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Updated: Feb 16, 2026

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection
Published on: July 21, 2013
An unusual case of suicidal double ligature strangulation
Gian Luca Marella1, Enrico De Dominicis2, Giovanni Arcudi1
11 Department of Experimental Medicine and Surgery, University of Rome "Tor Vergata", via Montpellier, Rome, Italy.
Abstract:
As suicide by ligature strangulation is rare, the correct medico-legal diagnosis may be difficult to establish if there is no clear supporting circumstantial evidence. We report an unusual case of suicide by strangulation with a double ligature. Investigation of the scene of death and pathological findings at autopsy are reported and discussed. We emphasise the importance of an external examination and an on-the-spot investigation.
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