{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T16:57:12Z","timestamp":1791565032836,"version":"4.3.4"},"reference-count":17,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Med Leg J"],"abstract":"<jats:p>We report the case of an 8-year-old girl who, having been reported missing, was found while concealed in a bed storage compartment in her neighbour\u2019s house. Despite medical intervention she died 13\u2009hours later. Autopsy revealed sexual and physical assault with multiple incised and blunt force injuries, signs of possible restraint, torture and evidence of concealed trauma. Our report discusses the forensic interpretation of findings and the contributory roles of haemorrhagic shock and positional asphyxia. It demonstrates the pivotal function of forensic autopsy in unravelling what occurred in sequence of events. It was a complex medico-legal challenge with the need to record multiple injuries including genital ones. The case required meticulous documentation of all forensic findings and challenges and demonstrates the need for stricter punishments and more informed policy making for effective child protection.<\/jats:p>","DOI":"10.1177\/00258172261461921","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T10:14:24Z","timestamp":1791454464000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Child sexual homicide and sexual sadism: Autopsy analysis of live encasement followed by survival"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-2171-1571","authenticated-orcid":false,"given":"Sunita","family":"Das","sequence":"first","affiliation":[{"name":"Department of Forensic Medicine and Toxicology, Lady Hardinge Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhimanyu","family":"Khutell","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine and Toxicology, Saraswathi Institute of Medical Sciences (SIMS), Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akash","family":"Chaudhary","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine and Toxicology, Pacific Medical College &amp; Hospital, Udaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arzoo","family":"Kadian","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine and Toxicology, ESI Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish","family":"Kumath","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine and Toxicology, VMMC &amp; Safdarjung Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yogesh","family":"Tyagi","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine and Toxicology, VMMC &amp; Safdarjung Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarvesh Kumar","family":"Tandon","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine and Toxicology, VMMC &amp; Safdarjung Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"issue":"41","key":"e_1_3_2_2_2","first-page":"692","article-title":"Physical examination in child sexual abuse: approaches and current evidence","volume":"111","author":"Herrmann B","year":"2014","unstructured":"Herrmann B, Banaschak S, Csorba R, et al. Physical examination in child sexual abuse: approaches and current evidence. Dtsch Arztebl Int 2014; 111(41): 692\u2013703.","journal-title":"Dtsch Arztebl Int"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrimjus.2020.101722"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0886260520916844"},{"key":"e_1_3_2_5_2","volume-title":"Crime in India 2022 \u2013 Volume I & II","author":"National Crime Records Bureau","year":"2023","unstructured":"National Crime Records Bureau. Crime in India 2022 \u2013 Volume I & II. New Delhi: Ministry of Home Affairs, Government of India, 2023."},{"key":"e_1_3_2_6_2","unstructured":"Wihbey J. Global prevalence of child sexual abuse. Journalist Resource https:\/\/journalistsresource.org\/criminal-justice\/global-prevalence-child-sexual-abuse\/ (2011 accessed 12 January 2021)."},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0973184913411162"},{"key":"e_1_3_2_8_2","unstructured":"Ministry of Women and Child Development Government of India. The Protection of Children from Sexual Offences Act 2012 (Act No. 32 of 2012). New Delhi: Government of India. Available at: https:\/\/www.indiacode.nic.in\/bitstream\/123456789\/2079\/1\/AA2012-32.pdf (2012 accessed 16 July 2026)."},{"key":"e_1_3_2_9_2","volume-title":"Crime in India 2021","author":"National Crime Records Bureau","year":"2022","unstructured":"National Crime Records Bureau. Crime in India 2021. New Delhi: MHA, GoI; 2022."},{"key":"e_1_3_2_10_2","unstructured":"Kailash Satyarthi Children\u2019s Foundation. Police case disposal pattern: An enquiry into the cases filed under POCSO Act 2012. New Delhi: Kailash Satyarthi Children\u2019s Foundation. Available at: https:\/\/satyarthi.org.in\/wp-content\/uploads\/2021\/03\/Police-Case-Disposal-Pattern.pdf (2021 accessed 16 July 2026)."},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/19253621241297419"},{"key":"e_1_3_2_12_2","first-page":"105814","article-title":"Manifestations of sexual sadism in child sexual assault and the associated victim, offender, and offense characteristics: a latent class analysis","volume":"134","author":"Reale KS","year":"2023","unstructured":"Reale KS, Chopin J, Gauthier A, et al. Manifestations of sexual sadism in child sexual assault and the associated victim, offender, and offense characteristics: a latent class analysis. Child Abuse Negl 2023; 134: 105814.","journal-title":"Child Abuse Negl"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0b013e31816d223c"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.5468\/ogs.2017.60.6.612"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.7312\/fall90628"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s100240010089"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-59259-786-4"},{"issue":"2","key":"e_1_3_2_18_2","first-page":"85","article-title":"Forensic analysis of hemorrhagic shock","volume":"4","author":"Karger B.","year":"2008","unstructured":"Karger B. Forensic analysis of hemorrhagic shock. Forensic Sci Med Pathol 2008; 4(2): 85\u201391.","journal-title":"Forensic Sci Med Pathol"}],"container-title":["Medico-Legal Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00258172261461921","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00258172261461921","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00258172261461921","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T16:27:14Z","timestamp":1791563234000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00258172261461921"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,8]]},"references-count":17,"alternative-id":["10.1177\/00258172261461921"],"URL":"https:\/\/doi.org\/10.1177\/00258172261461921","relation":{},"ISSN":["0025-8172","2042-1834"],"issn-type":[{"value":"0025-8172","type":"print"},{"value":"2042-1834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,8]]},"article-number":"00258172261461921"}}