Hemorrhage can occur into the bowel wall following death by strangulation or hanging.


Patient selection: hanging, strangulation, throttling


Sites of hemorrhage may include:

(1) stomach

(2) duodenum

(3) jejunum

(4) colon

(5) omentum

(6) rectum


The degree of hemorrhage may correlate with the duration of being suspended.


False positive hemorrhage can be seen with:

(1) coagulopathy (but would also contribute to true hemorrhage)

(2) mesenteric infarction

(3) blunt trauma

(4) hypothermia

(5) putrefaction


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