{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T22:42:42Z","timestamp":1743633762470},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,10,22]],"date-time":"2021-10-22T00:00:00Z","timestamp":1634860800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,10,22]],"date-time":"2021-10-22T00:00:00Z","timestamp":1634860800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Medizinische Hochschule Hannover (MHH)"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Forensic Sci Med Pathol"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>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.\u00a0The 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.<\/jats:p>","DOI":"10.1007\/s12024-021-00433-6","type":"journal-article","created":{"date-parts":[[2021,10,22]],"date-time":"2021-10-22T11:03:42Z","timestamp":1634900622000},"page":"64-68","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Fatal anogenital exenteration of the intestine"],"prefix":"10.1007","volume":"18","author":[{"given":"Vanessa","family":"Preuss","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsten","family":"W\u00f6llner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benedikt","family":"Vennemann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Armin","family":"Fieguth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lars","family":"Hagemeier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Klintschar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,10,22]]},"reference":[{"key":"433_CR1","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1007\/978-3-662-43500-7","volume-title":"Rechtsmedizin","author":"B Madea","year":"2015","unstructured":"Madea B, Tsokos M. Vitale Reaktionen und Zeitsch\u00e4tzungen. In: Madea B, editor. Rechtsmedizin. 3rd ed. Heidelberg: Springer; 2015. p. 198\u2013210.","edition":"3"},{"key":"433_CR2","unstructured":"Faust V. Arbeitsgemeinschaft psychosoziale Gesundheit. Psychiatrie heute. Seelische St\u00f6rungen erkennen, verstehen, verhindern, behandeln. 2020. http:\/\/www.psychosozialegesundheit.net\/psychiatrie\/sadismus.html. Accessed 16 Feb 2020."},{"key":"433_CR3","doi-asserted-by":"publisher","first-page":"262","DOI":"10.1177\/1079063209342074","volume":"21","author":"J Nitschke","year":"2009","unstructured":"Nitschke J, Osterheider M, Mokros A. A cumulative scale of severe sexual sadism. Sex Abuse. 2009;21:262\u201378.","journal-title":"Sex Abuse"},{"key":"433_CR4","unstructured":"Nitschke J. Sexueller Sadismus und Gef\u00e4hrlichkeit. 16. Bundeskongress der Psychologinnen und Psychologen im Justizvollzug Deutschlands, Wien, Austria. http:\/\/docplayer.org\/20627411-Sexueller-sadismus-25-04-12-1-und-gefaehrlichkeit-ueberblick.html. Accessed 17 Feb 2020."},{"key":"433_CR5","doi-asserted-by":"publisher","first-page":"764","DOI":"10.1037\/a0026419","volume":"24","author":"A Mokros","year":"2012","unstructured":"Mokros A, Schilling F, Eher R, Nitschke J. The severe sexual sadism scale: cross-validation and scale properties. Psychol Assess. 2012;24:764\u20139.","journal-title":"Psychol Assess"},{"key":"433_CR6","unstructured":"World Health Organization. International statistical classification of diseases and related health problems (ICD). 2020. https:\/\/www.who.int\/classifications\/icd\/icdonlineversions\/en\/. Accessed 31 Jul 2020."},{"key":"433_CR7","unstructured":"American Psychiatric Association. Diagnostic and statistical manual of mental disorders. DSM-IV. Washington DC: American Psychiatric Association; 1994."},{"key":"433_CR8","doi-asserted-by":"publisher","first-page":"1152","DOI":"10.1016\/j.jsxm.2017.07.003","volume":"14","author":"L Holvoet","year":"2017","unstructured":"Holvoet L, Huys W, Coppens V, Seeuws J, Goethals K, Morrens M. Fifty shades of Belgian gray: the prevalence of BDSM-related fantasies and activities in the general population. J Sex Med. 2017;14:1152\u20139.","journal-title":"J Sex Med"},{"key":"433_CR9","unstructured":"Bundeskriminalamt. PKS 2018 - Standard \u00dcbersicht Opfertabellen. 2019. https:\/\/www.bka.de\/DE\/AktuelleInformationen\/StatistikenLagebilder\/PolizeilicheKriminalstatistik\/PKS2018\/Standardtabellen\/standardtabellenOpfer.html. Accessed 24 Jan 2020."},{"key":"433_CR10","unstructured":"Herrmann J. Versuchte und vollendete T\u00f6tungsdelikte in Hamburg \u2013 eine vergleichende Untersuchung von zwei Sechsjahres-Zeitr\u00e4umen. Dissertation. Germany: University of Hamburg; 2008. https:\/\/d-nb.info\/992722187\/34. Accessed 18 Feb 2020."},{"key":"433_CR11","unstructured":"Unger M. Sexuell motivierte T\u00f6tungsdelikte in Berlin 1990 \u2013 2010. Dissertation. Germany: University of Berlin; 2013. https:\/\/d-nb.info\/1042658188\/34. Accessed 18 Feb 2020."},{"key":"433_CR12","unstructured":"Rauch E. Sexualdelikte 1987 \u2013 1996. Eine Zehnjahresstudie anhand ausgewerteter Ermittlungsakten. In: Kriminalistik 2\/2002. Heidelberg: Kriminalistik-Verlag; 2002. pp. 96\u2013101."},{"key":"433_CR13","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1300\/J082v12n01_04","volume":"12","author":"J Agnew","year":"1985","unstructured":"Agnew J. Some anatomical and physiological aspects of anal sexual practices. J Homosex. 1985;12:75\u201396.","journal-title":"J Homosex"},{"key":"433_CR14","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1016\/j.jflm.2016.08.013","volume":"44","author":"S Cappelletti","year":"2016","unstructured":"Cappelletti S, Aromatario M, Bottoni E, Fiore PA, Fineschi V, di Luca NM, et al. Variability in findings of anogenital injury in consensual and non-consensual fisting intercourse: a systematic review. J Forensic Leg Med. 2016;44:58\u201362.","journal-title":"J Forensic Leg Med"},{"key":"433_CR15","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1097\/PAF.0000000000000324","volume":"38","author":"S Cappelletti","year":"2017","unstructured":"Cappelletti S, Fiore PA, Bottoni E, Aromatario M. Fourth-degree perineal laceration in nonconsenual fisting: a case report, brief review of the literature, and medicolegal issues. Am J Forensic Med Pathol. 2017;38:258\u201361.","journal-title":"Am J Forensic Med Pathol"},{"key":"433_CR16","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1136\/sti.2004.011171","volume":"80","author":"CE Cohen","year":"2004","unstructured":"Cohen CE, Giles A, Nelson M. Sexual trauma associated with fisting and recreational drugs. Sex Transm Infect. 2004;80:469\u201370.","journal-title":"Sex Transm Infect"},{"key":"433_CR17","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1016\/S0002-9610(81)80016-5","volume":"142","author":"RA Crass","year":"1981","unstructured":"Crass RA, Tranbaugh RF, Kudsk KA, Trunkey DD. Colorectal foreign bodies and perforation. Am J Surg. 1981;142:85\u20138.","journal-title":"Am J Surg"},{"key":"433_CR18","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1097\/PEC.0b013e318209af63","volume":"27","author":"J Delacroix","year":"2011","unstructured":"Delacroix J, Brown J, Kadenhe-Chiweshe A, Bodenstein L, Stimell-Rauch M, Lowe T. Rectal perforation secondary to rape and fisting in a female adolescent. Pediatr Emerg Care. 2011;27:116\u20139.","journal-title":"Pediatr Emerg Care"},{"key":"433_CR19","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1258\/0956462961917555","volume":"7","author":"E Irizarry","year":"1996","unstructured":"Irizarry E, Gottesman L. Rectal sexual trauma including foreign bodies. Int J STD AIDS. 1996;7:166\u20139.","journal-title":"Int J STD AIDS"},{"key":"433_CR20","first-page":"28","volume":"221","author":"J Preuss","year":"2008","unstructured":"Preuss J, Strehler M, Dettmeyer R, Madea B. Death after anal \u201cfisting.\u201d Arch Kriminol. 2008;221:28\u201335.","journal-title":"Arch Kriminol"},{"key":"433_CR21","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1258\/ijsa.2007.005694","volume":"19","author":"B Purwar","year":"2008","unstructured":"Purwar B, Panda SN, Odogwu SO, Joseph AT. Recto-vaginal sex leading to colostomy and recto-vaginal repair. Int J STD AIDS. 2008;19:57\u20138.","journal-title":"Int J STD AIDS"},{"key":"433_CR22","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1097\/00000433-198312000-00013","volume":"4","author":"DT Reay","year":"1983","unstructured":"Reay DT, Eisele JW. Sexual abuse and death of an elderly lady by \u201cfisting.\u201d Am J Forensic Med Pathol. 1983;4:347\u20139.","journal-title":"Am J Forensic Med Pathol"},{"key":"433_CR23","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1016\/S0196-0644(84)80577-6","volume":"13","author":"SC Reiner","year":"1984","unstructured":"Reiner SC. Colorectal laceration after manual-anal intercourse. Ann Emerg Med. 1984;13:130\u20132.","journal-title":"Ann Emerg Med"},{"key":"433_CR24","doi-asserted-by":"publisher","first-page":"611","DOI":"10.1016\/0002-9610(77)90446-9","volume":"134","author":"N Sohn","year":"1977","unstructured":"Sohn N, Weinstein MA, Gonchar J. Social injuries of the rectum. Am J Surg. 1977;134:611\u20132.","journal-title":"Am J Surg"},{"key":"433_CR25","doi-asserted-by":"publisher","first-page":"852","DOI":"10.1111\/j.1553-2712.1995.tb03290.x","volume":"2","author":"KL Spears","year":"1995","unstructured":"Spears KL, Hutson HR, Atluri SP. Rectal perforation following manual-anal intercourse. Acad Emerg Med. 1995;2:852\u20133.","journal-title":"Acad Emerg Med"},{"key":"433_CR26","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1097\/00000433-198703000-00026","volume":"8","author":"C Torre","year":"1987","unstructured":"Torre C. Delayed death from \u201cfisting.\u201d Am J Forensic Med Pathol. 1987;8:91.","journal-title":"Am J Forensic Med Pathol"},{"key":"433_CR27","doi-asserted-by":"publisher","first-page":"482","DOI":"10.1080\/01443610600766892","volume":"26","author":"F Usifo","year":"2006","unstructured":"Usifo F, Sharma R, Macrae R, Hargreaves C, Swinhoe JR. Posterior vaginal fornix rupture and haemoperitoneum following sexual intercourse. J Obstet Gynaecol. 2006;26:482\u20133.","journal-title":"J Obstet Gynaecol"},{"key":"433_CR28","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1097\/00000433-198903000-00019","volume":"10","author":"DB Fain","year":"1989","unstructured":"Fain DB, McCormick GM. Vaginal \u201cfisting\u201d as a cause of death. Am J Forensic Med Pathol. 1989;10:73\u20135.","journal-title":"Am J Forensic Med Pathol"},{"key":"433_CR29","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1097\/PAF.0b013e3181e13269","volume":"31","author":"I Kovelman","year":"2010","unstructured":"Kovelman I, Vey E, Schober J. Fatal anorectal trauma in the setting of sexual assault: case report and literature survey. Am J Forensic Med Pathol. 2010;31:273\u20137.","journal-title":"Am J Forensic Med Pathol"},{"key":"433_CR30","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1520\/JFS15345J","volume":"40","author":"CJ Orr","year":"1995","unstructured":"Orr CJ, Clark MA, Hawley DA, Pless JE, Tate LR, Fardal PM. Fatal anorectal injuries: a series of four cases. J Forensic Sci. 1995;40:219\u201321.","journal-title":"J Forensic Sci"},{"key":"433_CR31","doi-asserted-by":"publisher","first-page":"157","DOI":"10.7580\/kjlm.2013.37.3.157","volume":"37","author":"JE Kim","year":"2013","unstructured":"Kim JE, Cho YR, Lee SH. A case report of fatal vaginal and anal fisting. Korean J Leg Med. 2013;37:157\u201360.","journal-title":"Korean J Leg Med"},{"key":"433_CR32","first-page":"182","volume":"235","author":"D Fr\u00f6b","year":"2015","unstructured":"Fr\u00f6b D, P\u00fcschel K. Peranal exenteration of the intestine during a homicide. Arch Kriminol. 2015;235:182\u20138.","journal-title":"Arch Kriminol"}],"container-title":["Forensic Science, Medicine and Pathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12024-021-00433-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s12024-021-00433-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12024-021-00433-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,11]],"date-time":"2023-11-11T15:15:55Z","timestamp":1699715755000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s12024-021-00433-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,22]]},"references-count":32,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,3]]}},"alternative-id":["433"],"URL":"https:\/\/doi.org\/10.1007\/s12024-021-00433-6","relation":{},"ISSN":["1547-769X","1556-2891"],"issn-type":[{"value":"1547-769X","type":"print"},{"value":"1556-2891","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,22]]},"assertion":[{"value":"20 September 2021","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 October 2021","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}]}}