Caenis Syndrome: A Rare Case Report

Abstract

Introduction: Psychotic and non-psychotic genital self-mutilation is well documented in males, although the incidence has been reported to be higher in females. However, a case in reference to a caenis syndrome in old woman is less reported. We report a rare case of caenis syndrome exhibited with entirely different food habits over the years. Case: A 72-years-old female, who was a referred a case from District Hospital Chittorgarh with alleged history of doing self-cut down of her prolapsed uterus via vaginal route with the help of domestic knife. Following which she developed heavy vaginal bleeding and severe pain. On admission the patient was comfortable, oriented with stable vitals. On double set up per speculum examination showed a clear-cut end of the vaginal vault with no active bleeding. Further, psychiatric reference of the patient revealed that she had a major depressive disorder due to repeated rejection of surgical management for her prolapsed uterus over the past 30 years, and she started developing a strange eating habits since past 5 years with irregular excessive eating and hunger strike. Conservative management and counselling were done to her. The ultrasound study of the whole abdomen revealed normal post-hysterectomy status. Conclusion: Based on the observation, it recommends that awareness regarding the female genital mutilation is to be created and appropriate counselling should be initiated at an early age. Special care for the elderly women who are treated as a part of neglected society would necessary be taken care in all hospitals.