Fatal anorectal trauma in the setting of sexual assault: case report and literature survey.
Homicides exclusively due to genital trauma have not been widely reported, and anorectal trauma in sexual assaults is uncommon. We describe a case of a 45-year-old white woman who sustained devastating homicidal colorectal trauma that served as a primary cause of death in the setting of rape. Our patient sustained a 15-cm laceration of the anterior rectal wall and ultimately died of peritonitis and sepsis. Death from rectal perforation and sepsis in the setting of sexual assault is rare and has only been documented in 3 other cases, 2 pediatric patients and 1 elderly debilitated patient. Other representative and unique methods of perforation are reviewed along with a brief discussion of the development of peritonitis after perforating colorectal trauma.
Published In/Presented At
Kovelman, I., Vey, E., & Schober, J. (2010). Fatal anorectal trauma in the setting of sexual assault: case report and literature survey. The American journal of forensic medicine and pathology, 31(3), 273–277. https://doi.org/10.1097/PAF.0b013e3181e13269
Medicine and Health Sciences
Department of Medicine