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Self-mutilation thought by the police to be a bizarre homicide. The genitals have been amputated, the throat cut through 360°, the eyeballs punctured and the scalp stabbed many times, all with scissors. The dead man had paranoid delusions of a religious nature.

Self-mutilations of the external genitals in psychiatric patients also known as Klingsor syndrome is a rare urologic trauma. Men with religious conflicts, low self-esteem, unresolved transsexual issues and feelings of guilt are the most vulnerable.

Fig.1 Self-mutilation thought by the police to be a bizarre homicide.

Fig.2 Complete self-amputation of the scrotum and penis with scissors.

Fig.3 The throat was cut through 360°.

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