Related Experiment Videos
Autohemicastration in a man without schizophrenia
A Murota-Kawano1, A Tosaka, M Ando
1Department of Urology, East Tokyo Metropolitan Hospital, Tokyo, Japan. akikom@purple.plala.or.jp
Summary
A man self-resected his testis after injury, leading to a large scrotal hematoma. Surgical intervention successfully removed the hematoma and managed the testicular injury.
Area of Science:
- Urology
- Trauma Surgery
- Psychiatry
Background:
- A 52-year-old male bag craftsman presented with a significant scrotal hematoma following direct trauma to the right testis.
- The patient self-treated the severe pain by resecting his right testis with scissors approximately 30 minutes after the injury.
Observation:
- The patient sutured the scrotal incision himself with two stitches.
- He presented to the hospital 36 hours after the self-mutilation with a large scrotal hematoma.
Findings:
- Emergency surgery revealed a 283g hematoma, which was evacuated.
- The cut end of the right spermatic cord was ligated after thorough debridement.
- Psychiatric evaluation indicated mild intellectual disability without psychosis or substance abuse.
Implications:
- This case highlights a rare instance of self-mutilation following testicular trauma.
- It underscores the importance of prompt medical evaluation for scrotal injuries, even after self-treatment.
- The psychological assessment is crucial in managing patients with self-inflicted injuries.