Moreschi Carlo, Da Broi Ugo
Department of Medical Morphological Research, Section of Forensic Medicine, University of Udine, Italy.
J Forensic Leg Med. 2009 Nov;16(8):482-5. doi: 10.1016/j.jflm.2009.07.002. Epub 2009 Aug 7.
Sudden vaginal bleeding and a cardiac arrest occurred in a 18-year-old female during consensual intercourse. Resuscitation procedures, applied at the arrival of a medical emergency team, restored the cardiac function allowing admission to hospital, where two vaginal mucosal lacerations were diagnosed and sutured. Cardiological investigations diagnosed a left ventricle myocardial infarction and a patent foramen ovale while a brain CT scan showed ischemic signs and intravascular air images. Death occurred after 48 h, due to heart failure, cerebral anoxia and multiorgan failure. Autopsy confirmed a patent foramen ovale considered as responsible for a paradoxical air embolism. Judicial Authority evaluated the fatal paradoxical air embolism as a consequence of an unpredictable accident occurred during consensual intercourse without sexual violence.
一名18岁女性在自愿性交过程中突然出现阴道出血并发生心脏骤停。医疗急救团队到达后实施了复苏程序，恢复了心脏功能，使其得以入院，入院后诊断出两处阴道黏膜撕裂伤并进行了缝合。心脏检查诊断为左心室心肌梗死和卵圆孔未闭，而脑部CT扫描显示有缺血迹象和血管内空气影像。48小时后，患者因心力衰竭、脑缺氧和多器官功能衰竭死亡。尸检证实卵圆孔未闭被认为是导致反常空气栓塞的原因。司法当局评估致命的反常空气栓塞是自愿性交过程中发生的不可预测事故的结果，不存在性暴力。
