Analysis for ethanol, drugs, and other intoxicants that may have been taken to enhance the autoerotic experience may explain the inability of a victim to extricate

Fig. 49. Man found dead from ischemic heart disease dressed in woman's clothing. Use of metal rod (arrow) for anal stimulation.

himself (133,225,243,248,255,261,273). Toxicological tests are not always ordered if the scene and circumstances leave no doubt as to the accidental nature of the act (107).

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