Citation

Simon G, Heckmann V. J. Forensic Sci. 2021; ePub(ePub): ePub.

Copyright

(Copyright © 2021, American Society for Testing and Materials, Publisher John Wiley and Sons)

DOI

10.1111/1556-4029.14895

PMID

34606095

Abstract

A 59-year-old man was found dead in his living room. His body was covered with blood, but the only injury found was a 31-mm-long, transverse incision on the radial surface of the left forearm. Autopsy revealed that the injured vessel was an enlarged cephalic vein from a radiocephalic arteriovenous fistula (RC-AVF) that had been created 23 years before for hemodialysis. Cephalic vein injury is usually not fatal, but circumstantial evidence, autopsy, and histological findings suggested that hemorrhagic shock and death occurred within a short time after the self-inflicted incised wound. This may be explained by the blood flow rate in the RC-AVF, which can reach 12 ml/s; this is 25 times higher than the normal cephalic vein blood flow.

Language: en

Keywords

autopsy; suicide; forensic pathology; hemorrhagic shock; radiocephalic arteriovenous fistula; sharp force