Watanabe-Suzuki K, Suzuki O, Kosugi I, Seno H, Ishii A
Department of Legal Medicine, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu 431-3192, Japan.
Med Sci Law. 2002 Jul;42(3):261-4. doi: 10.1177/002580240204200312.
A curious autopsy case following the car crash of a 20-year-old male, in which self-strangulation and lung collapse were observed, is presented. His motor vehicle had crashed into a restaurant as a result of self-strangulation using an electrical cord wound four times around his neck. At autopsy, we found small rupture holes of spontaneous bullae in both lung apices, which had probably taken place upon collision during driving, petechial hemorrhages in the face skin and the absence of severe injuries. Since it seemed unlikely that the small holes in both lung apices caused fatal pneumothorax instantly, the cause of his death was judged to be asphyxia due to self-strangulation. It is not clear whether the self-strangulation was suicidal or autoerotic, because neither traces of suicidal intent nor circumstances suggesting either of them were disclosed.
本文报告了一例20岁男性车祸后的离奇尸检病例，尸检时发现其存在自我勒颈和肺萎陷的情况。该男子使用电线在颈部缠绕四圈进行自我勒颈，导致机动车撞上一家餐厅。尸检时，我们发现双肺尖部有自发性肺大疱的小破裂孔，这可能是在驾驶过程中碰撞时形成的，面部皮肤有瘀点出血，且无严重损伤。由于双肺尖部的小孔似乎不太可能立即导致致命性气胸，因此判定其死亡原因是自我勒颈导致的窒息。目前尚不清楚这种自我勒颈行为是自杀还是性窒息，因为既未发现自杀意图的痕迹，也没有任何相关情况表明是其中任何一种。
