Autopsy of a female brought dead to the casualty was performed. No specific signs were seen. On external examination, only a mark on the chin was seen as shown below and on internal examination, following appearance was seen. What is the likely cause of death?
Answer- B. Throttling
- On external examination, a single abrasion is seen, Likely due to the assailant’s fingers grasping the neck.
- Braising of the neck is seen as well.
- On internal examination, we can see contused tissues of the neck with bleeding from strap muscles.
- All these features are suggestive of throttling. Hanging can be ruled out in the absence of a ligature mark.
- The absence of ligature marks rules out ligature strangulation.
Throttling or Manual Strangulation:
- Asphyxia produced by compression of the neck by human hands is called throttling.
- Death occurs due to occlusion of carotid arteries. The occlusion of the airway plays a minor role.
- Vagal inhibition is much more common in manual strangulation than with a ligature