[Female homicides involving deep injuries to sexual organs]

In a search for motives that drive perpetrators of sexual homicides who perforate the vagina of a victim, an analysis was performed of such cases referred to the Krakow Department of Forensic Medicine. In the period 1981-2006, nine cases of this type were examined. In one instance, a forensic sexologist found evidence of sadism; similar observations were made in another three cases, where no perpetrator was determined. In four cases, in the course of sexual practices termed fisting, the perpetrator tore the vagina with his hand and inflicted extensive injuries within the abdominal cavity. In three of these cases, the intercourse was consensual, with the victim deeply intoxicated, while in the fourth instance, an inebriated perpetrator took advantage of the victim's infirmity. In a single case, vaginal tears were an effect of acute alcohol psychosis in the offender.