Severe Hemoperitoneum after Patient Self-Induced Fecal Evacuation

An increasing incidence of rectal injuries following patient self-induced harmful acts, aimed to sexual or laxatives porpouses, is a fact reported in literature (El-Ashaal et al., 2008). We herein report a case of severe hemoperitoneum related to a middle and upper rectal third seromuscolar tear ca...

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Main Authors: S. Gianesini, S. Lanzara, R. Stano, S. Santini, A. De Troia, S. Gennari, G. Vasquez
Format: Article
Language:English
Published: Hindawi Limited 2011-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2011/313841
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spelling doaj-6a9cbf0f875a48bca00d92ae332c34302020-11-24T22:49:02ZengHindawi LimitedCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/313841313841Severe Hemoperitoneum after Patient Self-Induced Fecal EvacuationS. Gianesini0S. Lanzara1R. Stano2S. Santini3A. De Troia4S. Gennari5G. Vasquez6General Surgery Department, Emergency Surgery Service, University of Ferrara, Corso Giovecca 203, 44100 Ferrara, ItalyGeneral Surgery Department, Emergency Surgery Service, University of Ferrara, Corso Giovecca 203, 44100 Ferrara, ItalyGeneral Surgery Department, Emergency Surgery Service, University of Ferrara, Corso Giovecca 203, 44100 Ferrara, ItalyGeneral Surgery Department, Emergency Surgery Service, University of Ferrara, Corso Giovecca 203, 44100 Ferrara, ItalyGeneral Surgery Department, Emergency Surgery Service, University of Ferrara, Corso Giovecca 203, 44100 Ferrara, ItalyGeneral Surgery Department, Emergency Surgery Service, University of Ferrara, Corso Giovecca 203, 44100 Ferrara, ItalyGeneral Surgery Department, Emergency Surgery Service, University of Ferrara, Corso Giovecca 203, 44100 Ferrara, ItalyAn increasing incidence of rectal injuries following patient self-induced harmful acts, aimed to sexual or laxatives porpouses, is a fact reported in literature (El-Ashaal et al., 2008). We herein report a case of severe hemoperitoneum related to a middle and upper rectal third seromuscolar tear caused by a self-induced fecal evacuation by means of an arrow with a covered cork tip. An urgent intestinal diversion by means of a Hartmann's operation was performed. The clinical case is presented in relation to the literature debate, regarding the issue of primary repair or resection and anastomosis versus fecal diversion for penetrating rectal injuries (Fabian, 2002; Cleary et al., 2006; Office of the Surgeon General, 1943; Busic et al., 2002). In conclusion, the importance of avoiding an anastomotic breakdown in a patient undergoing a hemorrhagic shock is highlighted.http://dx.doi.org/10.1155/2011/313841
collection DOAJ
language English
format Article
sources DOAJ
author S. Gianesini
S. Lanzara
R. Stano
S. Santini
A. De Troia
S. Gennari
G. Vasquez
spellingShingle S. Gianesini
S. Lanzara
R. Stano
S. Santini
A. De Troia
S. Gennari
G. Vasquez
Severe Hemoperitoneum after Patient Self-Induced Fecal Evacuation
Case Reports in Medicine
author_facet S. Gianesini
S. Lanzara
R. Stano
S. Santini
A. De Troia
S. Gennari
G. Vasquez
author_sort S. Gianesini
title Severe Hemoperitoneum after Patient Self-Induced Fecal Evacuation
title_short Severe Hemoperitoneum after Patient Self-Induced Fecal Evacuation
title_full Severe Hemoperitoneum after Patient Self-Induced Fecal Evacuation
title_fullStr Severe Hemoperitoneum after Patient Self-Induced Fecal Evacuation
title_full_unstemmed Severe Hemoperitoneum after Patient Self-Induced Fecal Evacuation
title_sort severe hemoperitoneum after patient self-induced fecal evacuation
publisher Hindawi Limited
series Case Reports in Medicine
issn 1687-9627
1687-9635
publishDate 2011-01-01
description An increasing incidence of rectal injuries following patient self-induced harmful acts, aimed to sexual or laxatives porpouses, is a fact reported in literature (El-Ashaal et al., 2008). We herein report a case of severe hemoperitoneum related to a middle and upper rectal third seromuscolar tear caused by a self-induced fecal evacuation by means of an arrow with a covered cork tip. An urgent intestinal diversion by means of a Hartmann's operation was performed. The clinical case is presented in relation to the literature debate, regarding the issue of primary repair or resection and anastomosis versus fecal diversion for penetrating rectal injuries (Fabian, 2002; Cleary et al., 2006; Office of the Surgeon General, 1943; Busic et al., 2002). In conclusion, the importance of avoiding an anastomotic breakdown in a patient undergoing a hemorrhagic shock is highlighted.
url http://dx.doi.org/10.1155/2011/313841
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