Korean J Leg Med.  2013 Aug;37(3):157-160. 10.7580/kjlm.2013.37.3.157.

A Case Report of Fatal Vaginal and Anal Fisting

• Kim JE
• Cho YR
• Lee SH

• KMID: 2305469
• DOI: http://doi.org/10.7580/kjlm.2013.37.3.157

Abstract

Fisting is an uncommon sexual activity, and death due to fisting is very rare. In the present report, we describe a case of a woman who died from fisting by her male partner. A 38-year-old woman went to a motel with a man after consuming alcohol, and there they kissed each other. As desired by woman, the man inserted his fingers into her vagina and anus, and later inserted his fist and forearm into her vagina and anus. After 20-30 minutes of fisting, the woman became unconscious and died. The autopsy confirmed the presence of perineal and vaginal lacerations with massive internal pelvic soft tissue injury with uterine artery rupture. A partial tear was noted at the rectosigmoid junction. The cause of death was hypovolemic shock due to uterine artery rupture. Following court trials, the assailant was sentenced to 4 years of imprisonment for the felony of inflicting bodily injury resulting in death.

Keyword

Sexual activity; Autopsy; Death; Fisting; Uterine artery

MeSH Terms

Anal Canal
Autopsy
Cause of Death
Female
Fingers
Forearm
Humans
Lacerations
Male
Rupture
Sexual Behavior
Shock
Soft Tissue Injuries
Unconscious (Psychology)
Uterine Artery
Vagina

Figure

• 

  Fig. 1. External examination in scheme shows vertical 7-8 ㎝ perineal laceration and 4-5 ㎝ vaginal wall laceration. Internally, the uterine artery was ruptured at the posterior part of the uterus with surrounding soft tissue injury.

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  Fig. 2. The schematic sagittal view of the pelvic cavity shows tear of the rectum below sigmoid colon.

Reference

1. Lee KH. Human and sex. Seoul: World Science;2000. 157-8. p. 161–2.

2. Herrman B. Trust: The Hand Book: A Guide to the Sensual and Spiritual Art of Handballing. San Francisco: Alamo Square Press;1991. p. 46–7.

3. Cohen CE, Giles A, Nelson M. Sexual trauma associated with fisting and recreational drugs. Sex Transm Infect. 2004; 80:469–70.

4. Preuss J, Strehler M, Dettmeyer R, et al. Death after anal “fisting”. Arch Kriminol. 2008; 221:28–35.

5. Torre C. Delayed death from “fisting”. Am J Forensic Med Pathol. 1987; 8:91.

6. Fain DB, McCormick GM. Vaginal “fisting” as a cause of death. Am J Forensic Med Pathol. 1989; 10:73–5.

7. Kaiser RT. Air embolism death of a pregnant woman secondary to orogenital sex. Acad Emerg Med. 1994; 1:555–8.

8. Changwon district court, Tongyeong subdistrict court. 2011 gohap 28.

9. Richters J, Grulich AE, de Visser RO, et al. Sex in Australia: autoerotic, esoteric and other sexual practices engaged in by a representative sample of adults. Aust N Z J Public Health. 2003; 27:180–90.

10. Shook LL, Whittle R, Rose EF. Rectal fist insertion. An unusual form of sexual behavior. Am J Forensic Med Pathol. 1985; 6:319–24.

11. Taormino T. The art of anal fisting. New York Village Voice. Available from. http://www.villagevoice.com/1999-10-26/columns/the-art-of-anal-fisting/.

12. Kand DY, Kang HW, Kwak JS, et al. A textbook of legal medicine. 1st ed.Seoul: Jungmunkag;2007. 229.

13. Sauvageau A, Racette S. Autoerotic deaths in the literature from 1954 to 2004: a review. J Forensic Sci. 2006; 51:140–6.

14. Marc B, Chadly A, Durigon M. Fatal air embolism during female autoerotic practice. Int J Legal Med. 1990; 104:59–61.