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Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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[Death after anal "fisting"].

Johanna Preuss1, Marco Strehler, Reinhard Dettmeyer

  • 1Institut für Rechtsmedizin der Universität Bonn.

Archiv Fur Kriminologie
|April 9, 2008
PubMed
Summary
This summary is machine-generated.

Fatal intestinal disruption resulted from manual anal penetration. This case highlights the potential lethal consequences of non-consensual sexual acts and the importance of thorough forensic investigation in determining cause of death.

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Area of Science:

  • Forensic Pathology
  • Toxicology

Context:

  • A case study involving a homeless woman found deceased.
  • Initial police investigation suggested no unnatural causes of death.

Purpose:

  • To investigate the cause of death in a case with ambiguous initial findings.
  • To discuss the forensic implications of manual anal penetration leading to fatal intestinal injury.

Summary:

  • Autopsy revealed extensive intestinal disruptions as the cause of death.
  • The victim's sexual partner admitted to manual anal penetration, but was convicted of murder.
  • The case underscores the potential for fatal outcomes from sexual assault.

Impact:

  • Highlights the critical role of autopsy in uncovering hidden causes of death.
  • Emphasizes the forensic challenges in cases of sexual assault with fatal consequences.
  • Contributes to understanding the medico-legal aspects of sexual violence.