District Medicolegal Consultant & Associate Professor, Department of Forensic Medicine and Toxicology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India.
Department of Paediatrics, SNR District Hospital, Kolar, Karnataka, India.
Med Leg J. 2022 Jun;90(2):109-112. doi: 10.1177/00258172221081199. Epub 2022 Mar 16.
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.
自我伤害被定义为“蓄意破坏或改变身体组织，而没有有意识的自杀意图”。自我伤害的患病率约为 1%，然而，自愿切割生殖器官的情况极为罕见，迄今为止，在英文文献中，仅报告了不到 100 例男女两性的生殖器自我伤害病例。生殖器自我伤害最常与精神疾病有关，但也有报告称，由于各种原因，非精神病患者也会出现这种情况。在这里，我们介绍了一个 45 岁男子的案例，他被发现死在家中，血泊中躺着一把刀和一把剪刀，旁边还有部分肠子。该患者被诊断为精索鞘膜积液，并有明确的恐医症病史，这导致他自行切开阴囊，最终导致了他的死亡。自我睾丸切除术是一种极其罕见的现象，通常与精神疾病有关。
