Booysen was in immense pain - medic
Paramedic Wicus Kiewietz said the teen kicked and screamed in the ambulance.
CAPE TOWN - Bredasdorp teenager Anene Booysen was in immense pain shortly after the attack, a paramedic said on Wednesday.
The 17-year-old was raped, mutilated and left for dead at a construction site in February.
Johannes Kana pleaded guilty to sexually assaulting Booysen but denied killing her.
In court on Wednesday, paramedic Wicus Kiewietz said he saw a woman lying between two houses when he arrived at the construction site in the early hours of 2 February.
Kiewietz told the court the teenager was lying on her left shoulder when he turned her on her back to see if she was still alive.
He said he almost immediately noticed blue marks on her body.
Booysen's intestines could also be seen between her legs.
While trying to treat the teenager in the ambulance, she kicked and screamed.
Kiewietz said she was in immense pain.
The case will resume on Thursday.
Earlier on Wednesday, the court retraced Booysen's last steps.
An in-loco inspection kicked off with a visit to the pub where the teenager, Kana and her friends had been partying.
The suspect was accompanied by a witness and court officials.
Bredasdorp residents came out to support Kana.
Locals shouted and cheered as Kana left the police van.
The 21-year-old was even given the thumbs up by some residents.