article = {CROGR-2020-1-108}
title = {Caenis Syndrome: A Rare Case Report}
journal = {Case Reports in Obstetrics Gynecology and Reproductive}
year = {2020}
issn = {2674-5070}
doi = {http://dx.doi.org/10.31487/j.CROGR.2020.01.08}
url = {https://www.sciencerepository.org/caenis-syndrome-a-rare-case-report_CROGR-2020-1-108 
author = {Priya Aarthy Archunan,Sangeeta  Sen,}
keywords = {Female genital mutilation, elderly women, caenis syndrome}
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.}