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Circumferential suicidal cutting of the lower legs
Tijana Durmić1, Tatjana Atanasijević2, Milenko Bogdanović2
1Institute of Forensic Medicine "Milovan Milovanović", School of Medicine, University of Belgrade, Deligradska 31a, Belgrade, Serbia. tijana.durmic@med.bg.ac.rs.
A woman died from blood loss after self-inflicted leg wounds. Autopsy showed deep cuts to bones and blood vessels, alongside hesitation marks, indicating suicide.
Area of Science:
- Forensic Pathology
- Traumatology
Background:
- Suicide methods vary, with sharp force trauma being a documented cause of death.
- Understanding wound characteristics is crucial for forensic investigations.
Observation:
- Autopsy of a 69-year-old female revealed extensive horizontal incised wounds encircling the lower legs, 24 cm above the heels.
- Wounds penetrated superficial veins, underlying muscles, and reached the lower leg bones, causing hematoma.
- Numerous superficial hesitation cuts (3-6 cm) were present on the lower legs.
Findings:
- The primary cause of death was hemorrhagic shock.
- The injuries resulted from self-inflicted cuts with a safety razor blade.
- The pattern of wounds, including hesitation marks, is consistent with suicide.
Implications:
- This case highlights the severity of self-inflicted injuries that can lead to fatal hemorrhage.
- Detailed autopsy findings aid in distinguishing suicide from other causes of death.
- Awareness of such methods can inform mental health interventions and suicide prevention strategies.
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