The forensic pathologist who examined the body of Maureen Boyce cannot completely rule out the possibility the arthritic Australian socialite stabbed herself with her wrong hand so hard the blade went through her back.
But Professor Beng Beng Ong told the Brisbane Supreme Court he favoured the probability the wounds to the 68-year-old former model were caused by a "second person".
New Zealand-based doctor Thomas Christopher Lang is on trial after pleading not guilty to murdering Boyce at her Kangaroo Pt apartment in October 2015.
On Wednesday, the jury was shown photos of the 32cm knife embedded so deeply in Boyce's abdomen that part of the handle was inside her body. The tip of the knife was also found to be protruding from her back.
Ong said the blade was thrust into Boyce twice, partially withdrawn and turned then plunged into her another two to three times.