Journal List > Korean J Leg Med > v.37(3) > 1004707

Korean J Leg Med. 2013 Aug;37(3):157-160. Korean.
Published online August 29, 2013.
© Copyright 2013 by the Korean Society for Legal Medicine
A Case Report of Fatal Vaginal and Anal Fisting
Ji Eun Kim,1 Young Ran Cho,1 and Sang Han Lee2
1Daegu Child Sexual Assault Response Team, Daegu, Korea.
2Department of Forensic Medicine, Kyungpook National University School of Medicine, Daegu, Korea.

Corresponding author (Email: )
Received July 24, 2013; Revised August 12, 2013; Accepted August 23, 2013.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.

Keywords: Sexual activity; Autopsy; Death; Fisting; Uterine artery


Fig. 1
External examination in scheme shows vertical 7~8 cm perineal laceration and 4~5 cm vaginal wall laceration. Internally, the uterine artery was ruptured at the posterior part of the uterus with surrounding soft tissue injury.
Click for larger image

Fig. 2
The schematic sagittal view of the pelvic cavity shows tear of the rectum below sigmoid colon.
Click for larger image

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