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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 die 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.