Chondromyxoid fibroma of bone (relapsed) in a 14-year-old boy
This lesion had originally been diagnosed and treated as an enchondroma of bone about two years ago. The radiology shows the relapsed lesion. The “bubbly” appearance of the involved phalanx is typical. The apparent soft tissue extension (focal lack of bony covering) can make the radiological diagnosis difficult especially in larger lesions. Here, it might be due to the previous operation as well. Although histologically benign, chondromyxoid fibroma of bone can be misdiagnosed both radiologically and pathologically and is frequently a source of confusion. Misdiagnoses (both benign, as here, and malignant) are relatively common.
The next case also occurred within the City of Bellevue. On August 9, 1990, the body of 32-year old white female was discovered in her bedroom by her 13-year-old daughter. The victim’s nude body had been displayed on the bed with a pillow over her head. The barrel of a shotgun had been inserted into the victim’s vagina. The body was totally nude except for a pair of red high heel shoes, which had been placed upon her feet by the offender. The body had been positioned so that whoever walked into the room would be confronted with this grotesque sight. There was evidence of blunt force trauma to the head and manual strangulation. Although there wasn’t any evidence of vaginal rape or sodomy, there were foreign pubic hairs found on the mattress and the rug in the victim’s bedroom. Two expensive rings were missing from the hands of the victim.
A body of a nude female, who had been sexually assaulted (The victim was nude, object inserted into vagina foreign pubic hairs), was found in her residence. There wasn’t any evidence of forced entry. The body had been displayed and then posed with props (insertion of the shotgun into the vagina and the red high heel shoes on her feet.) Foreign pubic hairs were retrieved from the crime scene. The offender had managed to enter her home, assault and kill her and then spend a considerable amount of time in the crimes scene as he engaged in unknown conduct with the body. The body was face-up exposing her breasts and genitalia and posed for shock value. The injuries to this woman’s head were more extensive and the posing more degrading then victim number #1 Two expensive rings were stolen from the victim’s hand.
NOTE: However, in this case the police had good reason to suspect a former boyfriend, who made an excellent suspect due to his activities prior to the murder. In addition, when the police attempted to question him, he hired an attorney, who refused to even discuss the case with the authorities. The pubic hair from the first case as well as the present case was not analyzed until September. In fact, this case, as presented to authorities, appeared to be a classic interpersonal violence oriented type dispute and assault.
Bilateral transmetatarsal amputations for dry gangrene.
Ed Gein never married and remained a bachelor throughout his life. This was perhaps because from childhood he had been ambiguous about his masculinity. He considered amputation of his penis on several occasions, he also considered transsexual surgery, but could not do so as the process was costly. Eventually Gein discovered other ways to “become a woman.” He haunted three local cemeteries between 1947 and 1954 and opened an estimated 40 graves. The object was to steal dead bodies or sometimes simply some bits and pieces from the corpses. From these he carved out a number of fetish objects, which he would wear, imagining himself to be a woman. “Often he would dance underneath the moon wearing a woman’s scalp and face, a skinned-out ‘vest’ complete with breasts, and female genitalia strapped above his own.” By ‘putting on’ another sex and personality, Gein seemed to find a measure of contentment. Gein later confessed that he enjoyed dressing himself like this and pretending he was his own mother. Interestingly his victims were roughly the age of his mother. Confirmation of Gein’s grave robberies was obtained by opening three graves. In one, the corpse was mutilated as described be Gein; the second held no corpse at all; a casket in the third showed pry marks, but the body was intact. Gein appeared to be suffering from multiple paraphilias; most notable were fetishism and transvestism.
Surgery to extract a human botfly larva from the eye socket of a 5-year old boy in Honduras. Such infestation is extremely rare, relatively harmless and easily extracted.