Authors: Daniel Driák; Albert Zajíček; Zlatko Pastor Authors‘ workplace: Gynekologicko-porodnická klinika 2. LF UK a FN Motol, Praha Published in: Ceska Gynekol 2025; 90(5): 385-387 Category: Case Report doi: https://doi.org/10.48095/cccg2025385
Vaginal fisting is an uncommon and risky sexual practice. It consists of penetrating the vagina with one or both hands. Fisting is practiced as heterosexual, homosexual, or autoerotic activity and may be the cause of vaginal injury and circumjacent organs. The article describes the case of a 33-year old pornographic film actress who developed vaginal injury and heavy bleeding during fisting while filming. Rupture of the vagina was sutured and blood loss was replenished with transfusions.
Hemorrhage – fisting – vaginal injury
1. Cappelletti S, Aromatario M, Bottoni E et al. Variability in findings of anogenital injury in consensual and non-consensual fisting intercourse: a systematic review. J Forensic Leg Med 2016; 44 : 58–62. doi: 10.1016/j.jflm.2016. 08.013.
2. Metsälä P, Nieminen U. Traumatic lesions of the vagina. Acta Obstet Gynecol Scand 1968; 47 (4): 482–488. doi: 10.3109/00016346809157501.
3. Seigfried-Spellar KC, Rogers MK. Does deviant pornography use follow a Guttman-like progression? Comput Human Behav 2013; 29 (5): 1997–2003. doi: 10.1016/j.chb.2013. 04.018.
4. Waldura JF, Arora I, Randall AM et al. Fifty shades of stigma: exploring the health care experiences of kink-oriented patients. J Sex Med 2016; 13 (12): 1918–1929. doi: 10.1016/ j.jsxm.2016.09.019.
5. Cappeletti S, Fiore PA, Bottoni E et al. Fourth-degree perineal laceration in nonconsenual fisting: a case report, brief review of the literature, and medicolegal issues. Am J Forensic Med Pathol 2017; 38 (3): 258–261. doi: 10.1097/PAF.0000000000000324.
6. Fain DB, McCormick GM. Vaginal “fisting” as a cause of death. Am J Forensic Med Pathol 1989; 10 (1): 73–75. doi: 10.1097/00000 433-198903000-00019.
7. Kim JE, Cho YR, Lee SH. A case report of fatal vaginal and anal fisting. Korean J Leg Med 2013; 37 (3): 157–160. doi: 10.7580/kjlm.2013.37.3.157.
8. Habek D, Kulas T. Nonobstetrics vulvovaginal injuries: mechanism and outcome. Arch Gynecol Obstet 2007; 275 (2): 93–97. doi: 10.1007/s004 04-006-0228-x.
9. Urbánek V. Poranění ženy při sexuální aktivitě. Mod Gynek Porod 2005; 14 (1): 82–86.
10. Cohen CE, Giles A, Nelson M. Sexual trauma associated with fisting and recreational drugs. Sex Transm Infect 2004; 80 (6): 469–470. doi: 10.1136/sti.2004.011171.
ORCID autorů
D. Driák 0000-0002-3072-0178
Z. Pastor 0000-0002-1425-5982
Doručeno/Submitted: 23. 6. 2025
Přijato/Accepted: 26. 6. 2025
MUDr. Daniel Driák, Ph.D.
Gynekologicko-porodnická klinika
2. LF UK a FN Motol
V Úvalu 84
150 06 Praha 5
driak@seznam.cz
Don‘t have an account? Create new account
Enter the email address that you registered with. We will send you instructions on how to set a new password.
