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Extensive contusions of the tongue are not routine findings with strangulation but occur in about 25% of cases, especially those involving the elderly, and hemorrhage from the ear is rarely reported. This case illustrates uncommon and rare autopsy findings for strangulation, which under the right circumstances, deceived investigators into thinking that a gunshot wound had occurred.High-voltage electrocution is mostly unintentional, and it is associated with significant morbidity and mortality due to severe tissue damages. The present rep