TY - JOUR PY - 2010// TI - Genital self-mutilation JO - Annals of African medicine A1 - Ajape, A. A. A1 - Issa, B. A. A1 - Buhari, O. I. N. A1 - Adeoye, P. O. A1 - Babata, A. L. A1 - Abiola, O. O. SP - 31 EP - 34 VL - 9 IS - 1 N2 - 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
LA - en SN - 1596-3519 UR - http://dx.doi.org/10.4103/1596-3519.62622 ID - ref1 ER -