An autopsy case of suicide with three knives: a forensic and anatomical discussion

Abstract

We present a case of a 30-year-old man who committed suicide, using three knives, after a domestic disturbance in which he repeatedly stabbed his wife. During the inspection of the corpse of the man at the scene, two knives were found embedded in the neck and one in the abdomen. During the autopsy, we found two stab-incised injuries on the anterior surface of the neck in the lower section of the second segment bilaterally, one injury on the left side of the chest, and eleven injuries in the abdomen of the deceased with varying depth. Wound channels ranged from 1.5 cm to 20 cm. Despite our expectations that some of the major arterial and/or venous vessels in the neck would be cut, we found breaks in only small vessels, nervous structures, sublingual glands, and muscles in the course of the wound channels. In this case, we define such an autopsy finding as rare, or rather, as a rare accident. The inflicted stab-incised injuries as individual anatomical lesions would not lead to certain death. At the time of autopsy we revealed that the fatal injury was in the abdomen, wherein the abdominal aorta was cut. This led to the development of acute blood loss. In the genesis of death, a puncture-incised injury of the left lung was involved, leading to the development of hemopneumothorax. With regards to the possibility of murder, we did not find any cuts or puncture-incised injuries on the body of the deceased man which could be described as "defensive", or such that could have been received while trying to escape. During the police investigation, evidence for the presence of a third person at this domestic incident was not found.

A Study of pattern of neck injuries in the victims autopsied at tertiary care medical college and hospital of North Karnataka

“…Our study was in agreement with the studies of Patel Ankur P et al 4 as they mention in their study that suicidal hanging (neck injury) were most common (97.5%) followed by accidental and homicidal. Our study was also consistent with the studies of Ajay Kumar S et al 3 , Shetty BS et al, 19 Aleksandra Apostolov et al, 20 Sikary AK et al, 21 Smith Srisont. 22 Our findings were in contrast with the studies of Zahid Hussein et al 7 as they have noticed homicidal deaths constituted maximum numbers (77.7%) of all autopsies conducted in their study.…”

“…Our results of asphyxia deaths were in agreement with study done by Sharma BR et al 5 who found hanging (69%) outnumbered other asphyxial deaths like ligature and Manual strangulation. In our study, hemorrhagic shock was also one of the leading causes of death, which is similar to study of other authors like Zahid Hussain et al, 7 Shetty BS et al, 19 Parthasarathi Pramanik et al 23 , Smith Srisont et al 22, Aleksandar Apostolov et al 20 . In our study, minimum number of cause of death was due to decapitation i.e.…”