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Related Experiment Video

Updated: Dec 20, 2025

The Rabbit Blood-shunt Model for the Study of Acute and Late Sequelae of Subarachnoid Hemorrhage: Technical Aspects

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Postmortem Otorrhagia in Positional Asphyxia.

Valentina Bugelli, Carlo Pietro Campobasso¹, Amalia Angelino²

¹Dipartimento di Medicina Sperimentale, Università degli Studi della Campania "Luigi Vanvitelli," Naples, Italy.

The American Journal of Forensic Medicine and Pathology

|May 27, 2020

Summary

Postmortem ear bleeding (otorrhagia) can occur without head trauma, often due to positional asphyxia. Forensic pathologists should investigate body position to understand this finding.

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Published on: January 13, 2023

Area of Science:

Forensic Pathology
Toxicology
Medical Examiner

Background:

Otorrhagia is typically linked to basilar skull fractures or diving incidents.
Differentiating traumatic from atraumatic otorrhagia is crucial in forensic investigations.

Observation:

An elderly farmer died from positional asphyxia after becoming trapped in hay bales.
Autopsy revealed polyvisceral congestion and petechiae, but no skull fractures or traumatic injuries.

Findings:

The deceased's head-down position caused respiratory failure and venous congestion.
Increased vascular pressure from the position led to postmortem otorrhagia.
Other signs of increased cephalic venous pressure included pink teeth and petechiae.

Implications:

Ear bleeding in deceased individuals may be a postmortem artifact related to body position, not necessarily indicative of trauma.
Death scene investigation, including corpse positioning, is vital for interpreting cadaveric findings.
Forensic pathologists must consider positional asphyxia as a cause of otorrhagia.