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Severe hemoperitoneum after patient self-induced fecal evacuation.
MedLine Citation:
PMID:  21876699     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
S Gianesini; S Lanzara; R Stano; S Santini; A De Troia; S Gennari; G Vasquez
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Publication Detail:
Type:  Journal Article     Date:  2011-08-24
Journal Detail:
Title:  Case reports in medicine     Volume:  2011     ISSN:  1687-9635     ISO Abbreviation:  Case Rep Med     Publication Date:  2011  
Date Detail:
Created Date:  2011-08-30     Completed Date:  2011-11-10     Revised Date:  2013-02-21    
Medline Journal Info:
Nlm Unique ID:  101512910     Medline TA:  Case Rep Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  313841     Citation Subset:  -    
Affiliation:
General Surgery Department, Emergency Surgery Service, University of Ferrara, Corso Giovecca 203, 44100 Ferrara, Italy.
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