Volume 45, Issue 3 (May 2000)

    A Triad of Laryngeal Hemorrhages in Strangulation: A Report of Eight Cases

    (Received 18 June 1999; accepted 27 August 1999)

    CODEN: JFSOAD

      Format Pages Price  
    PDF 5 $25   ADD TO CART


    Abstract

    The results of histological studies on larynges from eight cases of manual strangulation, all that had intracartilaginous laryngeal hemorrhages, a recently described and under-recognized lesion associated with strangulation, are reported. Formalin-fixed larynges were examined in serial section using a standardized protocol. In all cases, intracartilaginous laryngeal hemorrhages were associated with subepithelial laryngeal hemorrhages, and intralaryngeal muscular hemorrhages forming a “triad of hemorrhages.” In five cases, the triad was found in the presence of laryngeal cartilage microfractures. Since cartilage microfractures can be causally related to mechanical injury to the neck, it is likely that the triad of hemorrhages has diagnostic value as an independent morphological criterion for the postmortem diagnosis of strangulation. Since a proportion of cases of strangulation lack characteristics that are self-evidently due to violent application of pressure on the neck, recognition of the triad may have important implications for the postmortem diagnosis of strangulation.


    Author Information:

    Pollanen, MS
    Department of Laboratory Medicine and Pathobiology, and the Forensic Pathology Unit, Office of the Chief Coroner for Ontario, Toronto, Ontario


    Stock #: JFS14737J

    ISSN: 0022-1198

    DOI: 10.1520/JFS14737J

    ASTM International
    is a member of CrossRef.

    Author
    Title A Triad of Laryngeal Hemorrhages in Strangulation: A Report of Eight Cases
    Symposium , 0000-00-00
    Committee E30