Über Kopfstauung, Petechien und „Zyanose” beim Tod durch homizidale Halskompression

Maxeiner, H

doi:10.1007/bf03042344

Cited by 14 publications

(7 citation statements)

References 15 publications

(2 reference statements)

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“…It yielded only one study from 1993. Here Maxeiner described bowel wall hemorrhage after death by strangulation or throttling [11] but attributed these findings to mechanical trauma, since the study involved only homicide victims and the perpetrator "threw" himself on the recumbent victim during the homicidal act in at least some of the cases investigated.…”

Section: Introductionmentioning

confidence: 93%

Bowel wall hemorrhage after death by hanging

et al. 2011

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We describe and discuss autopsy findings of bowel wall hemorrhage in a study population comprising cases of suicidal death by hanging. Intramural hemorrhages were seen in approximately 12% of the cases examined; no preexisting bowel diseases were found. In hanging deaths with a longer agonal phase, we opine that abdominal congestion during the hanging process provides a viable pathophysiological explanation for bowel wall hemorrhage. Though we are not dealing here with obligatory autopsy findings, the detection of bowel wall hemorrhage might be used as another sign of vital hanging after considering differential diagnostic aspects.

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Section: Introductionmentioning

confidence: 93%

Bowel wall hemorrhage after death by hanging

et al. 2011

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“…Petechiae/congestion syndrome: a congestion syndrome usually develops in both fatal and non-fatal ligature strangulation. It is generally more intense than in other forms of strangulation (Maxeiner 1997) because the strength applied by the hands and arms in tightening the ligature merely leads to a compression of the veins, at least in adult victims. Even if the arteriae carotides are compressed, the arteriae vertebrales appear to remain open in many cases.…”

Section: Pathomorphologymentioning

confidence: 99%

“…A few notable exceptions are when great force is applied to strangle newborns, infants or small children. Since this enables the simultaneous compression of all neck arteries, only minimal congestion syndrome may develop, if any (Haarhoff 1971;Maxeiner 1997). If, during an attack, initial sharp or blunt force trauma results…”

Section: Pathomorphologymentioning

confidence: 99%

“…Congestion syndrome occurs in most cases as the compression of the venae jugulares with simultaneous arterial supply interrupts venous drainage, if only temporarily. Congestion syndrome is generally less intensive in fatal manual strangulation than in ligature strangulation (Maxeiner 1997), haemorrhages from the nose and ears are hardly ever observed. However, when comparing cases of death by manual and ligature strangulation, Haarhoff (1971) found no relevant differences in the location and intensity of petechial haemorrhages.…”

Section: Differentiation Between Suicide Homicide and Accidentmentioning

confidence: 99%

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Injuries due to Asphyxiation and Drowning

Keil¹,

Lunetta²,

Vann³

et al. 2014

Handbook of Forensic Medicine

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“…rupture of vessels due to increased intravascular pressure [18]. But there also exist several predisposing or modifying factors such as age, gender, constitution and heart weight [28]. Capillaries can become more susceptible to mechanical forces if they are damaged by hypoxic, immunologic or toxic processes [21,26,27].…”

Section: Introductionmentioning

confidence: 99%

Petechial bleedings in sudden infant death

Fracasso

Vennemann²,

Klöcker

et al. 2010

Int J Legal Med

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The autopsy reports of 484 cases of deceased infants (201 females, 283 males) were analysed retrospectively for the existence of external and internal petechial bleedings (PET). The cases were divided into five groups on the basis of the cause of death (sudden infant death syndrome, sepsis, airway infections, asphyxia and trauma). Internal PET (pleural, pericardial, epicardial, thymic and peritoneal) were observed in each group with a lower prevalence in cases of trauma. The highest prevalence of external (cutaneous and conjunctival) PET was detected in cases of asphyxia (38% and 31%, respectively). However, even if with low prevalence, such bleedings were detected in every group. Factors like sex, age, cardiopulmonary resuscitation and its duration did not influence the presence of PET. The detection of external PET at autopsy is a suspicious finding that suggests asphyxia. Because of the possible natural origin of these bleedings, the medicolegal investigation has to be as complete as possible and has to include histology as mandatory.

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Über Kopfstauung, Petechien und „Zyanose” beim Tod durch homizidale Halskompression

Abstract: In 90 cases uf manual or ligature strangulation

Cited by 14 publications

References 15 publications

Bowel wall hemorrhage after death by hanging

Bowel wall hemorrhage after death by hanging

Injuries due to Asphyxiation and Drowning

Petechial bleedings in sudden infant death

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