title: Sudden death of a middle-aged man with an artificial vaginain situ.
abstract: Artificial vaginas are designed to imitate the female sex organ. This is the first reported case in the forensic literature of a man being pronounced dead with an artificial vaginain situ. A middle-aged man was found unconscious in a bathroom when the door was forced open and was pronounced dead on admission. Autopsy revealed that the penis was inside an artificial vagina. There were no injuries, but there were left ventricular hypertrophy, myocardial fibrosis, and narrow coronaries. The cause of death was ascertained as ischemic heart disease due to coronary atherosclerosis and the comments included were no evidence of violence, and ischemic heart disease could have been precipitated due to abnormal sexual activity. If removal of artificial vagina was done before the admission, this circumstance could not have ascertained. Removal of such devices before admission to hospitals could be the reason why such incidents do not come to light.
authors.affiliation: Department of Forensic Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.
authors.forename: Muditha
authors.initials: M
authors.lastname: Vidanapathirana
authors.affiliation: Department of Forensic Medicine, Teaching Hospital, Karapitiya, Galle, Sri Lanka.
authors.forename: Rohan P
authors.initials: RP
authors.lastname: Ruwanpura
authors.affiliation: Department of Forensic Medicine, Institute of Legal Medicine and Toxicology, Colombo, Sri Lanka.
authors.forename: Sriyantha Rrg
authors.initials: SR
authors.lastname: Amararatne
keywords: Artificial vagina; in situ; sudden death