Evaluation of Thyroid Hormones Levels in Hanging Death Case

Authors

  • Harun Tuğcu Gülhane Askeri Tıp Akademisi Adli Tıp Anabilim Dalı
  • Sait Özsoy Gülhane Askeri Tıp Akademisi Adli Tıp Anabilim Dalı
  • Türker Doğan Gülhane Askeri Tıp Akademisi Adli Tıp Anabilim Dalı
  • Mehmet Toygar Gülhane Askeri Tıp Akademisi Adli Tıp Anabilim Dalı
  • Birol Demirel Gazi Üniversitesi Tıp Fakültesi Adli Tıp Anabilim Dalı
  • Mükerrem Safalı Gülhane Askeri Tıp Akademisi Patoloji Anabilim Dalı

DOI:

https://doi.org/10.17986/blm.2006113619

Keywords:

hanging, autopsy, thyroid hormones

Abstract

Investigation of manner of death for hanging which is encountered frequently suicidal have great importance. Manner of death may sometimes be accidental or homicide. However the method of hangings seemed to be the same, the trauma occured at skeletal system and the mechanism of death differentiate. Scene investigation and autopsy should be necessary to reveal manner, and mechanism of death in such cases. a complete autopsy had been performed for 22 years old male whose manner of death was reported suicidal hanging,. Scene investigation showed the decedents wrists were tied in front and a furrow slanting upward superficially toward the knot was rear of in external examination. Hemorrhage was found in soft tissues beneath the furrow at the back of neck. Hyoid bone, thyroid cartilage and cervical vertebras were found intact while internal structures of neck was examined Triiodothyronine concentration was detected 13.71 pg/mL (reference levels^. 57-4.43 pg/mL) in postmortem blood test There was no significant macroscopic findings except furrow as well as high level of postmortem thyroid hormone and the position of deceased lead to conclusion that wrists seemed to be tied by himself and this case had been evaluated for these certain unique features

Key words: Hanging, autopsy, thyroid hormones.

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References

Azmak D, Erdönmez O, Ahun G, Zeren C, Yılmaz A. Edirne ilinde otopsisi yapılan 77 asfiksi olgusunun değerlendirilmesi,Yıllık Adli Tıp Toplantıları, 2002; 197-202.

Balcı Y G, Albek E. Suicide in the Province of Eskişehir, Turkey: The approach of forensic medicine. Turk J Med Sei, 2003, 33:43-47.

Knight B. Forensic Pathology, third edition. Arnold, London, 2004; 368-394.

Cantürk N, Cantürk G, Koç S, Özata B. İstanbul’da ası sonucu ölümler; 2000-2002 yıllarında yapılan otopsilerin retrospektif değerlendirmesi. Adli Tıp Dergisi, 2005; 19 (1) :6-13.

Celbiş O, Özdemir B. Malatya Adli Tıp Grup Başkanlığında 1999-2002 yılları arasında ölü muayene ve otopsileri yapılan intihar olguları. İnönü Üniversitesi Tıp Fakültesi Dergisi, 2005; 12(3): 173-176.

Clark M.A, Kerr FC. Unusual hanging deaths. Journal of Forensic Sciences, 1986; 31(2) :747-55. DOI: https://doi.org/10.1520/JFS12309J

Khokhlov V.D. Calculation of tension exerted on a ligature in incomplete hanging. Forensic Sei Int. 2001; 123:172-177. DOI: https://doi.org/10.1016/S0379-0738(01)00543-6

Nikolic S, Micic J, Atanasijevic T, Djokic V, Djo- nic D. Analysis of neck injuries in hanging. Am J Forensic Med Pathol, 2003; 24:179-182. DOI: https://doi.org/10.1097/01.PAF.0681069550.31660.f5

Oral G. Adli Psikiyatri, Adli Tıp Cilt III, Istanbul Üniversitesi Basım ve Film Merkezi, İstanbul, 1999; 1337-1571.

Morild I. Fractures of neck structures in suicidal hangings. Med Sei Law, 1996; 36(l):80-4. DOI: https://doi.org/10.1177/002580249603600115

Betz P, Eisenmenger W. Frequency of throat-skeleton fractures in hanging. Am J Forensic Med Pathol, 1996; 17(3):191-193 DOI: https://doi.org/10.1097/00000433-199609000-00002

Khokhlov V.D. Injuries to the hyoid bone and laryngeal cartilages: effectiveness of different methods of medico-legal investigation. Forensic Science International, 1997; 88:173-183. DOI: https://doi.org/10.1016/S0379-0738(97)00101-1

Şenol E. Boyuna Mekanik Kuvvet Uygulanması İle Gelişen Asfiksi Sonucu Meydana Gelen Ölüm Olgularında Boyun Bölgesinde Basıya Maruz Kalan Endokrin Bezlerden Salgılanan Hormon ve Enzimlerin Adli Tıp Açısından Değerlendirilmesi Uzmanlık Tezi, Ankara, 2004.

Katsumata Y, Suzuki O, Oya M, Yada S: Plazma Thyroglobulin as an indicator of mechanical asphyxia-comparison of plazma thyroglobulin level by radioimmunassay and the results of precipitation- electrophoresis. Medicine Science and the Law 1980. 20(2): 84-88. DOI: https://doi.org/10.1177/002580248002000203

Katsumata Y, Sato K, Oya M, Yada S. Detection of thyroglobulin in bloodstain as an aid in the diagnosis of mechanical asphyxia. Journal of Forensic Science 1984. 29(l):299-302. DOI: https://doi.org/10.1520/JFS11663J

Coe JI. Postmortem chemistry update. The Am J of Forensic Med and Pathol. 1993; 91-117. DOI: https://doi.org/10.1097/00000433-199306000-00001

Müller E, Franke W G, Koch R. Thyreoglobulin and violent asphyxia. Forensic Sei Int 1997; 90:165-170. DOI: https://doi.org/10.1016/S0379-0738(97)00158-8

Müller E, Erfurt C, Franke WG. Thyroblobulin gehalt im blut und erhängen. Z rechtsmed. 1990. 103:361-367. DOI: https://doi.org/10.1007/BF01263041

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Published

2006-12-01

Issue

Section

Case Report

How to Cite

1.
Tuğcu H, Özsoy S, Doğan T, Toygar M, Demirel B, Safalı M. Evaluation of Thyroid Hormones Levels in Hanging Death Case. Bull Leg Med. 2006;11(3):114-118. https://doi.org/10.17986/blm.2006113619