@article{ref1,
title="Self-inflicted hand amputation without replantation in a patient with body integrity identity disorder: a case report",
journal="JBJS case connector",
year="2021",
author="Ramkumar, Dipak B. and Brown, Marcel G. and Lewis, Chad Y. and Warren, Celestine E. and Fortney, Thomas A. and Warhold, Lance G.",
volume="11",
number="3",
pages="e976-e976",
abstract="CASE: We describe a patient who self-amputated his hand using a log splitter, because of a long-standing belief that the limb &quot;did not belong to him.&quot; On admission, he refused replantation and was found to be nonpsychotic. He was diagnosed with body integrity identity disorder (BIID) and declared competent to make his own medical decisions. A revision amputation was performed. <br><br>CONCLUSION: BIID is a challenging diagnosis that physicians treating traumatic injuries should be aware of. Many ethicists support elective amputation as a definitive treatment, because of potential harm reduction and because BIID does not respond to conservative modalities such as pharmacotherapy.<p /> <p>Language: en</p>",
language="en",
issn="2160-3251",
doi="10.2106/JBJS.CC.20.00976",
url="http://dx.doi.org/10.2106/JBJS.CC.20.00976"
}