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This individual died from autoerotic asphyxia using ligature strangulation. Note padding on ankles. Pornographic literature was positioned on bathroom floor. Autoerotic deaths involve a large variety of mechanisms and means to achieve sexual gratification. The most common practice is asphyxia, and most victims are young males. Other modalities include chest compressions, plastic bags covering the face, use of electric current, inhalation of toxic or chemical gases, and partial or total submersion. Among atypical practices in autoeroticism, urethral handling through probes is a rare occurrence, and air embolism resulting from such practice is even rarer.

Fig.1 Autoerotic asphyxia using ligature strangulation.

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