특이한 형태의 질식사 2예 보고
Unusual Asphyxia: Two Autopsy Cases Report
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Asphyxia is primarily observed in either suicide or homicide. We encountered two unusual autopsy cases, which were extremely rare and atypical, with respect to the manner or cause of death. The first victim demonstrated external findings of a transverse ligature mark around his neck and foreign material in the form of flour or kneaded flour in the whole airway, including the oral and nasal cavity. Based on the scene investigation images and autopsy findings, we identified that the victim attempted to strangle himself with a necktie first, but failed. He then inhaled flour and suffocated. The second victim, who died while sleeping, had a transverse ligature mark around her neck with marked facial congestion, multiple petechia of the conjunctiva and oral mucosa, and extensive hemorrhage of the neck muscles. Police investigation found the deceased stuck in a massage machine without the protective cover that prevents small objects being sucked into the machine. Her death was ruled to be accidental. We present two unusual cases of asphyxia, discuss the mechanism of asphyxia in each case, and review the literature.
Abstract
Asphyxia is primarily observed in either suicide or homicide. We encountered two unusual autopsy cases, which were extremely rare and atypical, with respect to the manner or cause of death. The first victim demonstrated external findings of a transverse ligature mark around his neck and foreign material in the form of flour or kneaded flour in the whole airway, including the oral and nasal cavity. Based on the scene investigation images and autopsy findings, we identified that the victim attempted to strangle himself with a necktie first, but failed. He then inhaled flour and suffocated. The second victim, who died while sleeping, had a transverse ligature mark around her neck with marked facial congestion, multiple petechia of the conjunctiva and oral mucosa, and extensive hemorrhage of the neck muscles. Police investigation found the deceased stuck in a massage machine without the protective cover that prevents small objects being sucked into the machine. Her death was ruled to be accidental. We present two unusual cases of asphyxia, discuss the mechanism of asphyxia in each case, and review the literature.
참고문헌 (9)
- 박지혜, "2017년도 법의부검에 대한 통계적 고찰", 대한법의학회지, 42(4), pp.111~125 (2018), 대한법의학회[DOI]
- 나주영, "질식사의 새로운 분류에 따른 2012년도 법의부검의 질식사 분류", 대한법의학회지, 38(1), pp.8~12 (2014), 대한법의학회
- 김대열, "미리 계획된 복합자살 3증례 보고", 대한법의학회지, 43(4), pp.159~163 (2019), 대한법의학회[DOI]
- 이석주, "낙지와 주꾸미에 의한 사고성 기도막힘질식사", 대한법의학회지, 42(4), pp.168~171 (2018), 대한법의학회[DOI]
- Asamura H, "An unusual suicide case of the combination of asphyxia", Am J Forensic Med Pathol, 30, pp.215~216 (2009)
- Busardo FP, "A very unusual accidental mechanical asphyxia of choking with a whole Solea solea", J Forensic Sci, 62, pp.511~514 (2017)
- Germerott T, "Planned complex suicide: self-strangulation and plaster ingestion", Forensic Sci Int, 202, pp.e35~e37 (2010)
- Yegane RA, "Gastrointestinal obstruction due to plaster ingestion: a case-report", BMC Surg, 6, pp.4~ (2006)
- Toro K, "Complex suicide versus complicated suicide", Forensic Sci Int, 184, pp.6~9 (2009)