Antemortem hanging/?perimortem suspension

When you study cases of hanging over a period of time, suicidal cases are more common than accidental & homicidal. Perusal of literature also shows that accidental/homicidal are not uncommon. Iam going to describe one such case of hanging in which the person could have been suspended when he was alive.

One such case occurred few years ago in the Kassargode district of Kerala. Like any other case brought for medico-legal autopsy this case also came. The body was in a state of decomposition. No salivary dribble mark could be appreciated. The time since death could be >48hs &<72hrs. There was a pressure abrasion over the front & sides of neck. The cuticle over the region of pressure abrasion was not peeled off completely. In other areas it was almost peeled off. No other injury/injuries externally. On opening the abdominal cavity more than one liter of fluid blood & clot escaped. I made a search for the source of bleeding & found complete irregular laceration of liver. The laceration of liver is an unusual finding in a case of hanging. The possibility of the victim sustaining the injury by a tear of the ligature material disproportionate to the body weight is very uncommon. It can only be produced by repeated kicking or by use of some blunt weapon.
After the postmortem examination I explained to the charge Head constable that I suspect foul play & the case should be investigated well. He was about to say something & he suddenly stopped & assured me that .he will meet me another day.
Few days after he came & narrated the whole event. The deceased & his brother are settlers from KOTTAYAM. They are doing business together. Both of them are immensely rich & are having ancestral property in common. These two people controlled The whole activity of the police station. They will decide what should be done & what should not be done. Gradually there occurred business rivalry & dispute over the ancestral property. One day the elder thought of killing his younger one & for that he engaged a hired killerBy paying Rs 25,000. The hired one approached the younger brother known very well & informed the matter. On hearing this the younger one paid him Rs50,000 & asked him to kill his elder one.
With this in mind the hired killer approached the elder on a rainy night & informed him that they can a have a talk over the dispute infront of his younger brother before killing him. The elder one agreed & three of them went out.
The next day evening the elder brother’s dead body was found in a ditch without any ligature material. When the body arrived for autopsy it was in a decomposed state. According to the police the hired killer & the younger brother gave multiple kicks over the abdomen. All of them were completely drunk & they tried to hang him alive or in the peri- mortem state. Any way the person survived over a period of time as evidenced by presence of blood clot. The same Head constable wrote the same in a separate letter addressed to me stating also his token of appreciation. This letter I kept along the detailed notes in the department.
After that the Sub inspector approached me to inquire about the manner of death. I told him that it could be a case of homicide. Hearing this he tried to move away from the department by saying that it is only suicidal; but I forced him to remain there to takedown my statement & which was written by another charge police constable, because of the fact that the sub inspector informed me that his hand writing was poor.
He reached his station & informed the circle inspector that the doctor who conducted the autopsy had disclosed the manner of death. On hearing this younger brother was put behind bars. Two constables who were on duty on the night in which the younger brother was put behind bars came & expressed their gratitude to me for having proved the case by postmortem examination.
The opinion that I gave was the post mortem examination were consistent with death due to hanging & he could have sustained blunt injury abdomen prior to hanging.
Dr.N. RAJARAM