Archived Cases 130-147
Paleopathology Case 147
History: Femur bones of 13th century female aged 45-55 years at time of death, Poggibonsi, Siena, Italy.
Submitted by: Dr. Valentina Giuffra, University of Pisa, Italy.

Diagnosis: Greenstick fracture, probably occured during the infantile age (absence of a true callus).
Paleopathology Case 146
History: Subcutaneous mass on the right side of the chest from a male aged 14 of Northern Chile from 1,100 to 1,200 AD.
Submitted by: Dr. Enrique Gerszten, Virginia Commonwealth University, Richmond, Virginia.

Diagnosis: Lipoma. The histology shows conglomeration of fat cells intermingling with fibrous septa.
Paleopathology Case 145
History: The slide shows the face of a priest from the early XVII Century entombed in the basement of the Church “Iglesia del Carmen” in Mexico City.
Submitted by: Dr. Enrique Gerszten, Virginia Commonwealth University, Medical College of Virginia, Richmond, VA.

Diagnosis: Smallpox. We don’t know exactly when the disease killed the priest shown in the slide, we suspect that he died some time in the eighteenth century.
Paleopathology Case 144
History: The figure shows the inferior view of right medial clavicle, with a well-developed rhomboid fossae. Specimen found in excavation from Bouqras, Syria, ca. 8800 BP in a desert area with known exposure to the grass pea toxins.
Submitted by: Dr. Deborah C. Merrett from Simon Fraser University, Burnaby, British Columbia, Canada.

Diagnosis: Inferior view of right medial clavicle, showing a well-developed rhomboid fossae. Possible lathyrism.
Paleopathology Case 143
History: X-rays shows a lesion in a 30-year-old female mummy from Northern Chile.
Submitted by: Alexander N. Gabrovsky, Virginia Commonwealth University, Medical College of Virginia, Richmond, VA.

Diagnosis: Calcification in the Abdominal Aorta.
Paleopathology Case 142
History: Skeletal lesion from a Roman period Burial. Distal femoral joint surface and patella.
Submitted by: Dr. Robert R. Paine from Texas Tech University, Lubbock, TX.

Diagnosis: Femoral joint. Degenerative joint disease.
Paleopathology Case 141
History: Skin: (Left) Right pretibial region. Young adult male, Chimu culture (Late Intermediate Period, ca. 1100-1400 AD)
(Right) Microscopic picture of the skin.
Submitted by: Jordi Esteban, MD and Pedro L. Fernandez, MD, PhD, from Dept. of Pathology, Hospital Clínic of Barcelona and University of Barcelona.
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Diagnosis: Tattoo: Black pigment in deep dermis.
Paleopathology Case 140
History: Pre-Columbian adult mummy from Northern Chile (AZ 71-T57). Organ from the thorax.
Submitted by: Dr. Enrique Gerszten, Virginia Commonwealth University, Medical College of Virginia, Richmond, VA.

Diagnosis: Heart.
Paleopathology Case 139
History: Slide shows a microscopic finding in the kidney of a South American mummy.
Submitted by: Dr. Enrique Gerszten, Virginia Commonwealth University, Medical College of Virginia, Richmond, VA.
Diagnosis: Blood vessel.
Paleopathology Case 138
History: Endoscopy of internal thoracic wall of male mummy. Location: Chiu-Chiu region (Chile). (AD VI).
Submitted by: Agustín Franco, Dept. of Urology, Hospital Clinic, Barcelona; Jordi Esteban, Dept. of Pathology, Hospital Clinic, Barcelona; José Antonio Sanchez, Sc

Diagnosis: Pleural adhesions.
Paleopathology Case 137
History: Remains of a 32-year-old woman from the Inca period (AD 1500). The lesion involves T9 through T12 with complete destruction of the vertebral bodies of T10 and T11. There is some evidence of bony fusion.
Submitted by: Dr. Peter C. Gerszten, University of Pittsburgh, Pittsburgh, PA.

Diagnosis: Healed Pott’s disease.
Paleopathology Case 136
History: Internal abdominal organ from a mummy from Northern Chile.
Submitted by: Dr. Enrique Gerszten, Virginia Commonwealth University, Medical College of Virginia, Richmond, VA.

Paleopathology Case 135
History: Endoscopic image from the interior of the cardiac cavity of a mummy of the region of Chiu-Chiu, Chile.
Submitted by: Drs. Jodi Esteban and Pedro L. Fernández, Depto. Anatomia Patologica, University of Barcelona, Spain.

Diagnosis: - The image shows necrophagous insects belonging to the order of coleoptera (family: dermestidae).
Paleopathology Case 134
History: Skull from an excavation in Peru from the Nazca culture. The surgical technique for trephination in the skull was called crosscut and it was done following a trauma to the skull.
Submitted by: Dr. Enrique Gerszten, Virginia Commonwealth University, Medical College of Virginia, Richmond, VA.

Diagnosis: Severe periostitis following a trephination of the skull.
Paleopathology Case 133
History: The slide is from a male captive from the Pyramid of the Moon, Moche River Valley, Northern Peru, excavated from an Archeological site.
Submitted by: Dr. John Verano, Tulane University, New Orleans, LA.

Diagnosis: The slide shows shallow cut marks from slitting of the throat (yellow arrows) and deeper cuts, probably from decapitation of the victim.
Paleopathology Case 132
History: Lungs from a Native American from an excavation found in Southern Peru (AD 1600).
Submitted by: Dr. Enrique Gerszten, Virginia Commonwealth University, Medical College of Virginia, Richmond, VA.

Diagnosis: The lungs show severe anthracosis from a Native South American working in a mine.
Paleopathology Case 131
History: Skull from a 12-year-old boy from an excavation from Northern Chile (AD 1100).
Submitted by: Dr. Enrique Gerszten, Virginia Commonwealth University, Medical College of Virginia, Richmond, VA.

Diagnosis: Biparietal porotic hyperostosis resulting from chronic anemia in a 12-year-old boy of the regional culture (AD 1100).
Paleopathology Case 130
History: Autopsy finding in a mummy of ancient Peru (young girl).
Submitted by: Dr. Enrique Gerszten, Virginia Commonwealth University, Medical College of Virginia, Richmond, VA.

Diagnosis: Skull of a young girl with a large left parietal fracture resulting in a massive subdural hemorrhage.