
Livor mortis (), postmortem lividity (), hypostasis () or suggillation, is the second
stage of death and one of the
signs of death. It is a settling of the
blood
Blood is a body fluid in the circulatory system of humans and other vertebrates that delivers necessary substances such as nutrients and oxygen to the cells, and transports metabolic waste products away from those same cells.
Blood is com ...
in the lower, or dependent, portion of the body postmortem, causing a purplish red discoloration of the skin. When the heart stops functioning and is no longer agitating the blood, heavy red blood cells sink through the
serum by action of gravity. The blood travels faster in warmer conditions and slower in colder conditions.
Livor mortis starts within 20–30 minutes, but is usually not observable by the
human eye
The human eye is a sensory organ in the visual system that reacts to light, visible light allowing eyesight. Other functions include maintaining the circadian rhythm, and Balance (ability), keeping balance.
The eye can be considered as a living ...
until two hours after death. The size of the patches increases in the next three to six hours. Fixation will begin to occur during this timeframe, causing the patches to be unaltered due to movement. Maximum lividity will occur between eight and twelve hours after
death
Death is the end of life; the irreversible cessation of all biological functions that sustain a living organism. Death eventually and inevitably occurs in all organisms. The remains of a former organism normally begin to decompose sh ...
. Areas of blood pooling in contact with the ground will blanch, or remain white.
The blood pools into the
interstitial tissues of the body. The intensity of the color depends upon the amount of reduced
haemoglobin
Hemoglobin (haemoglobin, Hb or Hgb) is a protein containing iron that facilitates the transportation of oxygen in red blood cells. Almost all vertebrates contain hemoglobin, with the sole exception of the fish family Channichthyidae. Hemoglobi ...
in the blood. The discoloration does not occur in the areas of the body that are in contact with the ground or another object, in which
capillaries
A capillary is a small blood vessel, from 5 to 10 micrometres in diameter, and is part of the microcirculation system. Capillaries are microvessels and the smallest blood vessels in the body. They are composed of only the tunica intima (the in ...
are compressed.
Applicability
Coroner
A coroner is a government or judicial official who is empowered to conduct or order an inquest into the manner or cause of death. The official may also investigate or confirm the identity of an unknown person who has been found dead within th ...
s can use the presence or absence of livor mortis as a means of determining an approximate time of death. It can also be used by
forensic
Forensic science combines principles of law and science to investigate criminal activity. Through crime scene investigations and laboratory analysis, forensic scientists are able to link suspects to evidence. An example is determining the time and ...
investigators to determine whether or not a body has been moved. For instance, if the body is found lying
prone, but the pooling is present on the deceased's back, investigators can conclude that the body was originally positioned
supine
In grammar, a supine is a form of verbal noun used in some languages. The term is most often used for Latin, where it is one of the four principal parts of a verb. The word refers to a position of lying on one's back (as opposed to ' prone', l ...
.
[ The colour of the pooling can help in determining cause of death. Carbon monoxide poisoning causes a red colouration.]
Among coroners and other investigators, such as homicide and forensic detectives, livor mortis is not considered an exact way to measure time of death, but rather as a method of approximating it. Livor mortis, along with algor mortis
Algor mortis (), the third stage of death, is the change in body temperature post mortem, until the ambient temperature is matched. This is generally a steady decline, although if the ambient temperature is above the body temperature (such as i ...
, rigor mortis
Rigor mortis (), or postmortem rigidity, is the fourth stage of death. It is one of the recognizable signs of death, characterized by stiffening of the limbs of the corpse caused by chemical changes in the muscles postmortem (mainly calcium ...
, and practices such as forensic entomology
Forensic entomology is a branch of applied entomology that uses insects and other arthropods as a basis for legal evidence. Insects may be found on cadavers or elsewhere around crime scenes in the interest of forensic science. Forensic entom ...
are frequently combined by investigators to more accurately pinpoint the estimated time of death.
References
Further reading
* Calixto Machado, "Brain death: a reappraisal", Springer, 2007, , p. 74
* Robert G. Mayer, "Embalming: history, theory, and practice", McGraw-Hill Professional, 2005, , pp. 106–109
*Anthony J. Bertino "Forensic Science: Fundamentals and Investigations" South-Western Cengage Learning, 2008,
{{Death
Signs of death
Latin medical words and phrases
Blood
Forensic pathology