The Shocker's Mix 18

[hermantheshocker]

Some of the stuff I work on doesn't make the cut so I thought about gathering them up in a single post. So basically it's images I have little or no info about or I've decided that they don't get their own thread, for example, because of low image/content quality, lack of backstory or additional info/knowledge, possibly uninteresting, only one image but not very special. I still do the usual image work including upscaling and color correction as needed, as I prefer to have my content high quality and educational.

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Case 1


Fig1.1 Purging of putrefactive fluid and protrusion of the tongue.

Marked swelling of the face, eversion of the lips, and protrusion of the tongue. Note also purging of putrefactive fluid. It is easily understood from this photograph that visual identification of a deceased is rendered difficult in an advanced state of putrefaction.

Putrefaction begins immediately upon death and usually becomes noticeable within 24 hours. As soon as death occurs, the bacteria or microorganisms within the intestinal tract escape from the bowel into the other tissues of the body. As they grow, they begin to produce gases and other properties that distort and discolor the tissues of the body. The discoloration is a dark greenish combination of colors and is generally pronounced within 36 hours. As a result, the body begins to swell from the putrefactive gases, emitting an extremely repugnant odor.

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Case 2


Fig2.1 Mushy internal organs after decomposition.

Thoracic and abdominal cavity of a female body with pupae and empty puparia inside the oral cavity. The inner organs were no longer definable.

Decomposition is the process in which the organs and complex molecules of animal and human bodies break down into simple organic matter over time. In vertebrates, five stages of decomposition are typically recognized: fresh, bloat, active decay, advanced decay, and dry/skeletonized.

Although the body shortly after death appears fresh from the outside, the bacteria that before death were feeding on the contents of the intestine begin to digest the intestine itself. They eventually break out of the intestine and start digesting the surrounding internal organs. The body's own digestive enzymes (normally in the intestine) also spread through the body, contributing to its decomposition.

From the moment of death flies are attracted to bodies. Without the normal defences of a living animal, blowflies and house flies are able to lay eggs around wounds and natural body openings (mouth, nose, eyes, anus, genitalia). These eggs hatch and move into the body, often within 24 hours. The life cycle of a fly from egg to maggot to fly takes from two to three weeks. It can take considerably longer at low temperatures.

During autopsy of a heavily decomposed corpse it can be impossible to define an organ or type of tissue with certainty, depending on the condition, or degree of decomposition, of the body.

Bacteria break down tissues and cells, releasing fluids into body cavities. They often respire in the absence of oxygen (anaerobically) and produce various gases including hydrogen sulphide, methane, cadaverine and putrescine as by-products. People might find these gases foul smelling, but they are very attractive to a variety of insects.

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Case 3


Fig3.1 Contact rifle wound of the head.

In some contact rifle wounds of the head, the entrance may be difficult to locate because of the massive destruction. In the case of a high-powered firearm, the amount of force generated by the blast is so large that a shot fired with the weapon in contact with the head causes extensive destruction. Head injuries from shotguns and high-powered rifles are typically quite devastating, often with extensive soft tissue destruction, skull fractures, and pulpifaction of the brain. Occasionally, the brain is largely expelled from the cranial vault and may be found near the body.

The head is the most common location for a suicidal gunshot wound (74%), followed by the chest (20%) and then the abdomen (6%). In head wounds, the most common location was intraoral (50%), followed by under the chin (19%); side of head, including parietal and temporal wounds (15%); and the face, including the forehead (13%).

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Case 4


Fig4.1 Identification of a bomb victim.

Identification may sometimes be challenging when the victim has severe injuries. This individual has facial injuries from a bomb explosion. Visual identification was not possible but since injury was absent to the mouth it was possible to perform a dental comparison and identify the individual. No further info.

In cases where the remains have been badly mutilated or burned, are in advanced putrefaction, or have been submerged in water for a long period of time, the possibility of obtaining any fingerprints of value is quite remote. This is where the forensic odontologist can be of assistance. Using powerful cameras, x-rays, and medical records, he or she can, through examination of the dentition and jawbones of the deceased, provide the investigator with positive identification as well as bite-mark identification. In addition, the forensic odontologist can provide information about the deceased, including age, general facial characteristics, race, socioeconomic group, occupation, or habits.

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Case 5


Fig5.1 The patient at presentation in the emergency department, with scissors penetrating the left orbit.


Fig5.2 CT showing the scissors traveling to the superior aspect of the left cerebellar hemisphere. And a 3D CT reconstruction image.

An elderly woman with schizophrenia presented with a pair of scissors penetrating her left orbit and an enucleated right globe. Computed tomography (CT) revealed a pair of scissors penetrating the superior orbital fissure, with the blades traveling lateral to the left cavernous sinus and midbrain and ending just superior to the left cerebellar hemisphere.

She underwent left pterional craniotomy and removal of the scissors, with insertion of an external ventricular drain. Exploration under anesthesia revealed no left globe rupture, but the globe had been severed from the ophthalmic artery and nerve.

Further patient psychiatric history revealed poor compliance with medication, leading to intense hallucinations of her deceased son’s voice telling her that her eyes were “evil” and required removal. She died 5 months later after developing an intracranial abscess.

Autoenucleation is predominantly a manifestation of psychosis, especially if there are concurrent delusions that a patient’s eyes pose a threat to themselves or their loved ones. Initial emergency management includes CT to rule out subarachnoid hemorrhage. Antipsychotics should be considered, perhaps even in the absence of psychotic symptoms because of the near certainty of an underlying psychosis.

Subsequent inpatient management includes one-to-one nursing, fingerless mittens, and arm restraints; these may be the only way to prevent deluded and determined patients from causing more damage as antipsychotic medications take effect. Prevention is key; mental health practitioners should be alert to delusions about eyes and consider regularly assessing a patient’s risk of self-mutilation.

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Case 6


Fig6.1 Facial injuries sustained when a letter bomb exploded as it was being opened.

Facial injuries sustained when a letter bomb exploded as it was being opened. No further info. It is not uncommon for small explosive devices to be sent in the post to targeted individuals. The device is usually contained within a large padded envelope and detonation is usually achieved when the envelope is opened by an unsuspecting recipient. Injuries sustained in such circumstances are usually confined to the face and are often characterized by linear abrasions and lacerations radiating from a point in front of the face.

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Case 7


Fig7.1 Purging of putrefactive fluid from mouth and nostrils.

This individual has greenish putrefaction skin discoloration and purging of putrefactive fluid from mouth and nostrils.

During the natural decomposition process, lipids, proteins and carbohydrates are broken down into smaller molecules. These decomposition by-products are the major components in decomposition fluid. The decomposition process also causes the release of gases such as methane and hydrogen sulphide. The build-up of gases (known as bloating) causes the fluids and gases to escape from the orifices of the body and eventually leads to rupturing of the skin.

Decomposition, or putrefaction, is a combination of two processes: autolysis and bacterial action. Autolysis is the breakdown of cells and organs through an aseptic chemical process caused by intracellular enzymes. Because it is a chemical process, it is accelerated by heat, slowed by cold, and stopped by freezing. Bacterial action results in the conversion of soft tissues in the body to liquids and gases. The chemicals produced as a result of the putrefaction are cadaverine and putrescine, hydrogen sulfide and other sulfides, which generate a horrible smell.

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Part 1 --- Part 2 --- Part 3 --- Part 4 --- Part 5 --- Part 6 --- Part 7 --- Part 8 --- Part 9 --- Part 10 --- Part 11 --- Part 12 --- Part 13 --- Part 14 --- Part 15 --- Part 16 --- Part 17

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This post is for educational purposes only and is nonprofit. Under Section 107 of the US Copyright Act of 1976; Allowance is made for "Fair Use" for purposes such as criticism, comment, news reporting, teaching, scholarship, and research. OP is not a medical expert. No copyright infringement intended. This post does not encourage or glorify violence/harassment. Images might have been upscaled and enhanced. Text might have been shortened and simplified/reorganized for online view.

[rohmell]

Mr. HermanTheShocker,
Many thanks to you for all of the interesting and educational material that you post.

[ride]

Figure 7.1 - Comedian Ralphie May has looked better. Maybe he can give Bob Saget a tour of where ever they are now.

[cardsharksam]

Originally Posted by hermantheshocker

Some of the stuff I work on doesn't make the cut so I thought about gathering them up in a single post. So basically it's images I have little or no info about or I've decided that they don't get their own thread, for example, because of low image/content quality, lack of backstory or additional info/knowledge, possibly uninteresting, only one image but not very special. I still do the usual image work including upscaling and color correction as needed, as I prefer to have my content high quality and educational.

- - -

Case 1

Attachment 1038432
Fig1.1 Purging of putrefactive fluid and protrusion of the tongue.

Marked swelling of the face, eversion of the lips, and protrusion of the tongue. Note also purging of putrefactive fluid. It is easily understood from this photograph that visual identification of a deceased is rendered difficult in an advanced state of putrefaction.

Putrefaction begins immediately upon death and usually becomes noticeable within 24 hours. As soon as death occurs, the bacteria or microorganisms within the intestinal tract escape from the bowel into the other tissues of the body. As they grow, they begin to produce gases and other properties that distort and discolor the tissues of the body. The discoloration is a dark greenish combination of colors and is generally pronounced within 36 hours. As a result, the body begins to swell from the putrefactive gases, emitting an extremely repugnant odor.

- - -

Case 2

Attachment 1038434
Fig2.1 Mushy internal organs after decomposition.

Thoracic and abdominal cavity of a female body with pupae and empty puparia inside the oral cavity. The inner organs were no longer definable.

Decomposition is the process in which the organs and complex molecules of animal and human bodies break down into simple organic matter over time. In vertebrates, five stages of decomposition are typically recognized: fresh, bloat, active decay, advanced decay, and dry/skeletonized.

Although the body shortly after death appears fresh from the outside, the bacteria that before death were feeding on the contents of the intestine begin to digest the intestine itself. They eventually break out of the intestine and start digesting the surrounding internal organs. The body's own digestive enzymes (normally in the intestine) also spread through the body, contributing to its decomposition.

From the moment of death flies are attracted to bodies. Without the normal defences of a living animal, blowflies and house flies are able to lay eggs around wounds and natural body openings (mouth, nose, eyes, anus, genitalia). These eggs hatch and move into the body, often within 24 hours. The life cycle of a fly from egg to maggot to fly takes from two to three weeks. It can take considerably longer at low temperatures.

During autopsy of a heavily decomposed corpse it can be impossible to define an organ or type of tissue with certainty, depending on the condition, or degree of decomposition, of the body.

Bacteria break down tissues and cells, releasing fluids into body cavities. They often respire in the absence of oxygen (anaerobically) and produce various gases including hydrogen sulphide, methane, cadaverine and putrescine as by-products. People might find these gases foul smelling, but they are very attractive to a variety of insects.

- - -

Case 3

Attachment 1038431
Fig3.1 Contact rifle wound of the head.

In some contact rifle wounds of the head, the entrance may be difficult to locate because of the massive destruction. In the case of a high-powered firearm, the amount of force generated by the blast is so large that a shot fired with the weapon in contact with the head causes extensive destruction. Head injuries from shotguns and high-powered rifles are typically quite devastating, often with extensive soft tissue destruction, skull fractures, and pulpifaction of the brain. Occasionally, the brain is largely expelled from the cranial vault and may be found near the body.

The head is the most common location for a suicidal gunshot wound (74%), followed by the chest (20%) and then the abdomen (6%). In head wounds, the most common location was intraoral (50%), followed by under the chin (19%); side of head, including parietal and temporal wounds (15%); and the face, including the forehead (13%).

- - -

Case 4

Attachment 1038435
Fig4.1 Identification of a bomb victim.

Identification may sometimes be challenging when the victim has severe injuries. This individual has facial injuries from a bomb explosion. Visual identification was not possible but since injury was absent to the mouth it was possible to perform a dental comparison and identify the individual. No further info.

In cases where the remains have been badly mutilated or burned, are in advanced putrefaction, or have been submerged in water for a long period of time, the possibility of obtaining any fingerprints of value is quite remote. This is where the forensic odontologist can be of assistance. Using powerful cameras, x-rays, and medical records, he or she can, through examination of the dentition and jawbones of the deceased, provide the investigator with positive identification as well as bite-mark identification. In addition, the forensic odontologist can provide information about the deceased, including age, general facial characteristics, race, socioeconomic group, occupation, or habits.

- - -

Case 5

Attachment 1038436
Fig5.1 The patient at presentation in the emergency department, with scissors penetrating the left orbit.

Attachment 1038437
Fig5.2 CT showing the scissors traveling to the superior aspect of the left cerebellar hemisphere. And a 3D CT reconstruction image.

An elderly woman with schizophrenia presented with a pair of scissors penetrating her left orbit and an enucleated right globe. Computed tomography (CT) revealed a pair of scissors penetrating the superior orbital fissure, with the blades traveling lateral to the left cavernous sinus and midbrain and ending just superior to the left cerebellar hemisphere.

She underwent left pterional craniotomy and removal of the scissors, with insertion of an external ventricular drain. Exploration under anesthesia revealed no left globe rupture, but the globe had been severed from the ophthalmic artery and nerve.

Further patient psychiatric history revealed poor compliance with medication, leading to intense hallucinations of her deceased son’s voice telling her that her eyes were “evil” and required removal. She died 5 months later after developing an intracranial abscess.

Autoenucleation is predominantly a manifestation of psychosis, especially if there are concurrent delusions that a patient’s eyes pose a threat to themselves or their loved ones. Initial emergency management includes CT to rule out subarachnoid hemorrhage. Antipsychotics should be considered, perhaps even in the absence of psychotic symptoms because of the near certainty of an underlying psychosis.

Subsequent inpatient management includes one-to-one nursing, fingerless mittens, and arm restraints; these may be the only way to prevent deluded and determined patients from causing more damage as antipsychotic medications take effect. Prevention is key; mental health practitioners should be alert to delusions about eyes and consider regularly assessing a patient’s risk of self-mutilation.

- - -

Case 6

Attachment 1038438
Fig6.1 Facial injuries sustained when a letter bomb exploded as it was being opened.

Facial injuries sustained when a letter bomb exploded as it was being opened. No further info. It is not uncommon for small explosive devices to be sent in the post to targeted individuals. The device is usually contained within a large padded envelope and detonation is usually achieved when the envelope is opened by an unsuspecting recipient. Injuries sustained in such circumstances are usually confined to the face and are often characterized by linear abrasions and lacerations radiating from a point in front of the face.

- - -

Case 7

Attachment 1038439
Fig7.1 Purging of putrefactive fluid from mouth and nostrils.

This individual has greenish putrefaction skin discoloration and purging of putrefactive fluid from mouth and nostrils.

During the natural decomposition process, lipids, proteins and carbohydrates are broken down into smaller molecules. These decomposition by-products are the major components in decomposition fluid. The decomposition process also causes the release of gases such as methane and hydrogen sulphide. The build-up of gases (known as bloating) causes the fluids and gases to escape from the orifices of the body and eventually leads to rupturing of the skin.

Decomposition, or putrefaction, is a combination of two processes: autolysis and bacterial action. Autolysis is the breakdown of cells and organs through an aseptic chemical process caused by intracellular enzymes. Because it is a chemical process, it is accelerated by heat, slowed by cold, and stopped by freezing. Bacterial action results in the conversion of soft tissues in the body to liquids and gases. The chemicals produced as a result of the putrefaction are cadaverine and putrescine, hydrogen sulfide and other sulfides, which generate a horrible smell.

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Part 1 --- Part 2 --- Part 3 --- Part 4 --- Part 5 --- Part 6 --- Part 7 --- Part 8 --- Part 9 --- Part 10 --- Part 11 --- Part 12 --- Part 13 --- Part 14 --- Part 15 --- Part 16 --- Part 17

-

This post is for educational purposes only and is nonprofit. Under Section 107 of the US Copyright Act of 1976; Allowance is made for "Fair Use" for purposes such as criticism, comment, news reporting, teaching, scholarship, and research. OP is not a medical expert. No copyright infringement intended. This post does not encourage or glorify violence/harassment. Images might have been upscaled and enhanced. Text might have been shortened and simplified/reorganized for online view.

Amazing work thank you so much

[Mecrupulent]

Great as always, thank you !
Case 3 : God, that has to be the most fucked up head from gunshot I've seen !

[Steve]

I could smell that second one through my screen.

[The Krokodil]

I like the post, lots of good info. Like in the medical section where other users explain the type of injuries and procedures done etc

[Cathedral]

Originally Posted by Steve

I could smell that second one through my screen.

hahahahahahahahahhahhahahahahhahahahahahahahahahha hahahahahahhahahhahahahhah, oh man, that's just the funniest thing anyone's ever posted here, OMG, you are a brilliant comedic talent, do you tour? oh please visit LA and NYC and London, at least,ohhahahahahahahahahahahahahahahahah hahahaahahahahahahahahahahahahahahahahahahahahaha, you're killing me with your jokes. Jesus, I can't breathe because I'm laughing so hard. Hahahahahahahahahahahahahahahahahahahahahahahahaha hah...wait, that really wasn't a nice thing that you posted. You think you're better than other people, don't you? You like seeing people at points in their life when they are weak and can't afford a shower. Well, one day walk in that poor guy's shoes and see how you feel. You're a terrorist and a white supremacist, and should be banned from Twitter.

[Coronher66]

There is a face in case # 5’s right eye.
It looks like a guy with a superhero mask on.
I always see faces in these faces.

[docfr8]

Well done