en جراحی عمومی General Surgery گزارش مورد Case Report <div style="text-align: justify;"><span style="font-size:12px;"><span style="font-family:Tahoma;"><span style="background:white"><span style="color:black">Suicidal behavior in chronic spinal palsy is frequently reported and constitutes a significant cause of mortality in these patients. Continuous management of psychiatric conditions can reduce mortality and psychosomatic complaints. A 69-year-old man with a history of spinal cord palsy, psychological treatment, socioeconomic challenges, and frontal trauma presented to the emergency room with a pale face and a 15 cm abdominal laceration in the right upper quadrant caused by a suicidal attempt. After initiating fluid therapy and emergency stabilization, the patient was transferred to the operating room. Approximately 2 meters of the small intestine were resected due to trauma, and a colorrhaphy was performed. Although the surgical intervention saved the patient from severe trauma, his prognosis remained critical. In the intensive care unit (ICU), hemodynamic stabilization, bleeding management, and antibiotic therapy were conducted. Total parenteral nutrition (TPN) was gradually transitioned to enteral nutrition (EN) using a specialized technique described in this report. By the 28th day of hospitalization, the patient&rsquo;s clinical, psychological, and mental conditions had stabilized, and he was discharged with special therapeutic care. Over the following three months, continuous monitoring of liver and kidney function, psychological health, diarrhea frequency, and physical strength revealed favorable outcomes, suggesting the effectiveness of the treatment protocol</span></span></span></span></div> Short Bowel Syndrome, Surgery, Suicide, Trauma 160 163 http://jsurgery.bums.ac.ir/browse.php?a_code=A-10-464-1&slc_lang=en&sid=1 Ghasem Zarei yamahdi123@gmail.com 100319475328460010611 100319475328460010611 No Department of medical Physiology, Isfahan University of Medical Sciences, Research and development responder of Shahid Sadough Hospital of Isfahan, Iran Iman Nariman arshadravan@gmail.com 100319475328460010612 0009-0003-4000-417X No Department of General Surgery, Isfahan University of Medical Sciences, Isfahan, Iran Hosein Ghaderi-Zefrhi mosleh22@yahoo.com 100319475328460010613 0009-0004-0677-4944 No Department of Clinical Biochemistry, School of Pharmacy & Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran. Mohamad Sadegh Aboutalebi aboutalebi@nm.mui.ac.ir 100319475328460010614 100319475328460010614 Yes Nursing & Midwifery Care Research Center, Department of Nursing Critical Care, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran