Self-inflicted testicular amputation in first lysergic acid diethylamide use

J Addict Med. 2013 Jan-Feb;7(1):83-4. doi: 10.1097/ADM.0b013e318279737b.

Abstract

Background: Genital self-mutilation is a well-known phenomenon in patients with schizophrenia and has occasionally been described in patients with personality disorders or transsexuality. However, literature just provides few cases of genital self-mutilation related to the use of psychotropic substances.

Case description: A previously mentally healthy man (age, 32 years) performed manual amputation of both testes after first use of lysergic acid diethylamide in combination with alcohol consumption. Follow-up examination 6 month after the event did not reveal the development of a psychiatric disorder.

Conclusions: This report shows that a first and single use of lysergic acid diethylamide in combination with alcohol can cause intoxication with dramatic consequences.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Alcohol Drinking / psychology
  • Amputation, Traumatic / etiology*
  • Amputation, Traumatic / psychology
  • Amputation, Traumatic / surgery
  • Delirium / etiology
  • Delirium / psychology
  • Hallucinogens / administration & dosage
  • Hallucinogens / adverse effects
  • Humans
  • Lysergic Acid Diethylamide* / administration & dosage
  • Lysergic Acid Diethylamide* / adverse effects
  • Male
  • Psychiatric Status Rating Scales
  • Psychoses, Substance-Induced* / complications
  • Psychoses, Substance-Induced* / diagnosis
  • Psychoses, Substance-Induced* / psychology
  • Self Mutilation* / etiology
  • Self Mutilation* / psychology
  • Self Mutilation* / surgery
  • Substance Abuse Detection
  • Testis / injuries*
  • Treatment Outcome
  • Urologic Surgical Procedures, Male / methods

Substances

  • Hallucinogens
  • Lysergic Acid Diethylamide