artificial vaginas are designed to imitate the female sex organ and to achieve this , they are made out of a soft material , lubricated , and sometimes heated .
further , the artificial vaginas are made for medical research purposes , animal breeding , or as a sex toy for erotic stimulation .
the internal artificial vagina ( iav ) usually permits semen sampling , as well as mating ability evaluation among animals .
iavs of male - to - female transsexuals ' are constructed by penile skin invagination . in females with vaginal agenesis
an artificial vagina for the purposes of human sexual stimulation is essentially an aid to human masturbation , and it is designed to simulate the sensation of sexual intercourse .
it will often have moving parts such as vibrators that increase stimulation . in this instance , a middle - aged male was found dead in his bathroom with an artificial vagina in situ .
wife of the deceased heard that her 46-year - old husband was shouting in the bathroom around 6 pm .
the door of the bathroom was forced open and the deceased was found lying unconscious .
he had been brought to a tertiary care hospital of sri lanka within half an hour , but was pronounced dead on admission .
he was a carpenter by profession and had no history of any significant illness including diabetes mellitus , epilepsy , or on long - term treatment , but was a chronic smoker .
after removing the sarong , it was evident that the penis was inside an artificial sex toy , an in situ artificial vagina [ figures 1 and 2 ] . on inspection of the artificial vagina ,
evidence of ejaculation was not apparent , and the laboratory report for seminal or sperms was negative .
there was no history of previous similar practices , and the wife was not aware about this apparatus . in situ artificial vagina the artificial vagina
complicated atheromatous plaques were found mainly in the infrarenal part of the aorta . the heart was 350 g in weight , and the lumen of the left anterior descending artery was pinpoint [ figure 3 ] , the right coronary and left circumflex branches showed more than 75% narrowing .
the left ventricle was hypertrophied , and fibrotic areas were found in the anterior , lateral , and posterior walls .
the lumen of the anterior descending artery was pinpoint the cause of death was ischemic heart disease due to coronary artery atherosclerosis .
( a ) no evidence of violence , ( b ) toxicology tests were negative , ( c ) histopathology re - confirmed the cause of death , and ( d ) ischemic heart disease could have been precipitated due to indulging abnormal sexual activity using an artificial vagina .
usually , the artificial vagina for human sexual stimulation has a realistic or close to realistic appearance with a sleeve , where the penis can be inserted
. however , in this case , such sleeve was not found and did not simulate the real appearance of female vulva .
ischemic heart disease is the most common cause of sudden death , and the coronary atheroma is the most common contributor .
pin - hole lumen was due to concentric narrowing of the coronary arteries due to atheroma .
the left ventricular hypertrophy could have been due to a condition such as hypertension that may have been left unknown due to masking by another nonsignificant illness , ignorance , misinterpretation , or rationalization . in the presence of fibrotic areas with all the three coronaries that were narrow , the autopsy findings were compatible with the cause of death ; ischemic heart disease due to coronary artery atheroma .
ischemic heart disease precipitates due to relative ischemia and due to transient risk factors such as exertion , psychological stress , heavy meal , and sexual activities . in this circumstance
, the presence of an in situ artificial vagina suggests that the deceased would have been practicing an abnormal sexual activity , and it could have caused relative ischemia and the death of this person .
since this special device was left hidden under the sarong , it had not been removed by the relatives before the admission . had it been removed before admission , this circumstance could not be ascertained .
this is the first reported case in the forensic literature of a man being pronounced dead with an artificial vagina in situ .
removal of such devices before admission to hospitals could be the reason why such incidents do not come to light .
 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 vagina in 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 . 
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