Delayed death due to traumatic dissection of the common carotid artery after attempted suicide by hanging

Med Sci Law. 2019 Jan;59(1):17-19. doi: 10.1177/0025802418825390. Epub 2019 Jan 24.


Traumatic dissection of the carotid arteries is a rare cause of delayed death due to hanging. We report a case of delayed death two and a half months following attempted suicide by hanging where the patient was able to talk after being released from neck compression. The cause of death was aspiration pneumonia due to cerebral infarction secondary to traumatic dissection of the left common carotid artery due to attempted suicide by hanging. Carotid artery injuries should be examined in patients who were able to talk after an unsuccessful suicide attempt by hanging but who later died.

Keywords: Hanging; delayed death; dissection; infarction; talk and die.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carotid Artery Injuries / etiology*
  • Carotid Artery Injuries / pathology
  • Carotid Artery, Common / pathology*
  • Cerebral Infarction / complications
  • Cerebral Infarction / pathology
  • Humans
  • Male
  • Neck Injuries / complications*
  • Pneumonia, Aspiration / etiology*
  • Suicide, Attempted*
  • Time Factors