Insertion of foreign bodies into the abdominal cavity. An unusual form of self-mutilation.

Self-mutilation is self-infliction of bodily injury without a conscious suicidal intent. Repeated self-inflicted abdominal stab wounds with insertion of foreign bodies into the abdominal cavity is an uncommon form of self-mutilation. We describe such a case in a 35-year-old male inmate who committed suicide by hanging. At autopsy metallic foreign bodies were found in the liver and paraduodenal soft tissue. Because of its high prevalence in the incarcerated population, self-mutilation among prisoners should be given attention. Self-mutilation should also be considered in cases of atypical behavior, psychiatric disorders, intoxication, mental retardation, and sudden death from unexplained causes.