surgeries, reconstructive surgery, psychological and psychiatric treatment, and ophthalmological service.50 For example, a medical report from September 2001 indicates that at that time, she was diagnosed with, among other things, a “large hepatic subcapsular hematoma on the left lobe covering the abdomen as a late complication from the multiple traumas she experienced to her abdomen previously;” and she needed “surgery for the triple fracture on her jaw and the maxilo-facial surgery to fix the problems with her upper and lower lips.” 51 By October and November, her status was still clinically defined as “serious” and she suffered from “[...] full healed tearing extending to the vulval mucosa,” injuries from the human papilloma virus, “hematoma on the right jawbone,” “multiple hypochromic scars on the nasal septum [...] deformity on both ears[,] multiple round scars along the lumbar vertebrae [...];” 52 a “scar on the anterior face of the right thigh,” and “vestiges of contusions on both legs.” 53 Linda Loaiza López was also given a nutritional evaluation, as she was suffering from “severe anemia” and weighed 32 kg at the time she was rescued.54 She has suffered from cataracts, ovarian cysts, pancreatic pseudocysts, stress-induced amenorrhea, vaginal warts, and other conditions.55 71. Linda Loaiza López also suffered serious impacts to her mental health. According to a report from the Forensic Psychiatric Department of the Technical Body of the Judicial Police of October 2, 2001, she was diagnosed with posttraumatic stress syndrome.56 The case file contains a second forensic examination performed on May 13, 2003, confirming this diagnosis and indicating that Linda Loaiza López presents with “a generalized malaise characterized by low self-esteem, rejection of herself, rejection of the sexual approaches of others, repressed anger and frustration […] she is sad and deeply afraid for her safety and integrity [...]”57 These forensic examinations were performed by male psychiatrists and a neurologist, one of which stated during the domestic criminal proceeding that Linda had been referred to as “a person who is 50 The IACHR case file contains supporting medical documentation on the reconstructive surgeries performed between 2012 and 2013. See: Annex 20. La Trinidad Teaching Medical Center. Dr. Manuel Vicente Gordon Parra, medical report of April 9, 2012. Annex “11 Varios 2012 04 09 Docente La Trinidad – Cirugía Plástica” of the brief from the petitioners, June 20, 2014; and Annex 21. Supporting medical documentation of Dr. Marcos Oziel of February 22 (ear reconstruction) and July 26, 2013 (second surgery). Both documents in Annex “02 Informes Clínicos” of the brief from the petitioners, June 20, 2014. 51 Annex 10. Medical report of Linda López. University Hospital of Caracas. Department of Surgery, September 4, 2001. Annex A.4 of the brief from the petitioners, July 14, 2009. 52 Annex 4. Decision of the Twentieth First Instance Trial Tribunal of the Caracas Metropolitan Area. Case No. 20.-253. November 5, 2004. Forensic medical review of the General Forensic Medicine Division, signed by Dr. Sinuhe Villalobos, October 25, 2001, pg. 158. Annex D of the brief from the petitioners, July 14, 2009. 53 Annex 22. Visual inspection report of November 2, 2001 pgs. 363-367. Annex A-2 of the brief from the petitioners, July 14, 2009. Linda Loaiza later stated during the criminal trial that the injury on her thigh was caused when her attacker tried to “insert a broomstick in her vagina.” 54 Annex 23. University Hospital of Caracas. Nutritional evaluation. Record No. 0709372 of Linda López. November 8, 2001. Annex “Folder No. 6 exámenes médicos” to the initial petition of November 12, 2007. 55 See, among others: Annex 4. Decision of the Twentieth First Instance Trial Tribunal of the Caracas Metropolitan Area. Case No. 20.-253. November 5, 2004. Medical report of February 8, 2002, carried out by Dr. Olaf Sadner, and statements of Drs. María Alicia Molina García (dental surgeon), Milagros Nazaret Hernández Molina (ophthalmologist), and Dora Josefina Tovar Hernández (ophthalmologist), pgs. 170-172, 192-195, respectively. Annex D of the brief from the petitioners, July 14, 2009; Annex 24. Dr. José María Vargas Hostpital. La Guaira, Vargas state. Medical report of Linda López, no date; medical record of Linda López. Part I and Part II, no date; Fundación G. Behrens Belisario. Ophthalmological report on Linda López. January 30, 2003; University Hospital Clinic. Computer Imaging Unit. CTA exam of Linda López’ abdomen and pelvis. November 30, 2001. Dr. Carlos Arvelo Military Hospital. Department of Plastic and Reconstructive Surgery. Medical report of Linda López. No date; Dr. Carlos Arvelo Military Hospital. Department of Gastroenterology. Intake report on Linda López. October 17, 2002. All documents in Annex “Folder No. 6 exámenes médicos” to the initial petition of November 12, 2007. Also see: Annex 25. Medical report of Linda López. Annex “02 Informes Clínicos” of the brief from the petitioners, June 20, 2014. 56 Annex 26. National Directorate of Criminal Investigations Technical Body of the Judicial Police. Psychiatric Forensic Department. Psychiatric Forensic Medicine Report on Linda López, October 2, 2001, signed by forensic psychiatrist Osiel David Jiménez Gonzalez and forensic neurologist Juan Carlos Guedes Rivas. Annex “02 Informes Clínicos C 2201 10 02 LL Informe Médico Forense Psiquiátrico” of the brief from the petitioners, June 20, 2014. 57 Annex 4. Decision of the Twentieth First Instance Trial Tribunal of the Caracas Metropolitan Area. Case No. 20.-253. November 5, 2004. Medical exam of Linda López, signed by forensic psychiatrist Osiel David Jiménez and clinical forensic psychologist Juana Azparren, of the Scientific, Criminal, and Forensic Investigations Unit. Official Letter No. 541 of May 13, 2003, pgs. 227-229. Annex D of the brief from the petitioners, July 14, 2009

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