The Analysis and Interpretation of the Mechanisms and Signs of Asphyxiation in Cadavers: A Challenge for the Forensic Pathologist

A special issue of Forensic Sciences (ISSN 2673-6756).

Deadline for manuscript submissions: closed (15 June 2024) | Viewed by 4340

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Institute of Legal Medicine, Department of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
Interests: toxins; forensic toxinology; mycotoxins; public health; human rights; abuse; forensic sciences; legal medicine
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Special Issue Information

Dear Colleagues,

Asphyxiology is the discipline of forensic medicine that deals with the study of the mechanisms underlying respiratory failure, with particular interest in violent mechanical asphyxias, i.e., asphyxias related to a mechanical cause through an obstructive or compressive means, generally being external. Asphyxias, therefore, include a vast category of instruments and dynamics, with diversified pathological mechanisms. It is also necessary to consider natural pathological causes, including infectious diseases of the respiratory system such as tuberculosis, or chronic pathologies such as emphysema or asthma. External signs of asphyxia include violaceous hypostases, the presence of petechiae related to alterations in arterial pressure control mechanisms and possibly signs associated with the neck, thorax or on the air orifices, where a violent manner of death occurred.

Undoubtedly, the study of asphyxia is very complex, since in many cases, external signs can be nuanced and not always clearly interpretable, for which the autopsy is essential. Furthermore, in many cases, even in the presence of external signs, the reconstruction of the dynamics can be very complex. The purpose of this Special Issue is to deepen the study of asphyxia in its different autopsy and clinical presentations. In this regard, research papers, including original articles, reviews and case series, concerning asphyxiology are welcome.

Dr. Matteo Antonio Sacco
Dr. Isabella Aquila
Guest Editors

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Keywords

  • asphyxia
  • strangulation
  • suffocation
  • respiratory failure
  • autopsy

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Published Papers (1 paper)

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10 pages, 5028 KiB  
Case Report
Establishing the Manner of Death: A 3D Reconstruction of a Case of Hanging
by Marcello Benevento, Laura Ambrosi, Eloisa Maselli, Davide Ferorelli, Biagio Solarino and Aldo Di Fazio
Forensic Sci. 2023, 3(4), 582-591; https://doi.org/10.3390/forensicsci3040042 - 15 Nov 2023
Viewed by 3781
Abstract
Establishing the manner of death is one of the most challenging tasks for forensic pathologists. We present the case of a 24-year-old woman found dead in the early morning on a flyover. The body was sitting on the ground with the back leaning [...] Read more.
Establishing the manner of death is one of the most challenging tasks for forensic pathologists. We present the case of a 24-year-old woman found dead in the early morning on a flyover. The body was sitting on the ground with the back leaning against a wall. The neck was encircled by a white phone charger cable knotted to the staircase’s handrail. The victim had argued with her boyfriend and tried to jump out of his car while coming home from a wedding party the night before. After that, she left home alone with her phone charger in her hand. Due to self-harm behaviors, the first hypothesis was suicide by hanging. However, the ligature crossed immediately beneath the thyroid cartilage and encircled the neck twice horizontally; the two ends of the cable overlapped, forming a cross-over point in the front-right of the neck. Then, the ligature passed obliquely through the nape, gradually disappearing, forming a gap in the mark. The mark was sharply defined, stiff, yellow, and parchment-like. The investigators performed a three-dimensional scene reconstruction using the Trimble X7 Laser Scanner and the PC-Crash Multibody System. Even though the geometry of the ligature mark in the present case raised doubts about the manner of death, the three-dimensional reconstruction confirmed that the hanging was feasible without any external intervention. Full article
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