Bowel wall hemorrhage after death by hanging

Schulz, F.; Schäfer, Hansjörg; Püschel, Klaus; Tsokos, Michael; Brinkmann, B.; Buschmann, C.

doi:10.1007/s00414-010-0543-4

Cited by 14 publications

(8 citation statements)

References 17 publications

(17 reference statements)

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“…X‐ray examination or CT scan in decapitations can be considered a fully indicated diagnostic tool. Hemorrhages into the back and auxiliary breathing muscles and hemorrhages in the small and large bowel walls as newly suggested vital signs in hanging deaths in our cases were not recorded .…”

Section: Discussioncontrasting

confidence: 47%

Decapitation in Suicidal Hanging – Vital Reaction Patterns

Hejna

Bohnert

2012

Journal of Forensic Sciences

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Complete or incomplete decapitation as a consequence of suicidal hanging is very rare, few cases having been reported in the worldwide literature. Posthanging decapitation is typically related to a drop of several meters. Three cases of complete decapitation and one case of incomplete decapitation by suicidal hanging are reported with particular emphasis on internal findings and vital reaction patterns. Personal, circumstantial, autopsy, and toxicological data were analyzed to define basic characteristics of such extreme injuries. The crucial factor for the state of decapitation itself is the kinetic energy of the falling body, the strength of the human neck tissue, and the diameter and elasticity of the used ligature. Results of our case study suggest Simon's hemorrhage and air embolism as useful autopsy findings in posthanging beheading cases. Simon's hemorrhage was demonstrated in three cases of four. The test for air embolism was positive in all four cases.

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Section: Discussioncontrasting

confidence: 47%

Decapitation in Suicidal Hanging – Vital Reaction Patterns

Hejna

Bohnert

2012

Journal of Forensic Sciences

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“…In six cases, haemorrhaging into the intestinal walls in the sense of posited abdominal congestion symptoms [16] was attested. Thirty-one deaths displayed haemorrhages under the anterior longitudinal ligament of the vertebral column.…”

Section: Resultsmentioning

confidence: 98%

“…a double zone of hyperaemia above and below as well as congestion haemorrhages above the ligature mark. As systemic reactions, a positive phosphatidic sample [12], pulmonary dystelectasis and pulmonary microembolism syndrome [13], and occasionally pulmonary embolisms, aspiration findings and haemorrhages of the intestinal wall [12,[14][15][16] have also been described. Since, however, individual morphologically discernible findings, such as haemorrhages under the anterior longitudinal ligament of the vertebral column, are neither specific nor sensitive [17][18][19].…”

Section: Introductionmentioning

confidence: 98%

Haemorrhages into the back and auxiliary breathing muscles after death by hanging

et al. 2011

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We describe and discuss haemorrhages discovered in the back and auxiliary breathing muscles of a population of cases of suicidal death by hanging. Intramuscular haemorrhages were present in approximately 30% of the cases. Pre-existing illnesses with an increased tendency to bleed or an anticoagulant medication did not exist; corresponding skin and subcutaneous fatty tissue structures were intact in each case. In cases of death by hanging, the occurrence of muscle haemorrhages of this type may be explained pathophysiologically by the occurrence of increased respiratory exertions and/or seizures during the hanging process. Although the results of our study do not indicate an obligatory autopsy finding, evidence of internal haemorrhaging into the back and auxiliary breathing muscles may be called upon following consideration of differential diagnostic aspects as a further diagnostic indication of vital hanging.

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“…From this perspective, pathological changes of the synovial membrane in hypothermia have entered the range of other autopsy signs which have been studied more closely recently or have been newly described [25][26][27]. These morphological changes are important not only from an academic point of view, but above all for the possibility of their immediate use in routine practice of forensic pathology.…”

Section: Discussionmentioning

confidence: 98%

The diagnostic value of synovial membrane hemorrhage and bloody discoloration of synovial fluid (“inner knee sign”) in autopsy cases of fatal hypothermia

2012

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We describe and discuss autopsy findings of synovial membrane hemorrhage and bloody discoloration of synovial fluid ("inner knee sign") within a study population comprising 36 cases of fatal hypothermia and 300 control cases. Synovial membrane hemorrhage and bloody discoloration of synovial fluid of the knees were seen in 27 cases of fatal hypothermia (75%). Though we are not dealing here with an obligatory autopsy finding in fatal hypothermia, the detection of the inner knee sign might be used as another corroborative sign of vital hypothermia after considering all differential diagnostic aspects. However, the absence of this finding does not exclude death due to hypothermia.

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Bowel wall hemorrhage after death by hanging

Cited by 14 publications

References 17 publications

Decapitation in Suicidal Hanging – Vital Reaction Patterns

Decapitation in Suicidal Hanging – Vital Reaction Patterns

Haemorrhages into the back and auxiliary breathing muscles after death by hanging

The diagnostic value of synovial membrane hemorrhage and bloody discoloration of synovial fluid (“inner knee sign”) in autopsy cases of fatal hypothermia

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