An Unusual Case of Asphyxia by Ligature about the Thorax

Compressive asphyxia is generally defined as a type of asphyxia caused by chest or abdominal compression by a heavy object. It has also been reported that it could be caused by external compression caused by ligatures around the chest or abdomen. However, asphyxia caused by ligature around the thorax has not been reported in suicide cases. We present an unusual case of suicide in which the cause of death was attributed to asphyxia caused by a ligature around the thorax. The deceased was a 41-year-old woman who was found dead and suspended by a rope around the thorax from a rooftop railing on the twelfth floor of a building. On postmortem examination, a ‘C’ shaped ligature mark was identified around the thorax, with a pressure mark in the subcutis and focal intramuscular hemorrhages, which were consistent with the ligature mark. The cause of death was determined to be asphyxia due to external compression of the chest in a suspended position.