Esophageal rupture through extreme sadomasochistic practice.
BDSM
Esophageal rupture
Mutilation
Sadomasochism
Sexual assault
Journal
International journal of legal medicine
ISSN: 1437-1596
Titre abrégé: Int J Legal Med
Pays: Germany
ID NLM: 9101456
Informations de publication
Date de publication:
18 Feb 2023
18 Feb 2023
Historique:
received:
14
05
2022
accepted:
08
02
2023
entrez:
22
2
2023
pubmed:
23
2
2023
medline:
23
2
2023
Statut:
aheadofprint
Résumé
We report the case of a woman in her thirties who suffered an esophageal rupture while participating in extreme sadomasochistic practices. After herself seeking help in a hospital for complaints alleged to be from a fall, she was initially diagnosed with several broken ribs and a pneumothorax. The cause of the pneumothorax was later discovered to be an esophageal rupture. When confronted with this atypical injury for a fall, the woman admitted to have accidentally swallowed an inflatable gag, which her partner had afterwards inflated. In addition to the esophageal rupture, the patient also had numerous other externally visible injuries of various ages, reportedly also from sadomasochistic acts. Although an in-depth police investigation was conducted and a "slave contract" was found, the woman's consent to the extreme sexual practices performed by her life partner could not be substantiated conclusively. The man was convicted for intentional infliction of serious as well as dangerous bodily injury and sentenced to a long term in prison.
Identifiants
pubmed: 36808299
doi: 10.1007/s00414-023-02972-9
pii: 10.1007/s00414-023-02972-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023. The Author(s).
Références
Hejna P, Zátopková L, Janík M (2021) Rectal explosion: a strange case of autoerotic death. Int J Legal Med 135:307–312
doi: 10.1007/s00414-020-02344-7
pubmed: 32592072
Behrendt N, Buhl N, Seidl S (2002) The lethal paraphiliac syndrome: accidental autoerotic deaths in four women and a review of the literature. Int J Legal Med 116:148–152
doi: 10.1007/s00414-001-0271-x
pubmed: 12111317
McLeod EV, Loughney EK, Baker AM, Berg EW, Warren WS (2022) Autoerotic death by electrocution: an atypical case study. Am J Forensic Med Pathol 43:249–252
doi: 10.1097/PAF.0000000000000756
pubmed: 35315374
Laitinen FA, Grundmann O, Ernst EJ (2013) Factors that influence the variability in findings of anogenital injury in adolescent/adult sexual assault victims: a review of the forensic literature. Am J Forensic Med Pathol 34:286–294
doi: 10.1097/PAF.0b013e31829a0f46
pubmed: 23835534
Song SH, Fernandes JR (2017) Comparison of injury patterns in consensual and nonconsensual sex: is it possible to determine if consent was given? Acad Forensic Pathol 7:619–631
doi: 10.23907/2017.052
pubmed: 31240011
pmcid: 6474446
Preuss J, Strehler M, Dettmeyer R, Madea B (2008) Death after anal ‘fisting.’ Arch Kriminol 221:28–35
pubmed: 18389861
Orr CJ et al (1995) Fatal anorectal injuries: a series of four cases. J Forensic Sci 40:219–221
doi: 10.1520/JFS15345J
pubmed: 7602281
Waraich NG, Hudson JS, Iftikhar SY (2007) Vibrator-induced fatal rectal perforation. N Z Med J 120:U2685
pubmed: 17726499
Arrabal-Polo MA, Merino-Salas S, Pareja-Vilchez M, Arrabal-Martin M, Zuluaga-Gomez A (2009) Ballpen into the bladder of a woman due to sexual practice. Arch Sex Behav 38:624–625
doi: 10.1007/s10508-009-9503-9
pubmed: 19408110
Fanton L, Schoendorff P, Rebut D, Yapo-Ette E, Malicier D (2001) The frog and the scorpion: sado-masochistic injury. J Clin Forensic Med 8:225–227
doi: 10.1054/jcfm.2001.0504
pubmed: 15274963
Tanabe H, Yoshida N, Sayama S, Tanaka T (2002) A case of burn due to sadomasochism. J Dermatol 29:463–464
doi: 10.1111/j.1346-8138.2002.tb00309.x
pubmed: 12184651
Sønderbo K, Nyfors A (1986) Skin lesions in sadomasochism. Dermatology 172:196–200
doi: 10.1159/000249334
Witte EH, Poser B, Strohmeier CE (2007) Konsensueller Sadomasochismus. Eine empirische Prüfung von Bindungsstil und Sozialisationseinfluss. Hamburger Forschungsberichte zur Sozialpsychologie (HaFoS), 76. https://nbn-resolving.org/urn:nbn:de:0168-ssoar-393768
Mokros A, Nitschke J (2021) Sexueller Sadismus: Aktueller Wissensstand und die Codierung gemäß DSM-5-TR und ICD-11. Forensische Psychiatr Psychol Kriminol 15:39–46
doi: 10.1007/s11757-020-00647-4
International statistical classification of diseases and related health problems (2004) World Health Organization
World Health Organization (2019) ICD-11: International classification of diseases (11th revision). Retrieved from https://icd.who.int/ . Accessed 17 Feb 2023
Richters J, De Visser RO, Rissel CE, Grulich AE, Smith AMA (2008) Demographic and psychosocial features of participants in bondage and discipline, “sadomasochism” or dominance and submission (BDSM): data from a national survey. J Sex Med 5:1660–1668
doi: 10.1111/j.1743-6109.2008.00795.x
pubmed: 18331257
Holvoet L et al (2017) Fifty shades of Belgian gray: the prevalence of BDSM-related fantasies and activities in the general population. J Sex Med 14:1152–1159
doi: 10.1016/j.jsxm.2017.07.003
pubmed: 28781214
Bunzel L, Koelzer SC, Zedler B, Verhoff MA, Parzeller M (2019) Non-natural death associated with sexual activity: results of a 25-year medicolegal postmortem study. J Sex Med 16:1547–1556
doi: 10.1016/j.jsxm.2019.07.008
pubmed: 31447384
Cappelletti S et al (2016) Variability in findings of anogenital injury in consensual and non-consensual fisting intercourse: a systematic review. J Forensic Leg Med 44:58–62
doi: 10.1016/j.jflm.2016.08.013
pubmed: 27614327