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Self-inflicted stab injury with abdominal evisceration: A case report
INTRODUCTION AND IMPORTANCE: Self-inflicted abdominal stab injury with an intention of self-harm is uncommon. Moreover, self-inflicted injury leading to avulsion of the colon has rarely been reported in the literature. We report a case of a 42-years-female with schizoaffective disorder who presented...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8578032/ https://www.ncbi.nlm.nih.gov/pubmed/34749175 http://dx.doi.org/10.1016/j.ijscr.2021.106543 |
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author | Parajuli, Anuj Mishra, Aakash Ghimire, Roshan Shrestha, Suman Kumar |
author_facet | Parajuli, Anuj Mishra, Aakash Ghimire, Roshan Shrestha, Suman Kumar |
author_sort | Parajuli, Anuj |
collection | PubMed |
description | INTRODUCTION AND IMPORTANCE: Self-inflicted abdominal stab injury with an intention of self-harm is uncommon. Moreover, self-inflicted injury leading to avulsion of the colon has rarely been reported in the literature. We report a case of a 42-years-female with schizoaffective disorder who presented with self-inflicted stab injury on the abdomen resulting in abdominal evisceration. PRESENTATION OF CASE: A 42-years-female with schizoaffective disorder (F25) for 10 years presented to the emergency department with multiple, self-inflicted injuries on the abdomen. A large free portion of the omentum and segment of the bowel were brought in a plastic carry bag. Examination revealed multiple transverse hesitation cuts in the epigastrium and a single deep penetrating transverse cut resulting in the evisceration of the omentum and colon. Intra-operatively, avulsion of a large portion of the greater omentum and missing segment of the mid transverse colon was observed. The patient underwent an immediate abdominal exploration and side-to-side colo-colic anastomosis along with diversion ileostomy. At three months following primary surgery, ileostomy closure was done. CONCLUSION: Patients with schizophrenia spectrum psychosis are at risk of self-harm and in our case a schizoaffective patient presented with self-inflicted injuries that required an emergency abdominal exploration and repair. This case highlights a multi-disciplinary approach for the management of these cases and mandates clinicians and caregivers to be more vigilant to restrict injuries in the future. |
format | Online Article Text |
id | pubmed-8578032 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-85780322021-11-15 Self-inflicted stab injury with abdominal evisceration: A case report Parajuli, Anuj Mishra, Aakash Ghimire, Roshan Shrestha, Suman Kumar Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Self-inflicted abdominal stab injury with an intention of self-harm is uncommon. Moreover, self-inflicted injury leading to avulsion of the colon has rarely been reported in the literature. We report a case of a 42-years-female with schizoaffective disorder who presented with self-inflicted stab injury on the abdomen resulting in abdominal evisceration. PRESENTATION OF CASE: A 42-years-female with schizoaffective disorder (F25) for 10 years presented to the emergency department with multiple, self-inflicted injuries on the abdomen. A large free portion of the omentum and segment of the bowel were brought in a plastic carry bag. Examination revealed multiple transverse hesitation cuts in the epigastrium and a single deep penetrating transverse cut resulting in the evisceration of the omentum and colon. Intra-operatively, avulsion of a large portion of the greater omentum and missing segment of the mid transverse colon was observed. The patient underwent an immediate abdominal exploration and side-to-side colo-colic anastomosis along with diversion ileostomy. At three months following primary surgery, ileostomy closure was done. CONCLUSION: Patients with schizophrenia spectrum psychosis are at risk of self-harm and in our case a schizoaffective patient presented with self-inflicted injuries that required an emergency abdominal exploration and repair. This case highlights a multi-disciplinary approach for the management of these cases and mandates clinicians and caregivers to be more vigilant to restrict injuries in the future. Elsevier 2021-11-02 /pmc/articles/PMC8578032/ /pubmed/34749175 http://dx.doi.org/10.1016/j.ijscr.2021.106543 Text en © 2021 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Parajuli, Anuj Mishra, Aakash Ghimire, Roshan Shrestha, Suman Kumar Self-inflicted stab injury with abdominal evisceration: A case report |
title | Self-inflicted stab injury with abdominal evisceration: A case report |
title_full | Self-inflicted stab injury with abdominal evisceration: A case report |
title_fullStr | Self-inflicted stab injury with abdominal evisceration: A case report |
title_full_unstemmed | Self-inflicted stab injury with abdominal evisceration: A case report |
title_short | Self-inflicted stab injury with abdominal evisceration: A case report |
title_sort | self-inflicted stab injury with abdominal evisceration: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8578032/ https://www.ncbi.nlm.nih.gov/pubmed/34749175 http://dx.doi.org/10.1016/j.ijscr.2021.106543 |
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