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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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 |
work_keys_str_mv |
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