Online First Nr283

Psychiatr. Pol. ONLINE FIRST Nr 283: 1–6
Published ahead of print 28 June 2022
Wojciech Mędrala, Patryk Rodek, Barbara Alli-Balogun,
Aleksandra Barabasz-Gembczyk, Paulina Wójcik, Krzysztof Kucia


Malignant complications of masturbation – a case study
We present a case of a 32-years-old female patient diagnosed with paranoid schizophrenia for many years who has developed neuroleptic malignant syndrome (NMS) as a result of long-acting antipsychotic injection. Since the initial ineffectiveness of benzodiazepines, the course of electroconvulsive therapy (ECT) has been carried out. In spite of the initial promising response to ECT, after 3 weeks her somatic and mental state deteriorated significantly, which was hardly explicable solely by the potential loss of effectiveness of ECT or non-specific deviations in laboratory parameters. Diagnostics extended with imaging tests and gynecological examination revealed the connective tissue-covered cap of a popular multivitamin supplement in patient’s vagina. During the following deepened interview, she admitted that in fact 6 months ago a piece had gotten stuck while masturbating. However, due to shame and subjective lack of disturbing symptoms, she had left it unsaid. One month after the evacuation of the foreign body she has been discharged from the hospital remaining in full remission. The presented case shows that inflammation in the body can complicate catatonia and NMS, causing a non-specific course and difficulties in diagnosis and treatment. In some patients, the inflammatory process may be caused by a foreign body located in various natural orifices in the body. It appears significant in the group of psychiatric patients. Once again it highlights the tremendous role of meticulously conducted interview including the patient’s autoerotic life.

ISSN 0033-2674 (PRINT)

ISSN 2391-5854 (ONLINE)

Psychiatria Polska
is an Open Access journal:
Creative Commons: CC-BY

Zadanie finansowane
w ramach umowy
nr 739/P-DUN/2018
ze środków MNiSW
na działalność
upowszechniającą naukę

KRW PTP dziękuje 
firmie PPL – Koral – J.Koral sp.j.
za wsparcie finansowe 
udzielone w 2020 roku

Inne strony PTP:
Other PTP websites:

Psychiatria Polska
Thomson Reuters Master List
Science Citation Index Expanded
Journal Citation Reports
(Impact Factor 1,596)

Medline/Index Medicus
MNiSW (100 pkt)
CiteScore 2,4
(SJR 0,414; SNIP 0,707)
EMBASE/Excerpta Medica
Index Copernicus
Erih Plus, Cochrane Library

We recommend:

Pharmacological Reports


KONTAKT Z REDAKCJĄ - wyłącznie e-mail: 

Biuro KRW PTP - prenumeraty, faktury - wyłącznie e-mail: