Ulus Travma Acil Cerrahi Derg. 2017; 23(5): 427-429 | DOI: 10.5505/tjtes.2016.30346

Klingsor syndrome: A rare surgical emergency

Gaurav Aggarwal, Samiran D. Adhikary
Department of Urology, Apollo Hospital, Bhubaneshwar, Odisha-India

Klingsor syndrome or self-Inflicted traumatic penile amputation is a rare clinical entity that is associated with psychiatric disorders, command hallucinations, religious preoccupations, substance abuse, and isolation from or neglect by society. In addition to being infrequently encountered, it is a rare surgical emergency, with paucity of data on appropriate and timely management to ensure optimal functional outcomes. We report the case of a 25-year-old unmarried male who inflicted this injury upon himself in a fit of paranoia as a way to expiate his sins and earn solace from God. An attempt at microvascular re-implantation 12 h after the injury was successful, with adequate cosmetic and functional outcomes obtained. Thus, in this rare disease, despite a delay in presentation, a single attempt at re-implantation may still be worthwhile for obtaining optimal cosmetic and psychosocial benefits.

Keywords: Klingsor syndrome, penile self-amputation, urological emergency.

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Klingsor sendromu: Seyrek görülen cerrahi acil

Gaurav Aggarwal, Samiran D. Adhikary
Apollo Hastanesi, Üroloji Kliniði, Bhubaneshwar, Odisha, Hindistan

“Klingsor sendromu” veya “kiþinin kendi penisini ampüte etmesi” seyrek görülen bir klinik durum olup psikiyatrik bozukluklar, emir alma varsanýsý, dinsel saplantýlar, madde kötüye kullanýmý, toplumdan izole edilme veya ihmal edilme ile iliþkilidir. Nadiren rastlandýðý gibi seyrek görülen bir cerrahi acildir. Optimal sonuçlarý güvence altýna alma amacýyla uygun ve zamanýnda tedavi açýsýndan yetersiz veri mevcuttur. Yirmi beþ yaþýnda bekâr, günahlarýnýn kefaretini ödeme ve Tanrýnýn affýný kazanma yöntemi olarak penisini yaralamýþtýr. Yaralanmadan 12 saat sonra gerçekleþtirilen mikrovasküler reimplantasyon çabasý yeterli kozmetik ve fonksiyonel sonuçlarýyla baþarýlý olmuþtur. Bu seyrek görülen hastalýkta gecikmeye raðmen optimal kozmetik ve psikososyal yararlar için tek bir reimplantasyon denemesi bile zahmete deðer.

Anahtar Kelimeler: Klingsor sendromu, penis, penisini ampüte etme, ürolojik acil.

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