A Case Report of Fatal Vaginal and Anal Fisting

Korean J Legal Med 2013;37:157-160. Korean.

Daegu Child Sexual Assault Response Team, Daegu, Korea

Department of Forensic Medicine, Kyungpook National University School of Medicine, Daegu, Korea, sanghan1@knu.ac.kr

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.

Key Words : Sexual activity, Autopsy, Death, Fisting, Uterine artery

Case report