multiple sampling would, pre- not define a ‘fresh carcasse’), but they agree that the
sumably, be routine. yellow bruising fades as the carcasse ages.
The influence of environmental temperature on the
Other Tests of Bruises colour of bruises in chickens is a consequence of hae-
moglobin being degraded to biliverdin in birds kept
Many attempts have been made to estimate the age of at 30 C and to bilirubin in poultry reared at 21 C
bruises using biochemical and histochemical methods or below.
(see McCausland and Dougherty, 1978; Vanezis, Previous work by Kaiser and Smith (1958) showed
2001). Cattle and rabbits were the subjects of experi- that breed and bodily condition affected the appear-
ments to assess the usefulness of chemical means in the ance and detection of bruises. Hamdy et al. (1961b)
determination of the age of bruises (Hamdy et al., noted that bruises in young birds (4e6 weeks of
1957). Bilirubin, formed during the degradation age) tend to heal faster than in older birds.
of haemoglobin, was not detectable (using a Table 3 shows the ages of poultry bruises, based on
10e20 min exposure to Fouche’s reagent at room the colour reactions using Fouche’s reagent (Hamdy
temperature) until 50e60 h post injury. Bruises et al., 1961a). These experiments adopted the method-
60e72 h old developed a very light blue colour at ology developed by Hamdy et al. (1957) for bruises in
60 h and were blue by 72 h. Three to 5-day-old bruises cattle and rabbits.
were distinguished by a diffuse dark green at the pe-
riphery with a brown centre. Old bruises (5e8
Drowning: A Difficult Diagnosis
days) showed little or no blue colour.
Electrical conductivity tests on bruised tissues were Anecdotal reports indicate that accidental drowning
also undertaken by Hamdy et al. (1957), but appear to occurs in all classes of domestic animals. These inci-
be of limited practical value. In addition to the re- dents may be more common in companion animals
quirement to have un-bruised control samples from than other groups, but the frequency of drowning/
symmetrical areas, it was found that the size of the near drowning, including in the dog and cat, is un-
bruise and the quantity of fat present in the tissue af- clear.
fected the conductivity. Heffner et al. (2008) examined a series of 28 cases
(25 dogs and three cats) in which, on separate occa-
Bruising in Poultry sions, nine dogs and all three cats were found sub-
merged in water with no indication of how this
Bruising in chickens may be visible within seconds fol-
lowing trauma (Hamdy et al., 1961b). Table 2 sets out
Table 3
(as modified by May and Hamdy, 1966) the gross Estimation of age of bruises in poultry using Fouch
e’s
morphological colour changes observed over 120 h reagent
post injury following experimental bruising of
chickens (Hamdy et al., 1961a). Age of bruise Tissue colour after 20 min in
Fouche’s reagent
It is important to note that these descriptions apply
to live birds, but after death all bruises revert to dark Normal tissue No colour
redepurple and lose the yellow and green pigments 0e13 h Pink, within minutes
(Hamdy et al., 1961b). Nevertheless, Bremner and turning brown
14e24 h Diffused light blue along
with pink and brown
Table 2 24e36 h Diffuse light green,
Gross morphological colour changes in poultry bruises especially at the
periphery, with
Age of External appearance in External appearance in
a brown colour in the
bruise 21 C environment 30 C environment
centre of the bruise
Control Normal Normal 2e3 days Diffuse dark green along
2 min Red Red with brown centre
12 h Diffused dark redepurple Diffused redepurple 3e4 days Dark green spots or
24 h Diffused light greenepurple Diffused light greenepurple crystals embedded in
36 h Yellowegreenepurple Diffused greenepurple the bruised area, with
48 h Yellowegreen (orange) Dark green no brown colouration
72 h Yelloweorange Almost normal 5 days Sometimes slight blue
96 h Slight yellow Normal colour
120 h Normal Normal
(Adapted from Hamdy et al., 1961a)
Challenges in Forensic Veterinary Pathology 63

happened. The remaining 16 dogs had various histo- or scientifically flawed studies. In this regard, the ex-
ries including falls into water, thin ice, swimming ac- cellent appraisals of the ethics of citing results of Nazi
cidents, seizure near water and two cases of medical experiments (Moe, 1984; Talia, 2002) pro-
‘intentional’ drowning. Munro and Thrusfield vide balanced guidance to the dilemma. From
(2001), in their study of ‘battered pets’, recorded a human drowning perspective, the results of the ex-
three cases of attempted drowning of adult cats. Nev- perimental drowning studies in animals lack validity
ertheless, Munro and Munro (2008c) stress that even and applicability and as such there seems no scientific
in instances which appear, at first sight, to be clear or moral justification for their citation. As far as foren-
cases of drowning, it is essential to eliminate other pos- sic veterinary pathology is concerned, and without
sible causes of death. Careful necropsy examination condoning these distasteful experiments, which
and objective interpretation of the findings are crucial make for distressing reading, it may be possible to sal-
if the frequently asked question ‘was the animal dead vage some good from them. As a consequence of im-
before being immersed in water?’ is to be considered. proving ethics on the use of experimental animals,
these experiments will not be repeated, but they re-
main a source of pathology data on drowning, partic-
Experiments on Drowning
ularly in dogs. Table 4 summarizes a number of gross
Numerous experiments involving the drowning of observations recorded in the various reports (cited
cats, dogs, guinea pigs, mice, rabbits and rats have above) on experimental drowning.
been conducted. The purpose of these experiments,
based on the assumption that the process of drowning
Lung Weights of Drowned Dogs
in ‘animal models’ in fresh and salt water would be
the same as that in people, was to unravel the patho- Hyde et al. (1989) reported that, using computed to-
physiology of drowning in people (Swann et al., 1947). mography (CT) and re-breathable gases, the lungs
Early experiments (Brouardel and Vibert, 1880; of healthy mongrel dogs weighed 19  5 g/kg body
Yamakami, 1922, 1923; Martin, 1932; Karpovich, weight (BW). In comparison, Giammona and
1933; Banting et al., 1938; Lougheed et al., 1939; Modell (1967) found the lung weights of their lightly
Jetter and Moritz, 1943; Kylstra, 1962) were undeni- anaesthetized drowned mongrel dogs to be
ably inhumane and unethical by modern standards, 34.9  5.3 g/kg BW, 35.4  3.6 g/kg BW and
involving, as they did, conscious animals. In addition, 38.7  4.7 g/kg BW, depending on whether the dogs
the scientific methodologies were seriously flawed by were drowned with distilled water, seawater or chlo-
(1) asphyxiation of control animals by clamping the rinated distilled water, respectively. Despite the in-
trachea or by strangulation and (2) clamping the oe- creased weights of lungs from drowned dogs, it
sophagus to prevent swallowing of water. These pro- should be noted that Lougheed et al. (1939) and
cedures rendered the results invalid in the context of Swann et al. (1947) found that most lungs from exper-
‘natural drowning’. imentally drowned dogs floated in water.
In 1963, Fuller reviewed freshwater drowning in In all of this, it should be borne in mind that the ra-
people and pointed out that the course of human tio of normal lung weight/body weight will vary sub-
drowning does not follow the course predicted by stantially according to breed, age and bodily
Swann and colleagues’ experiments (1947) on dogs. condition of the dog (e.g. a young, fit greyhound or
Nevertheless, this did not prevent further experimen- collie, vis-a-vis a fat, middle-aged Labrador).
tal studies using lightly anaesthetized dogs in the com-
ing years (Farthmann and Davidson, 1965; Modell
Microscopical Examination of the Lungs from Drowned
et al., 1966; Giammona and Modell, 1967). Eventu-
Animals
ally, in 2005, Lunetta and Modell stated ‘It is gener-
ally agreed that although pathophysiological Microscopical changes in the lung after drowning
differences between drowning in freshwater or saltwa- may include alveolar overdistension, attenuation of
ter may be observed in experimental models, these alveolar septae, narrowing of alveolar capillaries, al-
have little or no clinical significance for human veolar rupture and intra-alveolar haemorrhage and
drowning’. These authors also noted the recurring ex- flooding by pale eosinophilic fluid (Munro and
perimental design fault, whereby the quantities of wa- Munro, 2008c). However, Reidbord (1980) cau-
ter inhaled during experimental drowning of dogs are tioned that in most cases of human drowning ‘the pa-
greatly in excess of those that have been calculated to thologist is faced with a variety of non-specific
be aspirated in 85% of human drownings. histologic changes that preclude a definitive diagno-
This background raises serious moral and ethical sis’. As a consequence, no single histopathological
questions regarding the use of data generated by cruel change, or combination of changes, is considered
64 R. Munro and H.M.C. Munro

Table 4 its reliability remains controversial (Bortolotti et al.,


Gross changes in experimental drowning 2004; Lunetta and Modell, 2005; Horton et al.,
2006). Problems confounding the reliability of this
 Large quantities of froth and fluid flow from the test include (1) contamination of the samples at the
nostrils. time of necropsy examination or during processing
of tissues, (2) passive penetration into bodies following
 Clear or pink frothy foam is present in the trachea immersion, (3) absence of diatoms in some cases of
and major airways in 80% of dogs drowned in human drowning and (4) the occurrence of
freshwater. More froth is noted in seawater falsepositives, whereby diatoms are identified in bod-
drowning than in freshwater drowning. ies that have had no contact with water.
Nevertheless, Merck (2007b), citing literature re-
 The entire bronchial system is usually filled with ferring entirely to human cases, considers that suit-
a frothy fluid. ably controlled diatom testing is a valid means of
confirming drowning as the cause of death in veteri-
 The dependent parts of lung lobes appear atelec- nary cases.
tatic and haemorrhagic. The rather sketchy account of an investigation by
Giri and Tripathi (1994) on immersion of anaesthe-
 Congested or haemorrhagic areas may be scattered tized and dead dogs in water, suggests that examina-
elsewhere on the lung surfaces. tion of liver, spleen, brain and bone marrow for
diatoms might be helpful in distinguishing between
 Crepitus can occur. submersion before or after death. However, the lack
of information on the time interval between immer-
 Various authors (Lougheed et al., 1939; Swann sion and necropsy examination rather undermines
et al., 1947; Modell et al., 1966) agree that the gross the application of their findings. This report also con-
appearance of the lungs in freshwater and seawater firms that low numbers of diatoms can be recovered
drowning is similar. from lungs, heart and kidney in dogs that died from
causes other than drowning and which had no contact
 The right side of the heart and the great veins are with water.
usually engorged, while the chambers of the left Recent investigations involving immersion, in
heart may be virtually empty. freshwater, of piglets that had died from natural
causes (Giancamillo et al., 2010) confirmed the exis-
 Large quantities of water may be present in the tence of ante-mortem contamination by diatoms
stomach when artificial respiration or vomiting and that post-mortem contamination also occurs. In
have not already affected its removal. contrast, Bortolotti et al. (2011) found no diatoms in
the lungs or the bone marrow of the sternum of people
who had died from causes other than drowning.
pathognomonic for drowning in people. This may Because many species of diatoms are
also be the case for other species. habitatspecific, considerable efforts have been made
The ultrastructural changes described in rat lung to use diatoms to identify the location where a person
following experimental intratracheal perfusion of ei- may have drowned. This research led to the develop-
ther fresh or salt water showed clear differences. In ment of the ‘diatom-based quantitative reconstruc-
freshwater drowning there was severe disruption of tion technique’ (Horton et al., 2006) but, to the best
all cellular organelles with marked endothelial vesic- of the authors’ knowledge, this methodology has not
ulation. Salt water caused relatively little ultrastruc- been employed in veterinary forensic pathology.
tural alteration, resembling the changes seen in At the present time, it seems prudent to proceed on
acute hypoxia (Reidbord and Spilz, 1966; the basis that ‘diatom testing cannot be accepted, in
Reidbord, 1966, 1967). a court of law, as a definitive method for establishing
death by drowning’ (Lunetta and Modell, 2005).
The Diatom Test
Estimation of Time since Death
Diatoms are unicellular algae which are found in al-
most all aquatic and damp terrestrial habitats Establishment of the time since death is a daily task in
(Horton et al. 2006). Although literally hundreds of human forensic casework (Henssge and Madea,
peer-reviewed papers have been published on the po- 2007). Routine murder enquiries usually attempt to
tential of diatom testing for the diagnosis of drowning, discover whether particular individuals were in the
Challenges in Forensic Veterinary Pathology 65

area at the time and had the opportunity to commit (1) duration of neglect, (2) failure to dispose of car-
the offence, or if they can provide an alibi. Estimation casses within statutory time limits, (3) uncertainties
of the post-mortem interval (i.e. the period between over death during transport, (4) suspected fraudulent
death and medical examination) may assist investiga- insurance claims and (5) time of onset of serious hus-
tors in narrowing this ‘window of opportunity’, bandry problems (e.g. interruption of water supply to
thereby eliminating specific events and suspects. Be- poultry houses).
cause of the importance of this task, much time and
energy have been invested in researching an almost
Methods for Estimating Time since Death
bewildering variety of methods for determining the
time since death. There are two basic approaches to estimation of time
Great caution must be taken when providing an es- of death: (1) measurement of change that takes place
timate of the post-mortem interval. Knight (1988) at a known rate (e.g. rigor mortis, cooling of the body
states ‘The margin of error remains large and unpre- and putrefaction), and (2) comparison of the occur-
dictable, even in controlled research conditions, rence of events known to have taken place at a specific
let alone for the more variable environment of an ac- time with the time of death (e.g. extent of digestion of
tual scene of death’. The lack of accuracy and reliabil- last meal).
ity of most methods was also of concern to Henssge The sources of evidence that are relied on when at-
(1988). Over the last 30 years some improvements tempting to estimate the time of death in people in-
have been made, but Swift (2010) concludes that ‘It clude those present in the body (corporeal), those
remains debatable whether there is any single, reli- present in the vicinity of the body (environmental
able and accurate means of estimating the time since and associated evidence) and anamnestic evidence
death during the early post-mortem interval’. In a vet- based on the deceased’s ordinary habits, movements
erinary context, the picture is particularly complex and day-to-day activities (Pounder, 1995). The first
since requests from prosecutors, police or defence two categories are important in animal cases. How-
agents for time of death estimates are driven by di- ever, it could be postulated that evidence based on
verse objectives depending on the category and spe- ‘day-to-day activities’ could also be helpful in certain
cies of animal involved. instances of a forensic veterinary investigation e for
In companion animals, for example, investigations example a case of suspected illegal shooting of ducks
of suspected non-accidental injury (i.e. deliberate in- that have a regular pattern of flights to and from par-
jury) are in many ways similar to human assault cases, ticular ponds or feeding sites.
where placing the accused in the location at the esti- Techniques and procedures used to estimate the
mated time of the crime can be of importance. How- post-mortem interval in mammals and birds have
ever, in contrast to human forensic casework, it may been outlined by Edge (1984), Erlandsson (2003),
(depending on the jurisdiction involved) be a legal re- Cooper and Cooper (2007c), Merck (2007c),
quirement, central to a prosecution, to determine Munro and Munro (2008d), Okene (2010) and
whether suffering occurred in the period between as- Sinclair et al. (2006b). The specific issues related to de-
sault and death. It follows that in such cases establish- termination of the post-mortem interval in reptiles
ment of the time of death is important. and amphibians are highlighted and discussed by
Wildlife crime investigations are less concerned Cooper (2012). In human forensic casework,
with issues of suffering because they are usually fo- Henssge and Madea (2007) believe that ‘most
cused on regulatory matters (e.g. ‘out of season’ shoot- methods for estimation of the time since death are of
ing of game animals, poaching and breaches of only academic interest’. These authors are of the opin-
statutory time limits). Many countries have enacted ion that all methods of estimation of time since death
laws to provide protection of wildlife through limiting must demonstrate quantitative measurement and in-
hunting to specific periods of the year and by requir- clude a mathematical description. They also suggest
ing trappers to visit their traps and snares at least once that any proposed method should be accompanied
in any 12 or 24 h period. Estimation of the post- by proof of precision of the method on independent
mortem interval can be helpful during investigation material, and that quantification of those factors
of breaches of these regulations. Establishment of that influence the method needs to be provided. In
the approximate time of death of protected species general, field studies are necessary to demonstrate
(e.g. badgers) can serve the same purpose of deter- the practicality of any method. Similar strictures ap-
mining alibi and opportunity, just as for human and ply to methods adopted in veterinary forensic investi-
companion animal deaths. gations.
With regard to farm livestock, the desire to estab- Techniques for estimation of time of death are listed
lish the time of death may be related to questions on in Table 5. However, many of these are, currently, of
66 R. Munro and H.M.C. Munro

Table 5 gots and beetles is outside the competence of most


Methods for the estimation of the post-mortem interval veterinary pathologists, knowledge of the correct pro-
Temperature-based methods cedures for the collection of entomological evidence is
Post-mortem chemistry a necessary skill. Byrd et al. (2010) provide up-to-date
Electrical stimulation of muscle and nerves guidance on appropriate methods.
Gross appearance of body: Some research conducted on temperature-based
Rigor mortis
Eye shape, colour and luminosity, etc
methods, post-mortem chemistry, histopathology,
Decomposition electron microscopical changes and post-mortem ra-
Histopathology and electron microscopy diology is, however, of relevance to forensic veterinary
Radiology pathology. These methods may provide the means of
DNA and RNA analyses refining the rather crude estimates based on evidence
Entomology
Environmental and associated evidence
of decomposition or open fresh avenues for further in-
vestigation and independent validation.

limited practical value in legal cases because lack of Temperature-Based Methods. A carefully controlled
validation of the methods renders the results open to study of beagle dogs weighing between 8.5 and
challenge. For example, the use of electrical excitabil- 15 kg demonstrated the potential usefulness of rectal
ity of muscle to determine the time of death in the probes for estimation of time of death over the initial
early post-mortem period may be questioned on the 10 h after death (Erlandsson and Munro, 2007). The
basis that the reaction of the muscle is affected by data collected in this study suggested that the post-
the manner of death (Madea and Henssge, 1990; mortem interval can be estimated in 2 h bands or pe-
Elmas et al., 2002). Similarly, although studies on riods. For example, the rectal temperature at 60 min
post-mortem degeneration of DNA extracted from post mortem was clearly distinguishable from that
porcine muscle suggest that this technique may be taken 3 h post mortem. Similarly, the body tempera-
useful during the first 72 h after death (Watson, ture 5 h post mortem was distinct from that recorded
2010), validation of this method awaits detailed inves- 7 h post mortem etc. After 10 h the rate of drop of rec-
tigation of the impact of environmental variables such tal temperatures of individual dogs showed greater
as ultraviolet radiation, heat, high humidity and fun- variability, resulting in overlap and less clear separa-
gal/bacterial contamination. tion. Nevertheless, under the conditions prevailing in
There is an accepted body of knowledge and expe- this study (ambient temperature of 10.9e16.8 C), by
rience on rigor mortis and decomposition that allows 17e17.5 h post mortem the rectal temperature of each
experienced veterinary pathologists to estimate the dog was <19 C. Body temperatures approximated
post-mortem period within approximate blocks of ambient temperature 24e48 h post mortem. Con-
time such as <24 h, 1e3 days, 3e7 days, 7e21 trary to the findings for human cadavers (Knight,
days, weeks, months or years (Munro and Munro, 1988; Henssge, 2002), Erlandsson and Munro
2008d). These changes are well described in standard (2007) found no evidence of a plateau in the rectal
veterinary pathology texts (e.g. Maxie, 2007) and are temperature curve in the early part of the post-
not considered further in this review. Nevertheless, mortem period.
experimental studies (Turner and Wiltshire, 1999; Two studies from Malaysia provide data on the
Wilson et al., 2007; Schotsmans et al., 2012) designed cooling of dogs at ambient temperatures of
to simulate ‘clandestine burials’ revealed interesting 24e36 C. Abdulazeez and Noordin (2010) inserted
insights into the effects of soil type, hydrated lime stirring thermometers into liver and rectum while
and quicklime on the process of decay of pig cadavers. Okene (2010) recorded external ear canal, rectal
These findings might have relevance to some veteri- and hepatic cooling using probes and thermocouples.
nary investigations. These authors are of the opinion that the exponential
It is also worth noting that in the field of human fo- and linear equations developed during their studies
rensic pathology, experienced pathologists frequently may prove useful for the estimation of the time of
underestimate the time since death (James and death in the initial 7 h post mortem. Although the ex-
Knight, 1965) and it is probable that similar errors ponential model may provide a slightly more accurate
are commonplace in veterinary pathology. This is estimate, the linear model appeared mathematically
a source of concern when a Court seeks veterinary easier to use in the field. Abdulazeez and Noordin
guidance in relation to the time of death. (2010) found cooling under tropical conditions was
Forensic entomology can be of considerable value less consistent than in temperate climates. When
in veterinary cases (Anderson and Huitson, 2004). Al- body temperature was close to ambient temperature,
though identification of the types and stages of mag- the cooling curve showed peaks and short plateaux
Challenges in Forensic Veterinary Pathology 67

that lasted for an average of 70 min. Under these trop- time since death, taking into account BW and prevail-
ical conditions, body temperature reached ambient ing ambient temperature. Although affected by un-
temperature in 26  8 h. certainties (e.g. variations in body temperature at
The literature on estimation of time of death of peo- time of death), this approach was endorsed 20 years
ple makes frequent reference to a lag phase, or pla- ago as being of practical value (Oates, 1992). The de-
teau, in the cooling curve derived from rectal velopment of computer software programmes by
temperature measurement in the early period after Kienzler (1985) and Cox et al. (1994) made this task
death. However, the studies by Baccino et al. (1996) easier.
demonstrated no lag phase if the temperature mea- Experiments on the cooling rates of pig cadavers
surements were taken from the external ear canal. were conducted by Kaliszan et al. (2005). These stud-
Erlandsson (2003), Abdulazeez and Noordin (2010) ies aimed to assess the practical value of the ‘two-ex-
and Okene (2010) failed to demonstrate a plateau ponential’ model for time of death estimation, in
in dogs, irrespective of the organ where the tempera- comparison with the single exponential model. Al-
ture readings were taken. This is of some importance though these experiments were undertaken to assist
as it highlights the caution and attention to detail nec- in human forensic investigations, they provide useful
essary when extrapolating between species. Further insights into the estimation of the time since death
consideration needs to be given to potential differ- in pigs.
ences arising through the use of differing methodolo- Pin probes (connected to two channel thermome-
gies and equipment. ters) inserted into the eyeball, orbital tissues, ‘rump’
Merck (2007c) notes the ‘rule of thumb’ cooling [sic] muscle and rectum measured the decrease in
rate of 1.5 F/h that is sometimes used in estimating body temperature, beginning 75 min after death.
the time of death of people and that it is recommen- The single exponential model applied to eyeball cool-
ded to add 1e2 h to the post-mortem interval in cases ing allowed very precise estimation of the time of
where a plateau may have occurred. She comments death up to 13 h post mortem. Thereafter, better
that ‘It makes sense to apply this rule to animal cases time-of-death estimations were obtained from muscle
as well’. Sinclair et al. (2006b), citing Rauch (2003), or rectal probes. Limited numbers of pigs were used in
also comment on the temperature plateau and the these experiments. Consequently, it is desirable that
1.5 F loss per hour in rectal temperature. However, other research groups validate this method.
the studies by Erlandsson (2003), Abdulazeez and
Noordin (2010) and Okene (2010) suggest there is Post-mortem Chemistry. The search for reliable chemi-
no scientific evidence to support the extrapolation, cal markers that correlate strongly with time since
to canine cadavers, of guidelines formulated for hu- death continues to be a popular area of research in hu-
man cadavers. The same caveat may well apply to man forensic medicine. In the past many of these stud-
other species. ies focused on vitreous humour (Madea et al., 1989)
Establishment of reliable evidence to support pros- because it is generally less affected by autolysis and
ecutions for out-of-season killing of deer was the pri- is isolated from the influences of the large organs in
mary aim of a number of studies conducted in the chest and abdomen (Saukko and Knight, 2004a).
North America. The widespread practice of ‘field Following the experiences in human studies, at-
dressing’ culled deer, whereby the abdominal cavity tempts were made to correlate potassium levels in vit-
is opened and the gastrointestinal tract removed reous humour and glucose in aqueous humour with
soon after the deer has been shot, renders rectal tem- the time since death in deer. Pex et al. (1983) demon-
perature measurement impossible or meaningless in strated the fall in glucose in aqueous humour in black-
these animals. Consequently, thigh and/or nasopha- tailed deer to be a useful marker during the first 8 h
ryngeal temperatures in culled North American post mortem. Rising potassium levels in vitreous hu-
deer were recorded by Neubrech (1960), Gill and mour of mule deer were considered to have a logarith-
O’Meara (1965), Pex et al. (1983), Woolf et al. mic, rather than a linear (arithmetical), relationship
(1983), Kienzler et al. (1984), Cox et al. (1994) and with the lengthening post-mortem interval (Johnson
Hadley et al. (1999). In addition to the thigh and na- et al., 1980). However, Woolf and Gremillion-Smith
sopharyngeal temperatures, these investigators re- (1983) advised caution because this technique is
corded ambient temperature, deer weight and the based on intraocular post-mortem autolysis, which
approximate time that elapsed between shooting can vary widely.
and sampling. These studies allowed the construction A variable rate of autolysis is not the sole drawback
of tables, temperature charts (Kienzler et al., 1984) of this type of marker. Lack of knowledge of the ‘nor-
and a field manual (Kienzler and Fuller, 1983) to as- mal’ ante-mortem levels of chemicals in the vitreous
sist rangers and law enforcement agencies to estimate or aqueous humour undermines confidence in the
68 R. Munro and H.M.C. Munro

relevance of the findings. Similarly, the effects of dis- vironmental circumstances would inevitably establish
ease or nutritional status on the distribution and con- a sounder basis for exploring this approach to estima-
centration of these chemicals remains to be studied. tion of the post-mortem interval.
Consequently, in a veterinary context, these uncer- Although somewhat more esoteric, but nevertheless
tainties result in chemical markers in vitreous and valuable, is the work of Pallot et al. (1992) who showed
aqueous humour being viewed as providing support- that autolytic changes in the carotid body may be mis-
ing evidence, rather than the primary means, of esti- interpreted if account is not taken of the delay between
mating time since death for deer. death and fixation of the tissue sample. The ‘beyond
The situation in dogs is slightly further advanced reasonable doubt’ principle used in criminal proceed-
with regard to vitreous humour. Schoning and ings applies equally to veterinary pathology as it does
Strafuss (1980) examined 60 adult mongrel dogs to other types of evidence. Therefore, elimination of
and helped to establish baseline values for ante- doubt over the significance of particular histological
mortem and post-mortem levels of sodium, chloride, observations could be of crucial importance.
potassium, urea nitrogen, glucose and creatinine. The study by Nagaraj et al. (2005) outlines changes
However, these tests do not appear to have been to Z-disks in goat skeletal muscle observed by transmis-
adopted as standard methods of estimation of the sion electron microscopy (TEM). Six days after death
post-mortem interval in domestic dogs. there was little alteration of these structures, but degra-
Research has also been conducted into the use of dation of the Z-disks was noted to be ‘considerable’ by
protein markers for estimation of the time since death. 12 days. Munoz et al. (1999) employed TEM to relate
Analysis for cardiac troponin 1 in cattle (Sabucedo autolytic changes in canine myocardial cells to the
and Furton, 2003), although semi-quantitative in na- post-mortem period. Morphometrics characterized
ture and temperature dependent up to 37 C, shows (1) decreased numbers of mitochondria, (2) increased
potential, but awaits validation. Nagaraj et al. mitochondrial volume and (3) increased surface areas
(2005) studied changes in skeletal muscle in goat car- of both outer and inner mitochondrial membranes, as
casses stored at 5 C for 3e20 days, with the primary the post-mortem interval extended from 0 to 240 min.
purpose of understanding the processes involved in
the tenderization of meat. Proteolytic breakdown Post-mortem Radiology. The concept of the ‘virtual
products appeared after 6 days storage and the detec- autopsy’ (also known as ‘virtopsy’) using CT and
tion of a 55 kDa polypeptide was a consistent feature magnetic resonance imaging (MRI) is a developing
of muscle samples from 12-day-old carcasses. Again, sub-speciality of post-mortem radiology (O’Donnell
these findings are interesting, but validation will, and Woodford, 2008). In human forensic pathology,
however, be necessary if they are to form the basis of CT scanning of the deceased is increasingly being
alternative methods for estimation of the time since adopted as a routine procedure before conventional
death, for legal proceedings. post-mortem examination. However, significant dif-
ferences between clinical radiology and post-mortem
Histopathology and Electron Microscopy. In addition to imaging are potential pitfalls (Flach et al., 2010).
collecting temperature data, Erlandsson (2003) noted There is a considerable shortage of information on
post-mortem gross and microscopical changes in bea- the use of advanced imaging techniques in veterinary
gle dogs. Subsequently, Erlandsson and Munro post-mortem examination. Exceptions include the es-
(2007) drew up a table of differential findings at var- sentially practical experimental studies on the com-
ious time points (<1 day, 3 days, 7 days and 23 days) parative sensitivity of conventional necropsy
after death. They found heart, liver, lungs, pancreas, examination and CT scanning in detection of bone
tonsils, thyroid and urinary bladder to be the most fractures in piglets (Cattaneo et al., 2006). More fun-
useful organs for highlighting histological changes at damental, and less likely to become a mainstream
different times in these animals. However, the usual procedure, is the use of proton magnetic resonance
caveats apply to extrapolation of these data to other spectroscopy to detect new metabolites of autolysis
breeds of dog or different species. Nevertheless, this and putrefaction in pig and sheep brains (Cecil
study raises interesting possibilities for the use of histo- et al., 1998; Ith et al., 2002; Banaschak et al., 2005).
pathology and immunohistochemistry in refining the Heng et al. (2008), using conventional radiography,
estimation of time since death. Similarly, the investi- described post-mortem changes in the abdomen of
gation of time-dependent changes in post-mortem tes- 41 cats that had been humanely destroyed and kept
tis histopathology in the rat (Bryant and Boekelheide, at 4 C for up to 12 h before radiography. Of these
2007) provides valuable background information on cats, 11 (27%) had intravascular gas, with the liver
autolytic changes at specific times. Expansion of this being the most common site. Intravascular gas was
research to encompass other species and different en- also detected in the aorta, femoral artery, coeliac
Challenges in Forensic Veterinary Pathology 69

and cranial mesenteric arteries and the caudal super- It appears that this gas results from post-mortem de-
ficial epigastric artery. Interestingly, only two cats composition and is not a manifestation of local bone is-
showed distension of the small intestines, while a soli- chaemia or other degenerative changes (‘vacuum
tary cadaver was affected by gas dissecting the tissues phenomenon’) (Heng et al., 2009a). This finding rein-
in the wall of the large intestine (pneumatosis coli). forces the importance of being aware of post-mortem
Heng et al. (2009b) subsequently studied the post- artefacts that may lead to misinterpretation.
mortem radiographic appearance of the abdominal
organs of dogs. However, these studies were conducted Conclusion
on canine cadavers kept at ambient temperatures of
22e33 C. Consequently, the results are not directly This review focuses on four aspects of forensic veteri-
comparable to the feline study. The high ambient tem- nary pathology. Although each presents particular di-
peratures resulted in rapid decomposition and pre- agnostic challenges, there are difficulties that are
vented the study extending beyond 24 h after death. common to all. These include lack of detail of the tim-
Increased gas in the gastrointestinal tract was ob- ing of changes, the danger of extrapolation of findings
served as early as 8 h. By 16 h, gas was observed in from one species to another, limitations of experimen-
the liver, caudal vena cava and peritoneal cavity in tal models to reflect the spectrum of changes seen in
all cadavers. Abdominal distension was a feature in five actual cases, and the constant requirement for the pa-
of the six dogs at this time. The authors suggest that, in thologist to provide a balanced, factual interpretation
ambient temperature of 22e33 C, detection of gas in of post-mortem findings. Great reliance is placed on
the abdominal cavity indicates that death occurred forensic pathologists to guide investigations into al-
at least 8e16 h before radiography. Okene (2010), leged offences. Investigators wish for clear, unequivo-
who also conducted his experiments in ambient tem- cal answers. Currently, however, much remains to be
peratures of 22e33 C, found that the intestines, liver discovered about the development and resolution of
and hepatic vein were the radiological markers of lesions in different species; therein lie exciting possibil-
choice for estimation of time of death. The observa- ities for the expansion and refinement of the forensic
tions made in this latter study included radiographs veterinary pathology knowledge base.
taken 6 h after death, reducing by 2 h the time selected
by Heng et al. (2009b) as the start point. Conflict of Interest Statement
Serial thoracic radiographs detected post-mortem The authors have not declared any conflict of interest
gas accumulation in the pleural cavity in one dog af- that may arise from being named as an author on the
ter 8 h and in all dogs by 16 h (Heng et al., 2009a). manuscript.
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