A rare presentation of genital self-mutilation in a patient of schizophrenia

Md. Omar Tabrez; Md. Tabrez Aziz

doi:10.18203/2349-2902.isj20170878

Authors

Md. Omar Tabrez Department of Surgery, Rahmania Medical Centre, Motihari, Bihar, India
Md. Tabrez Aziz Department of Surgery, Rahmania Medical Centre, Motihari, Bihar, India

DOI:

https://doi.org/10.18203/2349-2902.isj20170878

Keywords:

Psychotic disorders, Personality disorders, Suicide, Self-mutilation, Scrotum

Abstract

Genital self-mutilation (GSM) is an uncommon self-inflicted injury. GSM is not a single clinical entity, and it can occur in any psychiatric state or condition. The instruments that are used for self-mutilation can vary, and treatment of these injuries requires a detailed clinical evaluation and multi-disciplinary approach. We report here a case report of a 28-year-old psychotic man who came to our emergency with complaint of self-hammered nails in his both scrotum with fear of not able to reproduce child after marriage. He underwent surgical removal of nail under local anaesthesia and was promptly reviewed by the psychiatrists who managed appropriately. To our knowledge this is the first case reported in literature and the rarest type of injury presented as a bilateral scrotal self-mutilation as should be managed wisely.

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References

Nerli RB, Ravish IR, Amarkhed SS. Genital self-mutilation in nonpsychotic heterosexual males: Case report of two cases. Indian J Psychiatry. 2008;50:285-7.

Ozan E, Deveci E, Oral M, Yazici E, Kirpinar I. Male genital self-mutilation as a psychotic solution. Isr J Psychiatry Relat Sci. 2010;47(4):297-303.

Rao K, Bharathi G, Chate S. Genital self-mutilation in depression: a case report. Indian J Psychiatry. 2002;44(3):297-300.

Hari CS, Reddy CM, Kumar P. Genital self-mutilation in alcohol withdrawal state complicated with delirium. Indian J Psychol Med. 2011;33(2):188-90.

Ajape AA, Issa BA, Buhari OL. Genital self-mutilation. Ann Afr Med. 2010;9(1):31-4.

Eke N. Genital self-mutilation: there is no method in this madness. BJU Int. 2000;85(3):295-8.

Stunell H, Power RE, Floyd JRM. Genital self-mutilation. Int J Urol. 2006;13(10):1358-60.

Sudarshan CY, Rao KN, Santosh SV. Genital self-mutilation in erectile disorder Genital self-mutilation in erectile disorder. Indian J Psychiatry. 2006;48:64-5.