title: Sexual abuse and death of an elderly lady by "fisting".
abstract: We describe the death of an elderly lady which resulted from the insertion of the hand and forearm into the rectum. The practice of "fisting" is a form of sexual activity confined primarily to the homosexual community. We report this death to alert forensic pathologists to this unusual practice, which can be fatal.
mesh_terms: D000368:Aged; D004552:Elder Abuse; D005260:Female; D006225:Hand; D006708:Homicide; D006801:Humans; D008297:Male; D012007:Rectum / Q000293:injuries*; D012742:Sex Offenses