4.4 Article

Esophageal rupture through extreme sadomasochistic practice

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SPRINGER
DOI: 10.1007/s00414-023-02972-9

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Sadomasochism; BDSM; Mutilation; Sexual assault; Esophageal rupture

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This case involves a woman in her thirties who suffered an esophageal rupture during extreme sadomasochistic activities. Initially diagnosed with broken ribs and a pneumothorax from a fall, further examination revealed the esophageal rupture caused by swallowing an inflatable gag. The woman had visible injuries from sadomasochistic acts, but her consent to such extreme sexual practices could not be definitively proven. The man involved was convicted and sentenced to a long-term imprisonment for intentional bodily harm.
We report the case of a woman in her thirties who suffered an esophageal rupture while participating in extreme sadomasochistic practices. After herself seeking help in a hospital for complaints alleged to be from a fall, she was initially diagnosed with several broken ribs and a pneumothorax. The cause of the pneumothorax was later discovered to be an esophageal rupture. When confronted with this atypical injury for a fall, the woman admitted to have accidentally swallowed an inflatable gag, which her partner had afterwards inflated. In addition to the esophageal rupture, the patient also had numerous other externally visible injuries of various ages, reportedly also from sadomasochistic acts. Although an in-depth police investigation was conducted and a slave contract was found, the woman's consent to the extreme sexual practices performed by her life partner could not be substantiated conclusively. The man was convicted for intentional infliction of serious as well as dangerous bodily injury and sentenced to a long term in prison.

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