Document Detail

Extensive petechiae in attempted self-strangulation.
MedLine Citation:
PMID:  19040675     Owner:  NLM     Status:  MEDLINE    
A 29-year-old Korean man reported to have been robbed, bound, and gagged by a stranger in his apartment. Clinical findings included extensive petechiae to his face and tramline patterned abrasions and ligature furrows to his neck and face as well as his wrists. Initially, no other leads in the investigation existed and a robbery was assumed to have taken place. The man eventually confessed to fabricating the story and to having self-induced the ligature marks by subluxating his jaw at the temporomandibular joint and hooking the rope closest to the back of his neck on the corner of table. The man demonstrated this unsuspected ability to law enforcement officers. As a motive for his unconventional behavior, he confessed to engaging in autoaggressive behavior as punishment for "losing face" after his ex-girlfriend terminated her pregnancy. This case demonstrates that petechiae due to neck compression also may occur in the living and are due to vascular compression and not lethal hypoxia.
Andrea Lambe; Klaus Püschel; Sven Anders
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-11-01
Journal Detail:
Title:  Journal of forensic sciences     Volume:  54     ISSN:  1556-4029     ISO Abbreviation:  J. Forensic Sci.     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2009-01-05     Completed Date:  2009-04-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375370     Medline TA:  J Forensic Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  212-5     Citation Subset:  IM    
University Medical Center Hamburg, Eppendorf, Institute of Legal Medicine, Butenfeld 34, 22529 Hamburg, Germany.
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MeSH Terms
Asphyxia / pathology*
Forensic Pathology
Neck Injuries / pathology*
Purpura / pathology*
Self-Injurious Behavior / pathology*,  psychology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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