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Annals of African Medicine
Annals of African Medicine Society
ISSN: 1596-3519
Vol. 9, No. 1, 2010, pp. 31-34
Bioline Code: am10007
Full paper language: English
Document type: Case Report
Document available free of charge

Annals of African Medicine, Vol. 9, No. 1, 2010, pp. 31-34

 en Genital self-mutilation
Ajape, A A.; Issa, B A.; Buhari, O. I. N.; Adeoye, P O.; Babata, A L. & Abiola, O O.


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.

Auto-castration, depressive illness, genital self-mutilation

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