[Unusual findings in death by hanging--reconstruction of capacity for action]

A case of delayed death after suicidal hanging is presented. At first the examination of the scene did not provide any evidence of strangulation. The macroscopic and microscopic findings of the massive neck injury including cricotracheal disruption are described and discussed. In spite of this severe trauma, the capability to act was undoubtedly preserved. Death was due to hypoxia from bilateral pneumothorax caused by the massive neck injury.