A 56-year-old woman was found dead in her bedroom. Her face and the bed were covered with thick coffee-ground emesis and a pail located adjacent to the bed contained similar material. At autopsy, the upper gastrointestinal tract contained a large quantity of altered blood. The blood was found to originate from a large chronic duodenal ulcer that had eroded into the lumen of an artery in its base.

Fig.1 Woman was found dead in her bedroom.

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Fig.7 The victim had been eviscerated and her hands were tied over her head with duct tape to the bed board.

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Fig.1 Contact shotgun wound to the head.

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Fig.2 Position in which the victim was found, a black katana sheath is located between the body and the couch.

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