Journal of Indian Academy of Forensic Medicine (JIAFM)

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Fig. No. 2 69 JIAFM, 2007 29 (2) ISSN: 0971-0973 Fig. No. 3 References: 1. Excoriations produced by the fingernails are narrow and may be curved. Gradwohl’s Legal Medicine Ed Francis E. Camps, II Ed. 1976, P334. 2. The little finger often exerts too small a force, The Pathology of Trauma Ed. J.K Mason & B.N. Purdue, III Ed. 2000, P243.
70 JIAFM, 2007 29 (2) ISSN: 0971-0973 Personal Apparel Endangering Life *Dr. S. Khaja, **Dr. S.S. Panda, ***Dr. Zia-UL-Mohsin, ****Dr. K. Subba Reddy *Professor **Asso Professor ***Tutor ****Postgraduate Student Department of Forensic Medicine, Mamata Medical College, Khammam -507 002 (A.P.) India. Abstract Survival after accidental pressure exerted over neck is not common. In the literature also only few cases are available. Further, the victims or their relatives seek medical assistance only if complications arise and also it is not mandatory on the part of treating private practitioner to report such cases to the police. Findings in the living on the 4 th day after accidental compression of the neck by the personal apparel are described in this article. Red eyes due to scleral haemorrhages are the most striking feature and the position of knot with ligature mark is also well marked. Key Words: Personal Clothing, Pressure Over Neck, Survival Features. Introduction: Deaths due to accidental hanging, strangulation among different age groups are reported in considerable number. Only few cases of accidental compression of the neck by self-clothing and survival are available in the literature. A case of accidental hanging and survival and also how a ligature mark after 7 days appears was reported. [1] In the present case, findings on the 4 th day after accidental compression of neck are described. Case report: A girl aged 12 years wearing salwar kameez and the chunni placed over shoulders with both ends tied was playing on a fine evening with friends near her residence. Suddenly she lost balance and had fallen on the ground. Friends tried to help her but found her unconscious and sought help. Neck compression can cause helpless black out in 10 seconds. [2] The residents including the girl’s parents rushed to the spot and sprinkled water over her face. One of the resident noticed that the chunni, which was over her neck, was tight, and the same was removed. After few minutes she regained consciousness. Parents did not seek medical assistance as she behaved normally. On the 4 th day after the incidence parents sought consultation with the ophthalmologist of Mamata General hospital as the redness of the eyes persisted. On examination the eyes showed scleral haemorrhages, a one-inch wide ligature mark was seen at the middle of the neck, infront and sides (Fig.1). The imprint of the knot was seen on the right side of the neck (Fig.2) No ligature mark was seen on the back of the neck. Discussion: Women to cover their chest & head usually wear Chunnis. Sometimes both ends of chunni are tied together particularly during play or cooking to prevent slipping of chunni. In the present case the girl tied the ends of chunni together. While playing she had accidentally fallen down in such a way that part of the chunni was caught between her back and the ground. This resulted in knot and adjacent part of chunni compressing the front and sides of the neck. This case once again shows that apparel of a person can sometimes become a lethal weapon. Fig. 1 & Fig. 2 References: 1. Shaikh Khaja, seven days old ligature mark, Jl.of Indian Academy of Forensic Medicine, 2003, 25,164. 2. Denk. Wand Missliwetz J, carotid and vertebral carotid circulation in forearm choke holds in Doppler sonography. Zeit schrift fiir Rechts medizin 103, 369- 377.
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Journal of Indian Academy of Forensic Medicine (JIAFM)

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