Document Detail


Suicidal vehicle-assisted ligature strangulation resulting in complete decapitation: an autopsy report and a review of the literature.
MedLine Citation:
PMID:  18701336     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The victim (59-year-old male) used a long hemp rope tied between his neck and a cherry tree while attempting to drive his car away, resulting in complete decapitation. At autopsy, the decapitation wound of the head and the torso corresponded perfectly; a clear-cut severance plane was found at the bottom of the skull. In contrast to suicidal decapitation by hanging and traumatic railway injury, autopsy findings for vehicle-assisted ligature strangulation are rarely reported. A review of the literature concerning suicidal vehicle-assisted ligature strangulation suggested a striking young or adult male predominance, and the wound margins were usually clear-cut with a sharply-demarcated encircling abrasion zone. The present case presented some notable autopsy findings involving wound morphology and pathological changes in organs related to the mechanisms of injury and death. Despite complete decapitation, the face was congestive, the lungs were congested with findings of acute respiratory distress, and the brain was markedly swollen with diffuse and severe astrocyte injury, suggesting that asphyxiation was involved in the death before decapitation.
Authors:
Dong Zhao; Takaki Ishikawa; Li Quan; Dong-Ri Li; Tomomi Michiue; Hitoshi Maeda
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2008-08-12
Journal Detail:
Title:  Legal medicine (Tokyo, Japan)     Volume:  10     ISSN:  1873-4162     ISO Abbreviation:  Leg Med (Tokyo)     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-09-15     Completed Date:  2010-01-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100889186     Medline TA:  Leg Med (Tokyo)     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  310-5     Citation Subset:  IM    
Affiliation:
Department of Legal Medicine, Osaka City University Medical School, Asahi-machi 1-4-3, Abeno, Osaka 545-8585, Japan. legalmed@med.osaka-cu.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Airway Obstruction / pathology
Asphyxia / etiology,  pathology
Automobiles
Cause of Death
Decapitation / pathology*
Forensic Pathology
Humans
Lung / pathology
Male
Middle Aged
Neck / pathology
Suicide*

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


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