Evidence map›Paper›PMID 39836213›Full record

ArticleInternational journal of legal medicine2025

Novel aortic lesions in hanging deaths.

Dalibor Kovařík, Petr Hejna, Michaela Ublová, Štěpánka Pohlová Kučerová, Martin Janík

Abstract readCase ReportsLetter
In one paragraph

Article in International journal of legal medicine, 2025. 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. 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

5 authors.

Dalibor KovaříkDepartment of Forensic Medicine, Faculty of Medicine in Hradec Králové, Charles University, Sokolská 581, Šimkova 870, Hradec Králové, 500 03, Czech Republic.ORCID http://orcid.org/0000-0002-0265-5997
Petr HejnaDepartment of Forensic Medicine, Faculty of Medicine in Hradec Králové, Charles University, Sokolská 581, Šimkova 870, Hradec Králové, 500 03, Czech Republic. hejnap@lfhk.cuni.cz.ORCID http://orcid.org/0000-0002-9308-624X
Michaela UblováDepartment of Forensic Medicine, Faculty of Medicine in Hradec Králové, Charles University, Sokolská 581, Šimkova 870, Hradec Králové, 500 03, Czech Republic.ORCID http://orcid.org/0000-0001-5661-099X
Štěpánka Pohlová KučerováDepartment of Forensic Medicine, Faculty of Medicine in Hradec Králové, Charles University, Sokolská 581, Šimkova 870, Hradec Králové, 500 03, Czech Republic.ORCID http://orcid.org/0000-0001-7858-4972
Martin JaníkInstitute of Legal Medicine and Medico-legal Expertise, Jessenius Faculty of Medicine, Comenius University, Martin, Slovak Republic.ORCID http://orcid.org/0000-0002-5020-5018

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In response to a recent case report published in the International Journal of Legal Medicine entitled "A case of hemorrhage at the junctions of the posterior intercostal arteries-a vital sign?", we wish to corroborate the findings of periadventitial hemorrhages at the junctions of the posterior intercostal arteries in cases of suicidal hanging and to reveal two other novel aortic lesions associated with hanging. In our ongoing prospective study, we identified six cases of aortic intimal ruptures among 257 suicidal hanging deaths, along with the novel observation of subintimal hemorrhages-both of which have not been previously documented in the forensic literature. Our findings suggest that the complex anatomy of the aorta and surrounding structures may increase the vulnerability of vascular structures during hanging, particularly under conditions of complete suspension. We propose that reported aortic lesions may serve as significant morphological indicators of hanging, thereby enriching its medicolegal investigation. To establish the diagnostic relevance of these findings, further prospective autopsy studies with larger sample sizes are warranted.

Indexed as

AortaAortic RuptureAsphyxiaHemorrhageNeck InjuriesSuicide, CompletedAdultAgedFemaleForensic PathologyHumansMaleMiddle AgedProspective StudiesTunica IntimaAortic hemorrhagesAortic lesionsAutopsyForensic pathologyHangingVital sign

Identifiers

PMID39836213
PMCPMC12003473

What OpenQuestion holds

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Registered trials

None linked

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.