Alon Pikarsky M.D | Chairman of Surgery
Head Department of general Surgery
Hadassah Hebrew University
Medical Center Ein kerem Jerusalem, Israel
Head Department of general Surgery
Hadassah Hebrew University
Medical Center Ein kerem Jerusalem, Israel
8/8/2024
To : Adv. Ephraim Demari
In question: Arrest number [number redacted] [name redacted]
At your request, a preliminary opinion on the injury of detainee [number redacted] [name redacted]
A wounded man was evacuated from Sde Teiman to Assuta Ashdod Hospital on 7/6/24.
According to his initial examination, injury to the neck, chest and rectal bleeding. There is no indication of damage to the anus itself at the time of his arrival.
After an initial examination and treatment of the chest injury, he was transferred to perform a CT scan. As part of this test, a contrast material was also injected into the rectum (of course, through the anus). Even in this procedure, no difficulty or any abnormal problem is described in the anus.
Later, the patient was operated on (with evidence of a rupture in the rectum). During the surgery, a manual examination was again performed through the anus and even then, there is no description of injury to the anus itself.
Since there was an injury to the rectum, there is no doubt that it was the insertion of a foreign object that caused the injury. However, there is great doubt about the way and the mechanism of the insertion of the foreign object, which caused the injury to the rectum.
Insertion by an external factor, certainly of a wide object (such as a baton or a broom stick) requires injury to the anus itself (in addition to injury to the rectum) and clear signs of this injury. It is precisely the self-insertion of a foreign body, which can equally cause a rupture in the rectum, that will not cause damage to the anus itself, since the inserter (the patient himself) will ensure a gentle and non-traumatic insertion of the foreign object.
The medical material, which was shown to me (hospitalization documents as well as a computer screen shot from 8/7/24 of Dr. Muhammad Milham) without any evidence of injury to the anus, supports self-insertion and not insertion by an external party.
Prof. Alon Pikarski Alon
Director of the surgical department
Hadassah University Center
Jerusalem
alizs@hadassah.org.il: 02-6779500 Fax: 02-6779510, email
Hadassah University Hospital, Ein Kerem P.O.B. 12000, Jerusalem 9112001, Israel 9112001 P.O.D. 12000, Jerusalem