title: Putrefactive rigor: apparent rigor mortis due to gas distension.
abstract: Artifacts due to decomposition may cause confusion for the initial death investigator, leading to an incorrect suspicion of foul play. Putrefaction is a microorganism-driven process that results in foul odor, skin discoloration, purge, and bloating. Various decompositional gases including methane, hydrogen sulfide, carbon dioxide, and hydrogen will cause the body to bloat. We describe 3 instances of putrefactive gas distension (bloating) that produced the appearance of inappropriate rigor, so-called putrefactive rigor. These gases may distend the body to an extent that the extremities extend and lose contact with their underlying support surface. The medicolegal investigator must recognize that this is not true rigor mortis and the body was not necessarily moved after death for this gravity-defying position to occur.
authors.affiliation: From the New York City Office of Chief Medical Examiner and Department of Forensic Medicine, New York University School of Medicine, New York, NY.
authors.forename: James R
authors.initials: JR
authors.lastname: Gill
authors.forename: Kristen
authors.initials: K
authors.lastname: Landi
mesh_terms: D000368:Aged; D001419:Bacteria / Q000378:metabolism*; D003937:Diagnosis, Differential; D049429:Forensic Pathology; D005740:Gases / Q000378:metabolism*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009812:Odorants; D011180:Postmortem Changes; D012298:Rigor Mortis / Q000175:diagnosis
chemical_list: D005740:Gases