A rare case of complete male genital self-amputation posing challenges in the psychiatric diagnosis and management

Genital self-mutilation (GSM) is a rare phenomenon encountered mostly within the context of severe mental illness. The following case report highlights a rare case of self-inflicted total penile self-amputation in a patient with a psychiatric history of polydrug abuse and attention deficit disorder...

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Main Authors:	Fotios Tsanakalis, Abdullah Almadhyan, Despina Flondell-Sité
Format:	Article
Language:	English
Published:	Elsevier 2021-06-01
Series:	Heliyon
Subjects:	Genital self-mutilation Klingsor syndrome GSM Command hallucinations
Online Access:	http://www.sciencedirect.com/science/article/pii/S2405844021014523

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spelling	doaj-52c94e80970c4572a5274c9476351f0a2021-07-05T16:34:51ZengElsevierHeliyon2405-84402021-06-0176e07349A rare case of complete male genital self-amputation posing challenges in the psychiatric diagnosis and managementFotios Tsanakalis0Abdullah Almadhyan1Despina Flondell-Sité2Department of Liaison Psychiatry and Psychiatric Emergency Cases, Skåne University Hospital, Malmö, Sweden; Corresponding author.Department of Liaison Psychiatry and Psychiatric Emergency Cases, Skåne University Hospital, Malmö, SwedenDepartment of Urology, Skåne University Hospital, Malmö, SwedenGenital self-mutilation (GSM) is a rare phenomenon encountered mostly within the context of severe mental illness. The following case report highlights a rare case of self-inflicted total penile self-amputation in a patient with a psychiatric history of polydrug abuse and attention deficit disorder (ADD). The patient engaged in penile self-amputation under the influence of command hallucinations and religious delusions. He was operated on with microsurgical penile replantation but the penis had to be amputated after two weeks because of postoperative complications. The patient was admitted for compulsory psychiatric treatment. During the prolonged hospitalization course, he was arrested for stabbing two other patients and was transferred to a forensic psychiatric unit. The case fits the description for Klingsor Syndrome and involved multiple interacting risk factors that complicated the initial presentation and the ensuing management of the condition in the hospital setting.http://www.sciencedirect.com/science/article/pii/S2405844021014523Genital self-mutilationKlingsor syndromeGSMCommand hallucinations
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Fotios Tsanakalis Abdullah Almadhyan Despina Flondell-Sité
spellingShingle	Fotios Tsanakalis Abdullah Almadhyan Despina Flondell-Sité A rare case of complete male genital self-amputation posing challenges in the psychiatric diagnosis and management Heliyon Genital self-mutilation Klingsor syndrome GSM Command hallucinations
author_facet	Fotios Tsanakalis Abdullah Almadhyan Despina Flondell-Sité
author_sort	Fotios Tsanakalis
title	A rare case of complete male genital self-amputation posing challenges in the psychiatric diagnosis and management
title_short	A rare case of complete male genital self-amputation posing challenges in the psychiatric diagnosis and management
title_full	A rare case of complete male genital self-amputation posing challenges in the psychiatric diagnosis and management
title_fullStr	A rare case of complete male genital self-amputation posing challenges in the psychiatric diagnosis and management
title_full_unstemmed	A rare case of complete male genital self-amputation posing challenges in the psychiatric diagnosis and management
title_sort	rare case of complete male genital self-amputation posing challenges in the psychiatric diagnosis and management
publisher	Elsevier
series	Heliyon
issn	2405-8440
publishDate	2021-06-01
description	Genital self-mutilation (GSM) is a rare phenomenon encountered mostly within the context of severe mental illness. The following case report highlights a rare case of self-inflicted total penile self-amputation in a patient with a psychiatric history of polydrug abuse and attention deficit disorder (ADD). The patient engaged in penile self-amputation under the influence of command hallucinations and religious delusions. He was operated on with microsurgical penile replantation but the penis had to be amputated after two weeks because of postoperative complications. The patient was admitted for compulsory psychiatric treatment. During the prolonged hospitalization course, he was arrested for stabbing two other patients and was transferred to a forensic psychiatric unit. The case fits the description for Klingsor Syndrome and involved multiple interacting risk factors that complicated the initial presentation and the ensuing management of the condition in the hospital setting.
topic	Genital self-mutilation Klingsor syndrome GSM Command hallucinations
url	http://www.sciencedirect.com/science/article/pii/S2405844021014523
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A rare case of complete male genital self-amputation posing challenges in the psychiatric diagnosis and management

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