Causes of Death Accompanying by Soft Tissue Neck Hemorrhage
International Journal of Medical Toxicology and Forensic Medicine,
Vol. 3 No. 1(Winter) (2013),
20 April 2013
,
Page 10-19
https://doi.org/10.22037/ijmtfm.v3i1(Winter).3982
Abstract
Background: Generally, soft tissue hemorrhages in anterior part of the neck are attributed to the neck compression or trauma and suspicion goes more to homicidal death than suicide. Although artificial posterior neck hemorrhages are described as Prinsloo-Gordon phenomenon in cadavers with posterior lividity, studies conducted on such hemorrhages in the anterior and lateral compartments are rare. This study intends to investigate causes of death accompanied by soft tissue neck hemorrhages in different compartments of neck.
Method: In this retrospective case series, between March 2008 and 2009, cadavers whose autopsies indicated soft tissue neck hemorrhages and the lividity was dominant in posterior, were evaluated according to the cause of death and anatomical and histological locations of hemorrhage.
Results: Among 86 cases of neck hemorrhage, 72.1% (n=62) were male. Direct neck trauma, hanging, strangulation, chocking and positional asphyxia constituted 50% (n=43) of them, 40.7% (n=35) were non-asphyxial, non-traumatic deaths such as natural diseases, drug and CO poisoning, electrocution and drowning, and 9.3% (n=8) were unknown. 65.1% (n=28) of non-traumatic, non-asphyxial cases bore anterior or lateral neck hemorrhages.
Conclusion: The considerable prevalence of soft neck tissue hemorrhages in non asphyxial deaths with no history of neck trauma and the location of such hemorrhages in anterior and lateral sides of neck, lead the investigators to pay more attention to interpret these hemorrhages and determining the mode and cause of death.
- Neck Hemorrhage
- Lividity
- Cause of Death
How to Cite
References
Samarasekera A, Cooke C. The pathology of hanging death in Western Australia. Pathology. 1996;28:334-8.
Luke JL. Asphyxial death by hanging in New York city, 1964-1965. J Forensic Sci. 1967;12:359-69.
James R, Silcocks P. Suicidal hanging in Cardiff-a 15-year retrospective study. Forensic Sci Int. 1992;56:167-175.
Maxeiner H, Bockholdt B. Homicidal and suicidal ligature strangulation: a comparison of the postmortem findings. Forensic Sci Int. 2003;137:60–6.
Ubelaker DH. Hyoid fracture and strangulation. J Forensic Sci. 1992;37:1216–22.
Azmak D. Asphyxial death: a retrospective study and review of literature. Am J Forensic Med Pathol. 2006;27:134-44.
Prinsloo J, Gordon I. Post-mortem dissection artifacts of the neck; theire differentiation from ante-mortem bruises. S Afr Med J. 1951;25:358-61.
Lach H, Püschel K, Schulz F. Intramuscular bleeding in deaths from an internal cause: forensically significant differential diagnosis between external trauma and hemorrhages occurring during agony. Arch Kriminol. 2005;216:97-107.
Raven KP, Reay DT, Harruff RC. Artifactual injuries of the larynx produced by resuscitative intubation. Am J Forensic Med Pathol. 1999;20:31-6.
Lunetta P, Penttila A, Sajantila A. Circumstances and macropathologic findings in 1590 consecutive cases of bodies found in water. Am J Forensic Med Pathol. 2002;23:371-76.
Carter N, Ali F, Green MA. Problems in the interpretation of hemorrhage into neck musculature in cases of drowning. Am J Forensic Med Pathol. 1998;19:223-25.
Maxeiner H. Hemorrhage of the head and neck in death by burning. Z Rechtsmed. 1988;101:61-80.
Hashimoto Y, Moriya F, Nakanishi A. Intramuscular bleeding of the tongue in the victims of house fire. Leg Med (Tokyo). 2003;5:328-31.
Pollanen MS, Perera SD, Clutterbuck DJ. Hemorrhagic Lividity of the Neck: Controlled Induction of Postmortem Hypostatic Hemorrhages. Am J Forensic Med Pathol. 2009;30:322-26
Shkrum MJ, RamsayDA. Forensic Pathology of Trauma. 1st ed. Totowa, New Jersey: Humana Press; 2007.
DiMaio VJ, DiMaio D. Forensic Pathology. 2nd ed. New York: CRC Press; 2001.
Rajs J, Tiblin I. Histologic appearance of fractured thyroid cartilage and surrounding tissue. Forensic sciences Int. 2000;114:155-66.
Saukko P, Knight B. Knight’s Forensic Pathology. 3rd ed. London; Arnold; 2004.
Maxeiner H. Mucosal hemorrhage of the larynx in strangulation and other causes of death. Beitr Gerichtl Med. 1989;47:429-35.
Maxeiner H. Hidden laryngeal injuries in homicidal strangulation: how to detect and interpret these findings. J Forensic Sci. 1998;43:784-91.
Alexander RT, Jentzen JM. Neck and scleral hemorrhage in drowning. J Forensic Sci. 2011 ;56:522-5
Sigrist T, Schulz F, Koops E. Confusing muscular hemorrhage in a drowned cadaver. A contribution to differentiation between vital and postmortem changes. Arch Kriminol. 1994;193:90-6.
Püschel K, Schulz F, Darrmann I, Tsokos M. Macromorphology and histology of intramuscular hemorrhages in cases of drowning. Int J Legal Med. 1999;112:101-6.
Hashimoto Y, Moriya F, Furumiya J. Forensic aspects of complications resulting from cardiopulmonary resuscitation. Leg Med (Tokyo). 2007;9:94-9.
Pollanen M. Forensic pathology and the miscarriage of justice Forensic Sci Med Pathol, Springer Science+Business Media, LLC 2011
Vanezis P. Interpreting bruises at necropsy. J Clin Pathol. 2001;54:348–55.
Burke MP, Olumbe AK, Opeskin K. Postmortem extravasation of blood potentially simulating antemortem bruising. Am J Forensic Med Pathol 1998;19:46–9.
Sheikhazadi A, Kiani M, Taghaddosinejad F. Violence in forensic medicine practice: a survey of legal medicine practitioners’ views. Am J Forensic Med Pathol. 2009; 30: 238–241.
Sheikhazadi A, Kiani M, Ghadyani M. Electrocution-Related Mortality A Survey of 295 Deaths in Tehran, Iran Between 2002 and 2006. Am J Forensic Med Pathol. 2009; 31:42-45.
Sheikhazadi A, Sadr SS, Ghadyani MH. Study of the normal internal organ weights in Tehran’s population. J Forensic Leg Med. 2010;17:78-83.
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