Severe Hemoperitoneum after Patient Self-Induced Fecal Evacuation
2011
Severe Hemoperitoneum from Self-Induced Fecal Evacuation
Sample size: 1
publication
Evidence: low
Author Information
Author(s): Gianesini S., Lanzara S., Stano R., Santini S., De Troia A., Gennari S., Vasquez G.
Primary Institution: University of Ferrara
Conclusion
The case highlights the importance of avoiding an anastomotic breakdown in patients undergoing hemorrhagic shock.
Supporting Evidence
- An increasing incidence of rectal injuries from self-induced acts is reported in literature.
- The patient underwent a Hartmann's operation due to a severe rectal tear.
- The postoperative course was uneventful, and the patient was discharged on day 8.
Takeaway
A man caused severe internal bleeding by using an arrow to help with constipation, which required emergency surgery.
Methodology
The case involved a clinical presentation, imaging studies, and an emergency surgical intervention.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
A 69-year-old man with a history of arterial hypertension and chronic gastritis.
Digital Object Identifier (DOI)
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