Self-induced vomiting as a probable mechanism of an isolated hyoid bone fracture

Joseph White, John Carver

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Fractures of the laryngeal skeleton (hyoid bone and thyroid horns) are an important finding in a forensic autopsy because they are almost always caused by significant trauma and often are relevant in determining the cause and manner of death. In the forensic setting, these injuries are seen in some hangings and more frequently in manual strangulation. Less common mechanisms include direct blows, "choke holds," and hyperextension of the neck. We present a case of a 37-year-old woman who died of complications of acute ethanol intoxication. The case involves an incidental hyoid bone fracture unrelated to the cause of death as well as facial petechiae. After review of all of the medical records, autopsy findings and scene/police investigations-the key findings of facial petechial hemorrhages and hyoid bone fracture are best attributed to the mechanism of self-induced vomiting. This case emphasizes the importance of synthesizing autopsy findings with the patient's medical and social history to avoid unnecessary investigation or prosecution. This is the second known case of this novel mechanism of hyoid bone fracture in the medical literature and the first in the forensic literature.

Original languageEnglish (US)
Pages (from-to)170-172
Number of pages3
JournalAmerican Journal of Forensic Medicine and Pathology
Volume33
Issue number2
DOIs
StatePublished - Jun 1 2012
Externally publishedYes

Fingerprint

Hyoid Bone
Bone Fractures
Vomiting
Autopsy
Cause of Death
Purpura
Wounds and Injuries
Police
Horns
Skeleton
Medical Records
Thyroid Gland
Ethanol
Neck
History
Hemorrhage

Keywords

  • facial petechiae
  • hyoid bone fracture
  • sceral hemorrhage
  • self-induced vomiting

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Medicine(all)

Cite this

Self-induced vomiting as a probable mechanism of an isolated hyoid bone fracture. / White, Joseph; Carver, John.

In: American Journal of Forensic Medicine and Pathology, Vol. 33, No. 2, 01.06.2012, p. 170-172.

Research output: Contribution to journalArticle

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