Garofalo Marco, Colella Alessandro, Sadini Paolo, Bianchi Lorenzo, Saraceni Giacomo, Brunocilla Eugenio, Gentile Giorgio, Colombo Fulvio
Department of Urology, Sant'Orsola Hospital - University of Bologna, Bologna.
Arch Ital Urol Androl. 2018 Sep 30;90(3):220-223. doi: 10.4081/aiua.2018.3.220.
Self-inflicted orchidectomy and auto-castration, also known as "Eshmun complex" is a rare phenomenon. The aim of our study it to present the management of a patient who performed a self orchiectomy and propose a non-systematic review of literature about self-orchiectomy.
A 27-years old male Patient with psychiatric disorder was admitted to our ward to have been cutted his scrotum with scissors and cut away his left testicle causing active bleeding from the left spermatic artery. The patient underwent emergency surgery with clamping of the spermatic cord and hemostasis of the wound.
After surgery the clinical condition of the patient remained good during whole hospitalization. Urgent psychiatric evaluation was performed in order to administer proper therapy for acute management. To best of our knowledge, only 11 cases of self-orchidectomy are reported in literature and all of them except 1 case, underwent surgical exploration.
Self-orchidectomy is an extremely rare phenomenon, often associated with psychiatric disorders, compounded by the use of drugs. In our opinion, emergency surgery should be the first choice of treatment, offering diagnostic and hemostatic purpose in a single act, aimed to prevent acute and postacute complications.
自我阉割和自体去势，也被称为“埃什蒙情结”，是一种罕见的现象。我们研究的目的是介绍一名实施自我睾丸切除患者的治疗情况，并对有关自我睾丸切除的文献进行非系统性综述。
一名患有精神疾病的27岁男性患者被收治入我们病房，他用剪刀剪开阴囊并切除了左侧睾丸，导致左侧精索动脉活动性出血。患者接受了紧急手术，对精索进行了结扎并对伤口进行了止血处理。
术后患者在整个住院期间临床状况良好。进行了紧急精神科评估，以便为急性处理给予适当治疗。据我们所知，文献中仅报道了11例自我睾丸切除病例，除1例之外，所有病例均接受了手术探查。
自我睾丸切除是一种极其罕见的现象，通常与精神疾病相关，并因药物使用而加重。我们认为，紧急手术应作为首选治疗方法，在一次手术中实现诊断和止血目的，旨在预防急性和亚急性并发症。
