Expecting the unexpected, foreign body bronchus masquerading as subglottic stenosis: A Case Report

It is a rare event that a patient suspected to have a subglottic stenosis actually has a foreign body bronchus. We report a suspected case of subglottic stenosis secondary to partial hanging and prolonged intubation. However, surprisingly the rigid bronchoscopy revealed a betel nut at the level of carina.

Accidental partial hanging by door curtain causing ischemic encephalopathy in a child: a rare case report

Accidental strangulation is an uncommon injury in children, however it may lead to neurological disability or death. Various modes of injuries have been reported in such accidents. Children might get strangulated while playing if they are wrapping any cord or cloth like material around their neck. Caregivers of the children should be aware of the potential sources around and mechanisms of such injuries to avoid such accidents.

Insight into pathophysiology and management of partial hanging

Background: Many methods are available for committing suicide. Hanging is one of the methods to committee suicide. The incidence of hanging for committing suicide is increasing. This is a retrospective study carried out at KDN Gohil Hospital, Navsari (Gujarat) to know about the outcome of this type of suicidal attempts and to review the management of such type of patients. Management of this type of injury is not found in many standard textbooks, so this small study will help to compare mortality rate and management protocol with other larger studies.Methods: All patients with history of hanging and accidental strangulation were brought to hospital, after they were released from strangulating agent were included in this study. Various aspects of agents used for hanging, the characteristic findings and management protocol of the patients were studied retrospectively.Results: Results in the form of survival rate and occurrence of complications. Out of 30 patients 24 patients survived and 6 died. Non had cervical spine injury. One patient had laryngeal injury and developed laryngeal stenosis.Conclusions: Suicidal hanging is different from judicial hanging. Most of the time suicidal hanging survival are high; once the patient is brought to the hospital alive in time. Early endotracheal intubations, management of hypotension, ventilator support and anti-oedema drugs are main steps of management.

Position of Knot and Relation With Working Hand in Hanging Cases- A Medico Legal Study

Background: Hanging is the most common form of violent asphyxial death in our country. Typical and atypical variety of hanging depends on position of knot at the victim body. Objective: The objective of this study was to find out the position of knot of ligature material and relation of knot with the working hands in hanging cases along with socio demographical status of the study subjects. Materials and Methods: This retrospective study was conducted among 574 Autopsy cases of hanging victims at the Dhaka Medical College Morgue during the period January 2013 to December 2015. Results: Out of 574 cases, 159 (27.71%) were male and 415 (72.29 %) female. Among them 304(52.96%) were married and 270(47.04%) were unmarried. Most of the victims 269(46.86%) were from the age group 21- 30 years. Considering the knot, most were situated at right side of neck 281 (48.95%), followed by left side 235 (40.94%), at the nape of neck 50(8.71%) and in front of neck below chin 8(1.39%). Most of the study subjects were right handed. Dopatta (orna) was the commonest 237(41.28%) ligature material. 556 (96.86%) cases had some form of ligature mark in neck. Most of the victims 401(69.86%) hanged themselves at night. 545 body (94.95%) were recovered from inside the living rooms. 472 (82.23%) victims had complete suspension and 102 (17.77%) were cases of partial hanging. Conclusion: To reduce the number of suicidal hanging cases a well designed and comprehensive programme is needed, which will identify the causative factors and prevent of suicidal behaviors of affected persons. KYAMC Journal Vol. 10, No.-1, April 2019, Page 17-20