Investigation of a Death Caused by Rectal Insertion of Cocaine.Doss, Patricia L. M.S.; Gowitt, Gerald T. M.D.American Journal of Forensic Medicine & Pathology: December 1988 International Registry of Unusual Cases: PDF Only Abstract A 29-year-old homosexual man died as a result of cocaine inserted into his rectum by his sexual partner. The apparent purpose of this form of drug abuse is to relax the anal sphincter muscles. However, as in this case, cocaine administered in this fashion has a high potential for toxicity. The possible legal and medical ramifications of death resulting from this practice are discussed (C) Lippincott-Raven Publishers.