In two separate procedures, a psychiatric patient first performed a bilateral orchiectomy on himself and then later attempted to denervate his adrenal glands. This case suggests that physicians should be alerted to the possibility of self-surgery occurring in patients who have sought elective surgery and have been rejected.
(JAMA 241:2188-2189, 1979)
Kalin NH. Genital and Abdominal Self-surgeryA Case Report. JAMA. 1979;241(20):2188-2189. doi:10.1001/jama.1979.03290460052021