Oklahoma teen Noah Presgrove was 'likely beaten to death by a gang and his body moved and dumped' on lonely highway, doctor claims

Noah Presgrove, 19, was found dead on a desolate highway on September 4Hours earlier he was at a four-day party with friends at a house a mile awayDoctor believes autopsy report showed he was likely beaten to death by group

A teenager mysteriously killed in a rural town was probably beaten to death by a group, and his body moved and dumped on a highway, a doctor believes.

Noah Presgrove, 19, was wearing only two mismatched shoes when his body was discovered on a desolate stretch of US-81 near Terral, Oklahoma, on September 4.

He was last seen alive about a mile away at a four-day 22nd birthday party with friends over the Labor Day weekend that was heavily documented on social media.

Oklahoma Chief Medical Examiner Leonardo Roquero ruled Presgrove died of 'multiple blunt force injuries', but how he got them was 'undetermined'.

His autopsy report released on Monday detailed extensive injuries to the teen's upper body, including 10 broken ribs, serious skull, neck, and spine fractures, internal bleeding, brain and organ damage, and cuts and grazes all over his body.

Dr Stuart Fischer, an internist doctor with extensive experience in emergency medicine, reviewed the report for DailyMail.com.

Noah Presgrove, 19, was wearing only shoes when his body was discovered on a desolate stretch of US-81 in Terral, Oklahoma , on September 4

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He said the injuries Presgrove suffered were so catastrophic and varied that him being mortally wounded in a severe beating was the most likely cause.

'The poor kid never had a chance, these [injuries] are not amenable to surgery at all, not at the same time,' he said.

'There are five and possibly up to 10 potentially life-ending injuries, it's not just one.'

Dr Fischer said the skull fractures were the most serious injuries and were so severe they were unlikely to have been caused by one impact.

There was one extensive skull fracture running across his head, 'splitting the middle base of skull into two', and multiple smaller ones, with police investigators describing his head as being 'caved in'.

He had about 20ml, or 0.68oz, of blood pooled inside his head from a brain bleed, and damage to four parts of the brain itself.

Presgrove's autopsy also revealed air in both his cranial cavity and spinal cord, extremely rare conditions only caused by massive head trauma.

'This is very unusual for air to enter the skull,' Dr Fischer, author of the Little Book of Big Medical Emergencies, said.

'My guess would be injury by several different things at the same time, namely several different people at the same time,' he said.

Dr Fischer said it was unlikely one person caused all Presgrove's injuries because they were far in excess of what was needed to kill him - unless it was a 'crime of passion'.

'They would have had to keep going a lot longer than needed - like those cases where people are stabbed 50 times... it's very difficult to break a skull,' he said.

He said the broken neck Presgrove suffered, where his C1 vertebrae was displaced, could have killed him by itself if it was bad enough - 'it's like when someone is hanged by a rope'.

Oklahoma Chief Medical Examiner Leonardo Roquero ruled Presgrove died of 'multiple blunt force injuries', but how he got them was 'undetermined'

Oklahoma Chief Medical Examiner Leonardo Roquero ruled Presgrove died of 'multiple blunt force injuries', but how he got them was 'undetermined'

Presgrove's body was found between the two chalk lines, and teeth within the circles. In the background is a memorial set up for the teenager

Presgrove's body was found between the two chalk lines, and teeth within the circles. In the background is a memorial set up for the teenager

Presgrove, pictured at his senior prom last year, 'never had a chance' of surviving his extensive injuries, a doctor said

Presgrove, pictured at his senior prom last year, 'never had a chance' of surviving his extensive injuries, a doctor said

Dr Fischer was shocked to see there was little mention of blood at the scene, and hear how multiple sources told DailyMail.com that there was almost none when they saw his body lying on the roadside.

'Really? Well maybe the body was moved. There would be pools of blood and if you're not seeing that, an explanation could be that's what happened,' he said.

'If you're hit with enough force to crack a skull and cause a basal skull fracture, you would think there's something at the scene that's more than a paper cut.

'But if there's nothing, it could mean the body was moved.'

Roquero wrote that Presgrove was bleeding from his ears, which Dr Fischer said was classic in a basal skull fracture.

Another leading theory police are investigating is that Presgrove fell, or was pushed, from the back of a pickup truck and hit his head on the road.

'It's possible,' Dr Fischer said, but noted the lack of serious injuries to Presgrove's lower body, which only had a few cuts and scrapes.

'If he was thrown from a car, you might get the body rolling and therefore injuries throughout the whole body as opposed to it being confined to one area.

Oklahoma Highway Patrol detectives, who are leading the investigation, are still unsure how Presgrove (pictured) died, and were told conflicting stories about that night

Oklahoma Highway Patrol detectives, who are leading the investigation, are still unsure how Presgrove died, and were told conflicting stories about that night

Presgrove's autopsy ruled he died of 'multiple blunt force injuries', but how he got them was 'undetermined'

Presgrove's autopsy ruled he died of 'multiple blunt force injuries', but how he got them was 'undetermined'

Family and friends decorated Presgrove's grave for what would have been his 20th birthday on Tuesday, and broke down visiting it

Family and friends decorated Presgrove's grave for what would have been his 20th birthday on Tuesday, and broke down visiting it

'Even if he hit the road head first, it would distribute the injuries up and down the body... he'd have broken legs [from rolling on the road].'

Dr Fischer said Presgrove would have bled to death, but his breathing would also have been affected by his torso injuries.

'He would have died very quickly, in minutes. Not seconds, there would be lots of blood,' he said.

Both lungs were punctured and he had internal injuries to his heart, spleen, and stomach and internal bleeding of at least 1,550ml - about 3.2 pints.

A man Presgrove's size has about 12.6 pints of blood, and would generally die after losing half of it - though as little as a third can lead to death.

The absence of huge blood pools near his body when the internal bleeding was only about a quarter of his body's volume could imply the body was moved.

'This case gives an insight into the complexities of medical forensics. People watch CSI and they think it's easy to solve a crime, but you can see there's so many variables,' Dr Fischer said.

Roquero's report, released more than eight months after Presgrove's death, detailed numerous other grisly injuries the teen suffered in the early hours of Labor Day.

He was last seen alive at the four-day 22nd birthday party with friends over the Labor Day weekend that was heavily documented on social media

He was last seen alive at the four-day 22nd birthday party with friends over the Labor Day weekend that was heavily documented on social media

nd perseverance in finding answers.' The Oklahoma State Bureau of Investigation called Presgrove's death 'suspicious' in the days after his body was found

nd perseverance in finding answers.' The Oklahoma State Bureau of Investigation called Presgrove's death 'suspicious' in the days after his body was found

The skin on left side of his scalp was torn off to the bone and a clump of hair and skin was found in the middle of the highway.

'Additionally, a clump of hair was observed on the right buttock without blood or tissue,' Roquero wrote.

Both his upper and lower teeth were broken 'with few fragments and found inside the mouth' and others strewn across the road several feet from his body.

He was bleeding out of his ears and had a cut on his lower lip and one on his tongue.

Presgrove's C1, C2, C6, C7 vertebrae were fractured to varying degrees and C1 was displaced - indicating a seriously broken neck.

He had road rash on upper back and abrasions from grazes on his left shoulder, left arm, left side of torso, and both buttocks.

Other grazes were on his left eyebrow, corner of the left eye and left cheek, left ear, right neck, and behind his right ear.

Presgrove had healed abrasions and scabs on his nose, both hands and knuckles, left foot and heel, round healing ulcer on right thigh - all of which predated the injuries from that night.

Presgrove's family (pictured with his sister Madison Rawling) were confused by aspects of the report but said they had confidence in the investigation

Presgrove's family (pictured with his sister Madison Rawling) were confused by aspects of the report but said they had confidence in the investigation

That weekend they were drunkenly celebrating the end of summer with a ranging party at the birthday girl's home

That weekend they were drunkenly celebrating the end of summer with a ranging party at the birthday girl's home

Roquero wrote that there were 'no vehicle parts or debris observed on the scene', indicating Presgrove was almost certainly not hit by a car.

'He was naked and was only wearing unmatching shoes. There was a pair of shorts found several feet from the decedent and was reported to be his,' Roquero wrote.

'Additionally, there were three pieces of a white metal chain as well as part of a tooth present several feet from the decedent.'

Roquero noted there was 'a drawing in black ink of a stick-figure person on the side of the right thigh'.

A video from the Saturday night of the party, on September 2, showed Presgrove's friends drawing their names and other doodles on his back and buttocks.

He went home and washed some of it off, but is believed to not have been able to get all of the marker off before he went back to the party the next evening.

The Adidas shoe Presgrove was wearing was his, and the other, a 'Hey Dude' slip-on, was from another party guest who was asleep at the time.

The shorts he was wearing were undamaged, despite the grazes on his buttocks, and the slip-on shoes had grass and other debris lodged in them.

Presgrove had a blood alcohol level of 0.14, but no drugs in his system.

The Oklahoma Highway Patrol, which is leading the investigation, two weeks ago gave its first update since last September.

'Currently, the OHP is not investigating Presgrove's death as a murder,' it said.

'The investigation is not over, and anyone with information on Presgrove's death is encouraged to contact [us].'

Presgrove was a high school football player until his graduation in May

Presgrove was a high school football player until his graduation in May

A friend who wasn't at the party questioned one of the teenagers in the weeks that followed about what happened to cause his facial injuries

A friend who wasn't at the party questioned one of the teenagers in the weeks that followed about what happened to cause his facial injuries

Presgrove's body was found about a mile north along the highway from the small street where the party was held

Presgrove's body was found about a mile north along the highway from the small street where the party was held

This was despite friends and family who saw his body saying his badly battered face 'looked like he got beat up by five dudes'.

Not investigating the teen's death as a murder does not mean police have ruled out manslaughter, and detectives are considering competing theories.

'We would like to publicly thank the team that are working in unison tirelessly to navigate what has always been called as a suspicious death, not a murder which is killing by premeditation,' Presgrove's family said in a statement.

'We understand everyone’s frustrations more so than anyone. However, we ask that everyone be mindful of their dedication and perseverance in finding answers.'

The Oklahoma State Bureau of Investigation called Presgrove's death 'suspicious' in the days after his body was found.

The report also vaguely explained some of the events leading up to Presgrove's disappearance and discovery on the highway.

'Then he rode an ATV ranger vehicle with several men that had a roll over incident. The decedent was alive following the incident and returned to the party where he got into an argument with his girlfriend,' it read.

'The decedent left the house party and was not found until the morning of September 4, 2023, on the side of the highway.'

Presgove's best friend Jack Newton, who was at the party but claimed he was asleep when he disappeared, said it was his ATV that was in the accident.

'All of all close friends said that he wrecked my SXS I had there around 3,' he wrote in a message to another friend.

'And he was super dirty and super drunk so a couple of girls helped him in the shower.'

Confronting photos of police chalk outlines showed where his body, marked by the white line, and at least one of his teeth, marked by the circle, were found

Confronting photos of police chalk outlines showed where his body, marked by the white line, and at least one of his teeth, marked by the circle, were found

Farther away still is a spot of blood - the only blood found at the scene despite the extensive injuries all over his upper body

Farther away still is a spot of blood - the only blood found at the scene despite the extensive injuries all over his upper body

Presgrove's family said they were confused by the reference to his 'girlfriend' as he was single.

Newton explained this in the same conversation: 'When he got out [of the shower] he wanted to sleep in one of the girls' bed and she [said no and] that upset him and he walked off.'

During the same conversation, the other friend asked how Presgrove got the horrific injuries he suffered to his face that appeared to be from a beating.

'Bro, everyone that saw Noah at the viewing, including me, saw his face was beat up bad,' he wrote in a message shared with DailyMail.com.

'I know what a beat up face looks like. Definitely not just me saying that. Everyone that saw him said that.

'Looks like he got beat up by five dudes.'

Other people who saw his body said it looked like his nose and cheek were broken.

The damage to his face was in addition to other injuries to the back of his head and upper body Presgrove suffered, and added fuel to fears he was murdered.

Oklahoma Highway Patrol detectives, who are leading the investigation, are still unsure how he died, and were told conflicting stories about that night.

Theories include him being 'forcibly pushed from the bed of a moving truck' where the blood spot was, and staggering along the road before collapsing.

Presgrove could also have been killed in an accident or murdered elsewhere and his body dumped on the highway.

The blood spot was dozens of feet away from the body, which is opposite the cross

The blood spot was dozens of feet away from the body, which is opposite the cross

Another concerning photo appears to show a teenager holding a rifle with Presgrove visible in the foreground

Another concerning photo appears to show a teenager holding a rifle with Presgrove visible in the foreground

Presgrove (left) poses with a friend on the Sunday night of the party hours before his death

Presgrove (left) poses with a friend on the Sunday night of the party hours before his death

Initial belief that he was killed in a hit-and-run was ruled out based on the pattern of his injuries that didn't include any damage to his lower body.

Confronting photos of police chalk outlines showed his teeth were found scattered across the highway, some a dozen feet from his body.

Farther away still is a spot of blood - the only blood found at the scene despite the extensive injuries all over his upper body.

Presgrove and his friends graduated from Comanche High School just a few months earlier and his family said he planned to join the military.

But that weekend they were drunkenly celebrating the end of summer with a raging party at the birthday girl's home, on a small street about a mile south from where his body was found, detailed in videos obtained by DailyMail.com.

One video from the night he died showed some of Presgrove's friends writing their names on his bare buttocks with marker.

The writing was not still there when his body was discovered in the early hours of the morning but it was not known how and when it was removed.

Other photos show the teenager writing on the buttocks of another friend, and posing alongside them with a signature on his chest.

Two more videos show Presgrove daring friends to slap him across the face as they partied under an outside patio at the house.

Presgrove's (left) family complained his friends all claimed to have no idea what happened to him and how he ended up dead by the roadside just hours later

Presgrove's (left) family complained his friends all claimed to have no idea what happened to him and how he ended up dead by the roadside just hours later

One video from the night he died showed some of Presgrove's friends writing their names on his bare buttocks with marker

Presgrove's aunt Robyn Smith (center) and grandmother Deborah Smith (right) appealed for answers more than seven months after his death

Presgrove's aunt Robyn Smith (center) and grandmother Deborah Smith (right) appealed for answers more than seven months after his death

Presgrove had to repeatedly insist that a male friend hit him, eventually only giving him a light tap before sprinting away in fear of retaliation.

Another concerning photo appeared to show a teenager holding a rifle with Presgrove visible in the foreground.

His family complained his friends all claimed to have no idea what happened to him and how he ended up dead by the roadside just hours later.

The Oklahoma State Bureau of Investigation described his death as 'suspicious' days later, but few details have been released about the investigation.

Even Presgrove's family said they were in the dark and the Oklahoma Highway Patrol refused to provide any details to maintain the 'integrity of the investigation'.

'The longer you keep the truth inside, the guiltier you become… you could aid in getting justice for Noah,' his sister Madison Rawlings said.

'You could do the right thing and may receive a mercy that was not given to him, but the longer we sit in silence, the worse it becomes for you.

'I hope those involved see that we are not budging and the silence fuels our desire to know more.

'I miss Noah daily. This is the hardest chapter of my life, but I am thankful that I have a family that will not give up on each other.'

His family said all they were told is that he suffered head trauma, but were not sure if that was his cause of death

His family said all they were told is that he suffered head trauma, but were not sure if that was his cause of death

Presgrove and his friends graduated from Comanche High School just a few months earlier and his family said he planned to join the military

Presgrove and his friends graduated from Comanche High School just a few months earlier and his family said he planned to join the military

Presgrove's grandmother Deborah Smith also called on his friends to tell the whole story about what happened the night he died.

'When you think you have friends that you trust with all your heart and then here it comes. Sorry Noah that some of your true friends stabbed you in the back,' she said.

'A piece of my heart is missing and every day that goes by and Noah doesn't walk through the door and still no answer just takes another piece of my heart.'

His aunt Robyn Smith begged anyone with information to at least tell the police so his family would have answers seven months later.

'We lost an amazing young man to the horrible choices of others, please do not let us lose out on justice,' she said.

'We’ve heard so many different stories, but we have yet to hear the truth. The whole truth. Which we deserve.

'I know it’s scary and I know it’s hard, but we deserve to know what happened. Noah deserves to have his story told. We will not stop searching and asking. We will not stop demanding. It will come out.'

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