Abstract

LOZADA-MARTINEZ, Iván et al. Colon perforation secondary to self-inflicted impalement: a case report. Cir. cir. [online]. 2020, vol.88, suppl.2, pp.31-34.  Epub Feb 08, 2022. ISSN 2444-054X.  https://doi.org/10.24875/ciru.20000168.

The impalement is a severe and rare cause of the anorectal lesion and can occur in a multitude of contexts, whether accidental, psychiatric or due to sexual or criminal practices. The objective of this manuscript is to show self-packing as the causative agent of anorectal lesion, being of extraordinary presentation. We present the case of self-inflicted impalement with intestinal perforation in a 44-year-old man, who attends the emergency department without the cause of the injury and with an acute abdomen, due to hemoperitoneum, fecal peritonitis and a perforation in the rectosigmoid junction.

Keywords : Self-injurious behavior; Constipation; Intestinal perforation; Peritonitis.

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