Dear Editors, We would like to share our recent observation encountered in two consecutive homicidal cases of traumatic neck compression, in both of which we have identifed the presence of grossly visible hemorrhage in the ethmoidal sinus-a previously unreported autopsy fnding in such a context. We feel that awareness of this morphologic clue in the feld of forensic pathology might pave the way to strengthen diagnostic power in some asphyxial deaths, including strangling.
We believe that ethmoidal hemorrhage in the absence of substantial cranial/facial trauma, sinusitis, sinonasal neoplasms, or bleeding disorders appears to complement nonspecifc evidence typically seen in cases of asphyxia with signifcant venous congestion.