Differential diagnosis of a calcified cyst found in an 18th century female burial site at St. Nicholas Church cemetery (Libkovice, Czechia).

During archaeological excavations in burial sites, sometimes stoned organic objects are found, in addition to human remains. Those objects might be of a different origin, depending on various factors influencing members of a community (i.e. diseases, trauma), which provides information about their living conditions. The St. Nicholas Church archaeological site (Libkovice, Czechia) in the 18th century horizon of the cemetery, yielded a maturus-senilis female skeleton with a stone object in the left iliac fossa. This object was an oviform cyst-like rough structure, measuring 54 mm in length, 35 mm in maximum diameter and 0.2-0.7 mm shell thickness. Within the object there were small fetal bones (long bones, i.e. femur and two tibias, two scapulas, three ribs, vertebrae and other tiny bone fragments). Methods utilized to analyze the outer and inner surface morphology of the cyst and its inside, included: X-ray, CT imaging, SEM, histological staining and EDS. The EDS analysis revealed the presence of primarily oxygen, calcium and phosphorus in bone samples, and oxygen and silicon, in stone shell. Based on the length of the femur (20.2 mm) and tibia (16 mm) shafts, the fetal age was determined as being in the 15-18 week of pregnancy. The differential diagnosis was conducted, including for the three most probable cases: fetiform teratoma (FT), fetus-in-fetu (FIF) and lithopedion. The possibility of fetiform teratoma was discounted due to the presence of an anatomically correct spine, long bones and the proportions of the find. Although the low calcium content in the shell (2.3% atom mass), the lack of skull bones and the better developed lower limbs indicate fetus-in-fetu rather than lithopedion, the analyses results are unable to conclusively identify the object under one of these two categories since there are insufficient such cases in excavation material with which to draw comparison.

Exhumation research concerning the victims of political repressions in 1945-1956 in Poland: A new direction in forensic medicine.

In 2011 in Wroclaw (Poland), the bodies of 223 prisoners were exhumed, including the victims of political repressions and prosecutions in the period 1949-1954, during which people fighting for the independence of Poland were executed and buried in unidentified graves in various graveyards. It was the first exhumation conducted in Poland on such a large scale. The aim of the present publication is to describe the new direction in forensic medicine employed in these exhumations, which resulted from the new opportunities created by the opening of the state archives after the political transformation of 1989. The authors describe the difficulties they encountered during their exploration of prisoners' burial grounds. The graveyards included in the investigation bear the marks of an intentional policy of confusion and secret burial methods. First, significant disorder in the logical (based on time of death) sequence of burials was observed. This made identification difficult. A substantial time lapse between death and burial in each case, along with the unavailability of comparative data, limited the use of identification methods widely employed in forensic medicine. For this reason, initial analysis had to be based on observations and confirmations made by forensic medicine about the sequence of burials as compared to cemetery documentation. Situations such as this clearly call for the cooperation of historians, archaeologists, anthropologists and forensic pathologists. Political transformations in Eastern Europe in the 1990s gave rise to hopes of exchanging experiences in this type of research as conducted in other countries of the former Eastern Bloc.