my unculturedness is showing, but what does mandrake have to do with anything?
 
He needs someone to have been sucking that cock as he was going through his death throws.
 
The wikipedia reference says nothing about mandrake. However, I will bet this guy was an accidental death from autoasphyxiation. The erection which comes from spinal cord injury is not considered to be that hard - sometimes they say it appears like an erection. He probably was stroking himself when he passed out.
 
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