Autosectio of the prolapsed uterus and vagina

Habek, Dubravko; Barbir, Ante; Galovic, Josip; Habek, Jasna Čerkez

doi:10.1016/s0301-2115(02)00049-0

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…[1][2][3][4] Habek et al had presented a bizarre case of attempted autosection of prolapsed genital organ by a demented 81-year-old women with chronic alcocholism. 1 MacLean et al reported two cases of drastic form of selfmutilation in schizophrenic men. They had concluded based on review that psychosis, most probably schizophrenia, is associated with severe disturbance in body image, leading to the daring act of self-enucleation.…”

Section: Discussionmentioning

confidence: 99%

A bizarre self inflicted injury resulting in a "Near-Miss” in a Gynaecological case

Agarwal¹,

Radhika²,

Gupta³

et al. 2018

OBGYN

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A 32 year old, para 3 woman presented in shock and drowsy condition with bleeding per vaginum. On gaining consciousness, the patient revealed that she had chopped off some part of her gentalia and flushed it. Her previous treatment papers revealed she had been suffering uterine prolapse since last chid birth 3 years back. On examination, cervix could not be seen, and vaginal edges were seen bleeding. After patient stabilization, EUA showed a partially amputated cervix with retracted vaginal edges. A vaginal hysterectomy was done. On cut section of hysterectomy specimen, only 1 cm of cervix was identifiable, and uterus otherwise being normal on gross examination. The post operative period was uneventful. In view of extreme nature of affliction, a history of intoxication was obtained but denied by both husband and the patient. No history of prior psychiatric illness or symptomatology was reported. Psychiatric consultation revealed it to be a case of first episode of psychosis and accordingly antipsychotic treatment was started.

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Section: Discussionmentioning

confidence: 99%

A bizarre self inflicted injury resulting in a "Near-Miss” in a Gynaecological case

Agarwal¹,

Radhika²,

Gupta³

et al. 2018

OBGYN

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“…In those few reports, lacerations of the vagina are most often described, while extensive and mutilating injuries in old women >80 years old as victims of sexual abuse are not. 1–4 From my own gynaecological and forensic practice, I therefore present a medically and judicially completed case of extensive and life-threatening injury (complete posterior colporrhexis with intestinal evisceration) in an 82-year-old woman, who was raped by a young perpetrator 20 years ago.…”

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confidence: 99%

Sexual abuse in late postmenopausal women: Complete posterior colporrhexis with intestinal evisceration

Habek

2024

Med Leg J

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Genital injuries from sexual intercourse in late postmenopause (senium) are rare in clinical practice and may result from sexual abuse. I present a medically and judicially completed case as a contribution to forensic gynaecological literature where an 82-year-old women suffered extensive and life-threatening injury (complete posterior colporrhexis with intestinal evisceration) when she was raped (20 years ago) by a young perpetrator.

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