Uncommon Paediatric Accidental Ligature Strangulation by Dupatta in a Two-Wheeler Passenger: A Fatal Case Report

Dr. Rajat Mandal, Dr. Santhosh Kumar R, Dr. Guggilam Nagarjuna

Abstract: Accidental ligature strangulation is a rare but serious cause of fatal mechanical asphyxia, particularly in developing nations where loose traditional garments such as dupatta or scarf are commonly worn. We report a case of a 11 year old girl who sustained accidental ligature strangulation while riding as a pillion on a motorcycle when her dupatta became entangled, leading to constriction around the neck. She was admitted to a Lok Nayak Hospital, New Delhi, managed for hypoxic-ischemic complications, and succumbed after three days of treatment. Autopsy revealed an oblique, incomplete ligature mark over the neck with classic signs of hypoxia including cerebral edema and petechial haemorrhages. Death was attributed to hypoxic cerebral injury secondary to accidental ligature strangulation. This case highlights the need for public awareness regarding risks associated with loose garments during motorcycle travel, especially among children and adolescents.

Keywords: Accidental strangulation, Dupatta entrapment, Ligature mark, Hypoxic cerebral injury

How to Cite?: Dr. Rajat Mandal, Dr. Santhosh Kumar R, Dr. Guggilam Nagarjuna, "Uncommon Paediatric Accidental Ligature Strangulation by Dupatta in a Two-Wheeler Passenger: A Fatal Case Report", Volume 14 Issue 11, November 2025, International Journal of Science and Research (IJSR), Pages: 106-108, https://www.ijsr.net/getabstract.php?paperid=SR251102165550, DOI: https://dx.doi.org/10.21275/SR251102165550