Intrascrotal self insertion of foreign body: Form of entry to schizophrenia

A 23-year-old boy was referred to Urology because of a nail self insertion on the scrotum. Examination revealed a visible big nail within the scrotum, lateralized to the right at 1 cm from the median raphe. Scrotal exploration and debridement of non-viable tissue was performed, and no testicular or surrounding structure injury was found. Referred to a psychiatrist the diagnosis of schizophrenia was retained in our patient in front of several arguments including the self-mutilation and his psychiatrist concluded that this was secondary to delusions.