Casali Michelangelo Bruno, Palazzo Elisa, Blandino Alberto, Battistini Alessio, Motta Francesca, Kustermann Alessandra, Cattaneo Cristina
From the *Institute of Legal Medicine, Università degli Studi di Milano, Milan; and †SVSeD, Clinica Luigi Mangiagalli, Ospedale Policlinico di Milano, Milan, Italy.
Am J Forensic Med Pathol. 2017 Sep;38(3):175-179. doi: 10.1097/PAF.0000000000000333.
A retrospective analysis on 57 adult male victims of sexual violence has been performed. Age, nationality and anamnesis of the victims, location of the assault, type of violence, number and identity of the assailants, presence of physical injuries, lapse of time between the assault and the request of medical assistance, and toxicological and semen detection tests were analyzed. Victims were mostly in the 31- to 40-year age group. Ten victims referred themselves as either active homosexuals or bisexuals. Forced oral and/or anal penetration was registered in 86.8% of cases, mostly performed by a single assailant. Anogenital injuries were recorded in 61.4% of cases, whereas extragenital injuries in 35.1%: abrasions and perianal reddening were the most frequent acute anogenital marks, whereas the head and lower limbs were the body parts most commonly affected by blunt trauma. No clinically severe injuries were found. Anal and perianal swabs for semen detection tested positive in less than 20% cases, whereas oral swabs always tested negative. When performed, nearly 50% of cases tested positive in drug tests, above all for psychoactive substances. No definite forensic diagnosis in terms of confirmation of rape was possible on the basis of type and topography of injuries.
对57名成年男性性暴力受害者进行了回顾性分析。分析了受害者的年龄、国籍和既往病史、袭击地点、暴力类型、袭击者的数量和身份、身体损伤情况、袭击与寻求医疗救助之间的时间间隔以及毒理学和精液检测结果。受害者大多在31至40岁年龄组。10名受害者自称是活跃的同性恋者或双性恋者。86.8%的案件记录有强迫口交和/或肛交，大多由一名袭击者实施。61.4%的案件记录有肛门生殖器损伤，而35.1%有生殖器外损伤：擦伤和肛周发红是最常见的急性肛门生殖器痕迹，而头部和下肢是最常受钝器伤影响的身体部位。未发现临床严重损伤。用于精液检测的肛门和肛周拭子检测呈阳性的病例不到20%，而口腔拭子检测始终为阴性。进行药物检测时，近50%的病例呈阳性，主要是精神活性物质。根据损伤的类型和部位，无法做出关于强奸的确切法医诊断。
