Forensic Medicine · Medico-Legal Autopsy and Postmortem Changes (Thanatology)

A body found after 3 days in a warm climate shows green discolouration of the right iliac fossa. This is the earliest sign of:

  • A Cadaveric adipocere formation
  • B Mummification
  • C Saponification
  • D Putrefaction
Correct answer: D. Putrefaction

Explanation

Green discolouration of the right iliac fossa is the first external sign of putrefaction and appears 24-48 hours after death in warm climates. It results from bacterial action (mainly Clostridium welchii) on haemoglobin producing sulphaemoglobin and iron sulphide, which gives the green-black colour. The right iliac fossa is affected first because the caecum harbours the largest concentration of intestinal bacteria.

Reference: The Essentials of Forensic Medicine and Toxicology (Narayan Reddy), 34th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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