Kanchan Tanuj, Menezes Ritesh G, Manipady Shahnavaz
Department of Forensic Medicine and Toxicology, Kasturba Medical College, Manipal, South Canara 576104, India.
J Clin Forensic Med. 2006 Jul;13(5):277-9. doi: 10.1016/j.jcfm.2005.11.012. Epub 2006 Jan 27.
We present a case where a 54-year-old man suffering from haemorrhoids, committed suicide by hanging. Gravitational forces due to the upright position of the body facilitated post-mortem per-rectal bleeding from the ulcerated haemorrhoids. The bleeding stained his under garment and wrap around cloth. Frank blood was also seen on the floor beneath the hanging body. The blood at the crime scene was wrongly interpreted by the investigating police as that due to self-inflicted injury or possibly case of homicide followed by post-mortem suspension of the body. Observation of the crime scene by forensic medicine experts and subsequent autopsy findings revealed that the bleeding was from the haemorrhoids. This case is reported for its rarity, for the awareness of the possible post-mortem haemorrhoidal bleeding artefact, to explain the circumstances of such a possibility, and to emphasize the importance of involving forensic medicine experts as a part of the crime scene investigation team.
我们报告一例病例,一名54岁患有痔疮的男子上吊自杀。由于身体直立姿势产生的重力作用,促使已溃疡的痔疮在死后经直肠出血。出血弄脏了他的内衣和裹尸布。在悬挂尸体下方的地板上也可见到明显的血迹。调查警方将犯罪现场的血迹错误地解释为自残所致,或者可能是他杀后再将尸体悬吊。法医学专家对犯罪现场的观察及随后的尸检结果表明,出血源自痔疮。报道此病例是因其罕见性、为提高对死后痔疮出血假象的认识、解释出现这种可能性的情况,并强调让法医学专家作为犯罪现场调查团队的一部分参与其中的重要性。