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What’s Behind the Stain on Pope Francis' Face?

On 23 April, IlFattoQuotidiano.it published an article outlining three possible medical explanations for the dark mark observed under Pope Francis' chin and on his left cheek after his death.

The first hypothesis suggests that the mark may be a 'very large haematoma' caused by the collapse of blood vessels following an ischaemic event. The official medical report describes a cerebral stroke, followed by a coma and cardiac arrest — a clinical scenario consistent with facial bruising, particularly in critically ill patients.

Dr Sabrina Anticoli, a neurologist and head of the Stroke Unit at San Camillo Hospital in Rome, suggests a second possibility: that Pope Francis may have suffered minor trauma from falling while getting up, likely due to an episode of hemiplegia (paralysis of one side of the body), a common consequence of a stroke. In very elderly and frail patients, even slight trauma can result in large, visible haematomas.

A third hypothesis considers age-related physiological changes. In elderly individuals, the skin becomes thinner and the blood vessels become more fragile, making haematomas more likely to form, even from light pressure or post-mortem movement. In this case, the position of the body after death could have caused blood to pool on the left side of the face, producing the visible mark.

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Louis IX

I would never guess that was him. Is the bruising from blood pooling? Any pathologists in the house?