Citation

Padubidri JR, Akshath KS, Singh T, Manoj MA. Med. Leg. J. 2022; ePub(ePub): ePub.

Copyright

(Copyright © 2022, Medico-Legal Society, Publisher SAGE Publications)

DOI

10.1177/00258172221081199

PMID

35296174

Abstract

Self-mutilation is defined as a "deliberate destruction or alteration of body tissue without conscious suicidal intent". The prevalence of self-mutilation is about 1%, however the voluntary cutting of the genital organs remains extremely rare with fewer than 100 cases of genital self-mutilation reported in both sexes in the English literature to date. Genital self-mutilation is most often associated with psychiatric disorders, but it has also been reported in nonpsychotic individuals owing to various reasons. Here, we present the case of a 45-year-old man who was found deceased in his home in a pool of blood with a knife and a pair of scissors lying next to him. In addition to this, parts of the intestine were found next to the body. The patient was diagnosed with hydrocoele and had a known history of tomophobia which caused him to take matters into his own hands by incising his scrotum which led to his demise. Self-orchidectomy is an extremely rare phenomenon and is most often associated with psychiatric illness.

Language: en

Keywords

medico-legal; genitalia; psychiatric; self-harm; Self-mutilation