Evidence map›Paper›PMID 38861166›Full record

ArticleInternational journal of legal medicine2024

A case of hemorrhage at the junctions of the posterior intercostal arteries-a vital sign?

Nicolas Lange-Herr, Joëlle Tschui, Jeremias Klaus, Manuela Baglivo, Emilie Schlottke, Wolf-Dieter Zech

Abstract readCase Reports
In one paragraph

Article in International journal of legal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Death by hanging: possibilities and limits of medico-legal evidence.International journal of legal medicine · 2026
    Review
  3. Novel aortic lesions in hanging deaths.International journal of legal medicine · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nicolas Lange-HerrInstitute of Forensic Medicine, University of Bern, Bern, Switzerland. Nicolas.herr@irm.uzh.ch.ORCID http://orcid.org/0000-0002-7269-0413
Joëlle TschuiInstitute of Forensic Medicine, University of Bern, Bern, Switzerland.
Jeremias KlausInstitute of Forensic Medicine, University of Bern, Bern, Switzerland.
Manuela BaglivoInstitute of Forensic Medicine, University of Bern, Bern, Switzerland.
Emilie SchlottkeInstitute of Forensic Medicine, University of Bern, Bern, Switzerland.
Wolf-Dieter ZechInstitute of Forensic Medicine, University of Bern, Bern, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The authors present the case of a 58-year-old man found hanging from a radiator by his shoelaces. The time of death was approximately 6 h before the body was discovered. An autopsy was performed approximately 24 h after the body was found, which revealed hemorrhages in the thoracic aorta at the junctions of the posterior intercostal arteries. Before autopsy, a routine whole-body CT scan was performed. Histologic examination of the aorta and the posterior intercostal arteries revealed a fresh hemorrhage into the tunica adventitia of the aorta. To our knowledge, there is no case description of such findings in hanged persons in the literature. Conclusion: Hemorrhages into the tunica adventitia of the junction of the posterior costal arteries may occur in association with suicidal hanging. The significance of these hemorrhages as a sign of vitality may be debated.

Indexed as

Aorta, ThoracicHemorrhageAdventitiaAsphyxiaHumansMaleMiddle AgedNeck InjuriesSuicide, CompletedTomography, X-Ray ComputedHangingSimon’s hemorrhageSuicideVital signs

Identifiers

PMID38861166
PMCPMC11490417

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.