Caenis Syndrome: A Rare Case Report

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Author Info

Priya Aarthy Archunan Sangeeta Sen

Corresponding Author

Priya Aarthy Archunan
Post Graduate Resident, Department of Obstetrics and Gynaecology, RNT Medical College, Udaipur, Rajasthan, India

A B S T R A C T

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.

Article Info

Article Type

Case Report

Publication history

Received: Wed 27, May 2020
Accepted: Fri 12, Jun 2020
Published: Fri 19, Jun 2020

Copyright

© 2023 Priya Aarthy Archunan. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.CROGR.2020.01.08