Citation

Nikolic S, Zivković V. Am. J. Forensic Med. Pathol. 2011; 33(2): 152-155.

Affiliation

From the University of Belgrade, School of Medicine, Institute of Forensic Medicine, Belgrade, Serbia.

Copyright

(Copyright © 2011, Lippincott Williams and Wilkins)

DOI

10.1097/PAF.0b013e31823b47d2

PMID

22104332

Abstract

Sudden death after sexual activity is a well-known entity, but it is rare in females. Herein we present a case of fatal, massive subarachnoid hemorrhage from a ruptured berry-shaped aneurysm, during sexual anal self-stimulation. A 39-year-old woman was found dead on a couch, with the wooden handle of a spring twirl whisk inserted inside her anus and rectum as a dildo-like object. External examination was unremarkable with no signs of injuries. Intracranial examination showed a massive subarachnoid hemorrhage, up to 6 mm in thickness, especially around the brainstem and the inferior side of the brain. After removing the blood clots, the saccular aneurysm was found at the site of the bifurcation of the left internal carotid. In this case study, we underline the utility of forensic autopsy, as well as death scene investigation, in reconstructing the mechanism of death, as well as the dynamics of the event.

Language: en