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Case Reports
. 2022 Mar;18(1):64-68.
doi: 10.1007/s12024-021-00433-6. Epub 2021 Oct 22.

Fatal anogenital exenteration of the intestine

Vanessa Preuss  1 , Kirsten Wöllner  2 , Benedikt Vennemann  2 , Armin Fieguth  3 , Lars Hagemeier  2 , Michael Klintschar  3
Affiliations
Case Reports

Fatal anogenital exenteration of the intestine

Vanessa Preuss et al. Forensic Sci Med Pathol. 2022 Mar.

Abstract

A case of a sadistically motivated homicide with extraordinary injuries is reported. A 32-year-old woman was naked with signs of severe blunt trauma and oral, vaginal and anal penetration. At the crime scene, the intestine lay next to the woman without connection to the body. During the trial before the criminal court, the perpetrator admitted fisting and inserting several objects into the vagina, anus and oral cavity. Moreover, after anal and vaginal insertion of the hands, large parts of the intestine were torn and pulled out through the anus and the vagina. The results of the forensic pathological examination and additional investigation are discussed and compared with the pertinent literature. This extraordinary case of a sadistically motivated homicide ended with a final judgment that is extremely rare in German jurisdiction.

Keywords: Exenteration of the intestine; Fisting; Rape; Sadism; Sexual homicide.

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Figures

Fig. 1
Fig. 1
Body with parts of the intestine
Fig. 2
Fig. 2
Mesentery with strong bleeding a in situ b after exenteration during autopsy
Fig. 3
Fig. 3
Detection of fibronectin by immunohistochemical staining (× 100)
See this image and copyright information in PMC

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