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The uterus was enlarged with multiple large leiomyomas. Toxicological tests of blood and the foreign material revealed no toxicologically relevant substances.
Kaolin was detected in a sample of the foreign material from the large intestine. The immediate cause of death was intestinal obstruction due to the formation of a kaolin bezoar with simultaneous compression of the large intestine by the enlarged myomatous uterus.
Subsequent revelation of a habit the deceased had brought from her native country led to the conclusion that this exotic custom was responsible for her death. Figures - uploaded by Petr Handlos. Author content All content in this area was uploaded by Petr Handlos. Content may be subject to copyright. The body predominantly displayed late postmortem changes and exogenous oval-shaped gray-white masses were extruded out of the anus arrow in a ; they were also found in the immediate vicinity of the dead body arrowhead in a.