Psychiatric case reports of male genital self-mutilation (GSM) in the literature are rare and mostly anecdotal. Most of them are connected with personality disorders (Goldfield and Glick, 1970; Wise et al., 1989). In men, psychosis is an important cause for GSM, causing up to 80% of automutilations.

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Neural lipoma is a rare benign tumour commonly involving the median nerve and other less frequently involved nerves include the ulnar, radial, brachial plexus, superficial peroneal nerve, inferior calcaneal nerve and median plantar nerve. This report describes the rare occurrence of neural lipoma in the digital nerve of little finger associated with digital gigantism of right little finger and ulnar border right hand with no associated motor or sensory deficits.

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