tailieunhanh - báo cáo khoa học: "Bilateral testicular self-castration due to cannabis abuse: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Bilateral testicular self-castration due to cannabis abuse: a case report | Ahsaini et al. Journal of Medical Case Reports 2011 5 404 http content 5 1 404 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Bilateral testicular self-castration due to cannabis abuse a case report 1 1 1 1 2 Mustapha Ahsaini Fadl Tazi Abdelhak Khalouk Karim Lahlaidi Abderahim Bouazzaoui Roos E Stuurman-Wieringa3 Mohammed Jamal Elfassi1 and My Hassan Farih1 Abstract Introduction The self-mutilating patient is an unusual psychiatric presentation in the emergency room. Nonetheless serious underlying psychiatric pathology and drug abuse are important background risk factors. A careful stepwise approach in the emergency room is essential although the prognosis follow-up and eventual rehabilitation can be problematic. We present a unique and original case of bilateral self-castration caused by cannabis abuse. Case Presentation We report a case of a 40-year-old Berber man who was presented to our emergency room with externalization of both testes using his long fingernails associated with hemodynamic shock. After stabilization of his state our patient was admitted to the operating room where hemostasis was achieved. Conclusion The clinical characteristics of self-mutilation are manifold and there is a lack of agreement about its etiology. The complex behavior associated with drug abuse may be one cause of self-mutilation. Dysfunction of the inhibitory brain circuitry caused by substance abuse could explain why this cannabis-addicted patient lost control and self-mutilated. To the best of our knowledge this is the first case report which presents an association between self-castration and cannabis abuse. Introduction Self-inflicted testicular injuries are an uncommon phenomenon but do represent the most frequent form of genital mutilation 61 1 . Most self-inflicted testicular injuries have been reported in transsexual patients who desire emasculation or by psychotic patients with either functional or organic brain diseases like .