Abstract
Only a few cases of self- or auto-cannibalism (autosarcophagy) have previously been reported in the literature. This case of autosarcophagy demonstrates the most severe self-cannibalistic physical abuse triggered by concurrence of psychotic depression and hypothyroidism induced personal crisis psychopathology without the use of psychoactive substances, which requires full reconstruction.
Highlights
A rare case of 40-year-old female housewife presented to the emergency department with active bleeding and estimated blood loss up to 750mls, from a left large anterior mid-forearm wound measuring 18cm x 8cm and blood stained perioral area
Investigations showed TSH of 194.6mIU/L confirming the background of uncontrolled hypothyroidism, which is linked with severe depression
This case of autosarcophagy demonstrates the most severe self-cannibalistic physical abuse triggered by concurrence of psychotic depression and hypothyroidism induced personal crisis psychopathology without the use of psychoactive substances, which requires full reconstruction
Summary
Autosarcophagy: An Extremely Rare Catastrophic Self-harm Case Report Georgios Pafitanis, MD*; Gurjinderpal Singh Pahal, FRCS (Plast); Parviz Sadigh, FRCS (Plast)
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