ABSTRACT
Postmortem examination in cases of asphyxial deaths has an inherent difficulty in diagnosis of cause of death as different modalities of asphyxial deaths lack any specific diagnostic criteria. All cases of deaths due to asphyxia have to be evaluated by keeping all possibilities open till a clear conclusion of cause and manner of death is reached. History in the case plays an important role and needs to include presence of any pre-existing natural illness, extremes of age, physical incapacitation of victim, etc. Narration of the near ones and statements of inquest are also equally needed for essentially understanding the case and ruling out discrepancies if any. Examination of the scene of incidence also helps to assess the circumstances in which the dead body was found and possible injuries or findings. Postmortem computed tomography and X-ray evaluation followed by examination of ligature, clothes and personal belongings act as necessary pre-requisites if available. Photography is a very integral part of postmortem examination and helps in documentation of findings. Methodical external examination from head to toe is the crucial step involving even checking of masked or hidden places. Internal examination is the other essential step deciding the final outcome of the case.
