Citation

Ajape AA, Issa BA, Buhari OI, Adeoye PO, Babata AL, Abiola OO. Ann. Afr. Med. 2010; 9(1): 31-34.

Affiliation

Division of Urology, University of Ilorin Teaching Hospital, Ilorin, Nigeria.

Copyright

(Copyright © 2010, Annals of African Medicine Society, Publisher Usmanu Danfodiyo University Teaching Hospital)

DOI

10.4103/1596-3519.62622

PMID

20418647

Abstract

We present a case report of a 22-year-old Nigerian student who presented to the accident and emergency unit of a Nigerian Teaching Hospital with a history of self-inflicted genital injury following a suicide attempt. He had background history of predisposition to depressive illness, a current diagnosis of a major depressive disorder, and had had two attempted suicidal episodes in the last 3 months prior to this event. The clinical finding shows a patient with sad affect, feeling of hopelessness, and worthlessness; however, the vital signs remained fairly stable. At examination under anesthesia, the testes were exposed and the right already self-castrated. The penis was degloved to the level of the Buck's fascia with intact corpora cavernosa and urethra. He had surgical excision of the hanging self-castrated right testis with debridement and primary closure of the genital laceration. He was promptly reviewed by the psychiatrists who comanaged appropriately.

Language: en