Self mutilation of genitalia-using teeth

Area of Science:

• Psychiatry
• Urology
• Emergency Medicine

Background:

• Genital self-mutilation (GSM) is an uncommon but potentially severe form of self-inflicted injury.
• GSM is not a distinct clinical diagnosis and can manifest across various psychiatric states.
• The methods and instruments used in GSM vary widely, necessitating comprehensive clinical assessment.

Observation:

• A case report of a 22-year-old man with intellectual disability presenting to the emergency department with hematemesis.
• The patient's presentation was attributed to genital self-mutilation.
• The specific injury technique employed in this case is novel and previously unreported in medical literature.

Findings:

• The patient's bloody vomiting was a consequence of genital self-mutilation.
• The psychiatric state of the patient, characterized by intellectual disability, was a significant factor.
• The unique method of injury distinguishes this case from previously documented instances of GSM.

Implications:

• This case highlights the importance of considering GSM in patients with psychiatric conditions presenting with unusual symptoms.
• A multidisciplinary approach involving psychiatry, urology, and emergency medicine is crucial for managing GSM.
• Further research into the varied techniques of GSM is warranted to improve diagnostic and treatment strategies.