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An Uncommon Delayed Sequela After Pressure on the Neck: An Autopsy Case Report

Dayapala, Asurappulige MD*; Samarasekera, Anandi MD; Jayasena, Ajith MD, DMJ

The American Journal of Forensic Medicine and Pathology: March 2012 - Volume 33 - Issue 1 - p 80–82
doi: 10.1097/PAF.0b013e318221bab7
Case Reports

Delayed sequelae after pressure on the neck are rare. Awareness of such sequelae as well as a high degree of suspicion is essential for early detection and proper clinical management. Injuries to the common carotid artery and pseudo aneurysm formation leading to fatal hemorrhage are still rare occurrences after attempts of manual strangulation. When such cases are presented to the forensic pathologist, he has to establish the link between the cause and effect, excluding other possible causes for such complications. In addition, he may have to give opinions in possible medical negligence charges.

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From the *Office of the Judicial Medical Officer; †Department of Pathology, National Hospital, Colombo; and ‡Office of the Judicial Medical Officer, Anuradhapura, Sri Lanka.

Manuscript received December 17, 2010; accepted March 12, 2011.

The authors report no conflicts of interest.

Reprints: Asurappulige Dayapala, MD, 280/13, Tissara Mawatha, Godagama Rd, Athurugiriya, Sri Lanka. E-mail:

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© 2012 Lippincott Williams & Wilkins, Inc.