Citation

Mileva B, Goshev M, Alexandrov A, Gitto L. Med. Leg. J. 2022; ePub(ePub): ePub.

Copyright

(Copyright © 2022, Medico-Legal Society, Publisher SAGE Publications)

DOI

10.1177/00258172221086110

PMID

36112942

Abstract

Autoerotic deaths occur in the context of sexual activity when different devices and objects are used to increase stimulation and sexual pleasure, resulting in unintentional deaths. A common feature of autoerotic deaths s the presence of a self-rescue mechanism to ensure survival and escape a dangerous situation. By definition, autoerotic deaths are accidental. Thus, it is essential to exclude suicide or homicide. An atypical case of autoerotic asphyxia is presented, in which the victim showed a ligature mark produced by a soft belt with maximum pressure on the posterior aspect of the neck and the point of suspension located anteriorly. A detailed scene investigation and the autopsy findings helped determine the manner of death. Determining the manner of death in AADs can be challenging and has a significant legal, social, and economic impact. A multidisciplinary approach is required to reach the correct conclusion. We present a case of AAD with atypical findings.

Language: en

Keywords

accident; autopsy; Forensic pathology; autoerotic asphyxia; manner of death