Accidental hanging among children and adults: A report of two cases and review of the literature

Nouma, Y.; Ammar, Walaa; Bardaa, Sana; Hammami, Z.; Maatoug, S.

doi:10.1016/j.ejfs.2015.07.001

Cited by 4 publications

(2 citation statements)

References 28 publications

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“…Adult accidental hanging can be "voluntary" or "involuntary". While the latter refers to pure accidental hanging (e.g., incidents during professional or leisure activities), "voluntary" accidental hanging includes hanging resulting from autoerotic asphyxia [8].…”

Section: Introductionmentioning

confidence: 99%

Establishing the Manner of Death: A 3D Reconstruction of a Case of Hanging

Benevento,

Ambrosi,

Maselli

et al. 2023

Forensic Sciences

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Establishing the manner of death is one of the most challenging tasks for forensic pathologists. We present the case of a 24-year-old woman found dead in the early morning on a flyover. The body was sitting on the ground with the back leaning against a wall. The neck was encircled by a white phone charger cable knotted to the staircase’s handrail. The victim had argued with her boyfriend and tried to jump out of his car while coming home from a wedding party the night before. After that, she left home alone with her phone charger in her hand. Due to self-harm behaviors, the first hypothesis was suicide by hanging. However, the ligature crossed immediately beneath the thyroid cartilage and encircled the neck twice horizontally; the two ends of the cable overlapped, forming a cross-over point in the front-right of the neck. Then, the ligature passed obliquely through the nape, gradually disappearing, forming a gap in the mark. The mark was sharply defined, stiff, yellow, and parchment-like. The investigators performed a three-dimensional scene reconstruction using the Trimble X7 Laser Scanner and the PC-Crash Multibody System. Even though the geometry of the ligature mark in the present case raised doubts about the manner of death, the three-dimensional reconstruction confirmed that the hanging was feasible without any external intervention.

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Section: Introductionmentioning

confidence: 99%

Establishing the Manner of Death: A 3D Reconstruction of a Case of Hanging

Benevento,

Ambrosi,

Maselli

et al. 2023

Forensic Sciences

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“…Accidental hangings have a common characteristic that causes death to unsuspecting victims. It concerns children as well as adults, mainly mistakes or in autoerotic context (Nouma et al, 2016). In autopsies of strangulation cases including hanging, the important aspect of the postmortem examination is the careful analysis of neck structures.…”

Section: I-introductionmentioning

confidence: 99%

Suicidal ,Homicidal and Accidental Hanging : Comparative Cross Sectional Study in Aljabal Alakhdar Area,Libya.

Abouhashem

Bataw

Hegazy

et al. 2020

Zagazig Journal of Forensic Medicine

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Introduction: Death by hanging may be suicidal, accidental or homicidal. General external appearances, local external neck findings, neck autopsy and neck histological changes play a major role in differentiation between types of hanging. Aims & Objectives: Differentiation among suicidal, homicidal and accidental hanging by using different diagnostic methods including naked eye examination, neck autopsy, examination of neck structure, and histopathological features of the neck structures at the ligation mark site. Subjects and Methods: the study was carried out from March 2018 to March 2019, with 36 cases of deaths due to hanging divided into: Group 1 (18 cases): suicidal hanging, Group 2 (13 cases): homicidal hanging and Group (5 cases): accidental hanging. A thorough external and internal examination of neck structure was performed in all the cases. Results: Suicidal hanging, associated with female sex, was detected in 57.1% of cases. Homicidal and accidental hanging, significantly associated with skin hemorrhage, was detected in 80% of cases. Microscopic examination: Breaking, wrinkling and compression of the skin along with micro hemorrhages in the subcutaneous tissues were notified more commonly with homicidal hanging. Conclusion: The examination of corpse in hanging cases becomes easy by correlating current observation with the autopsy finding. The correlation of external, internal and microscopic findings leads to easy formulation of final opinion of these cases. It also, to some extent helps to differentiate between types of hanging.

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