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Open Access Highly Accessed Case report

Bilateral testicular self-castration due to cannabis abuse: a case report

Mustapha Ahsaini*, Fadl Tazi, Abdelhak Khalouk, Karim Lahlaidi, Abderahim Bouazzaoui, Roos E Stuurman-Wieringa, Mohammed Jamal Elfassi and My Hassan Farih

Journal of Medical Case Reports 2011, 5:404  doi:10.1186/1752-1947-5-404

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Etiology or coincidence

Brett Snodgrass   (2014-07-30 00:23)  Pathology Resident email

How would this case be interpreted if the incidence of self-castration was lower in cannabis users than in nonusers? Your case certainly represents a possible association between cannabis and self-mutilation. However, many medications alter neurotransmission in the brain and some of them are administered to stop self-destructive behavior. Marijuana use and/or abuse may be a sign of the patient's self-destructive behavior and not the cause.

Reporting the self-castration as "due to cannabis abuse", is one of many possible explanations for the self-mutilation.

Competing interests

None.

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