title: Haemorrhoids leading to post-mortem bleeding artefact.
abstract: We present a case where a 54-year-old man suffering from haemorrhoids, committed suicide by hanging. Gravitational forces due to the upright position of the body facilitated post-mortem per-rectal bleeding from the ulcerated haemorrhoids. The bleeding stained his under garment and wrap around cloth. Frank blood was also seen on the floor beneath the hanging body. The blood at the crime scene was wrongly interpreted by the investigating police as that due to self-inflicted injury or possibly case of homicide followed by post-mortem suspension of the body. Observation of the crime scene by forensic medicine experts and subsequent autopsy findings revealed that the bleeding was from the haemorrhoids. This case is reported for its rarity, for the awareness of the possible post-mortem haemorrhoidal bleeding artefact, to explain the circumstances of such a possibility, and to emphasize the importance of involving forensic medicine experts as a part of the crime scene investigation team.
authors.affiliation: Department of Forensic Medicine and Toxicology, Kasturba Medical College, Manipal, South Canara 576104, India.
authors.forename: Tanuj
authors.initials: T
authors.lastname: Kanchan
authors.forename: Ritesh G
authors.initials: RG
authors.lastname: Menezes
authors.forename: Shahnavaz
authors.initials: S
authors.lastname: Manipady
mesh_terms: D001237:Asphyxia; D005554:Forensic Medicine; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000473:pathology*; D006112:Gravitation; D006484:Hemorrhoids / Q000150:complications / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012007:Rectum; D013405:Suicide; D014456:Ulcer / Q000150:complications / Q000473:pathology*