Death from a special mechanical asphyxia during suspect restraint: A case report

We report a case of custody death caused by a special mechanical asphyxia. The criminal suspect, who was later found to be unconscious and died, underwent a physical conflict during his arrest. In this case, the suspect exhibited a hemorrhage at the base of the tongue (4 cm x 2 cm x 0.3 cm) caused by neck over-stretching. We reviewed this case with respect to the autopsy findings, pathological changes, the specific scene where the death took place and circumstantial correlations of the investigation.