TY  - JOUR
PY  - 2011//
TI  - Fatal Subarachnoid Hemorrhage During Sexual Anal Self-Stimulation in a Female: A Case Report
JO  - American journal of forensic medicine and pathology
A1  - Nikolic, Slobodan
A1  - Zivković, Vladimir
SP  - 152
EP  - 155
VL  - 33
IS  - 2
N2  - 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.<p />  <p>Language: en</p>
LA  - en
SN  - 0195-7910
UR  - http://dx.doi.org/10.1097/PAF.0b013e31823b47d2
ID  - ref1
ER  -