The typical hanging death involves tightening of a ligature. Petechiae have been described on the oral mucosa, base of tongue, and epiglottis. Tongue protrusion between clenched teeth is a common but unspecific finding in a typical hanging death.
This humorous autopsy report reminds me of the Gravediggers in the play. The Gravediggers provided comedic relief to an otherwise tense plot. It is fitting that this is a picture of an autopsy report because the Gravediggers were contemplating the cause of death for the body they were burying.