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A 32 year old, para 3 woman presented in shock and drowsy condition with bleeding per vaginum. On gain ing consciousness, the patient revealed that she had ch opped off some part of her gentalia and flushed it. Her previous treatment papers revealed she had been suf f ring uterine prolapse since last chid birth 3 yea rs back. On examination, cervix could not be seen, and vaginal edges were seen bleeding. After patient stabilizati on, EUA showed a partially amputated cervix with retracted vaginal edges. A vaginal hysterectomy was done. On cut section of hysterectomy specimen, only 1 cm of cerv ix was identifiable, and uterus otherwise being nor mal on gross examination. The post operative period was un eventful. In view of extreme nature of affliction, a history of intoxication was obtained but denied by both hus band and the patient. No history of prior psychiatr ic illness or symptomatology was reported. Psychiatric consult ation revealed it to be a case of first episode of psychosis and accordingly antipsychotic treatment was started .

A bizarre self inflicted injury resulting in a "Near-Miss” in a Gynaecological case