Volume 12, Issue 4 (12-2024)                   J Surg Trauma 2024, 12(4): 160-163 | Back to browse issues page


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Zarei G, Nariman I, Ghaderi-Zefrhi H, Aboutalebi M S. A Case Report of a Patient with Suicidal Trauma, Abdominal Surgery, and Short Bowel Syndrome. J Surg Trauma 2024; 12 (4) :160-163
URL: http://jsurgery.bums.ac.ir/article-1-462-en.html
Nursing & Midwifery Care Research Center, Department of Nursing Critical Care, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract:   (462 Views)
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’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
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Type of Study: Case Report | Subject: General Surgery
Received: 2024/12/3 | Accepted: 2024/12/16 | ePublished ahead of print: 2024/12/27 | Published: 2024/12/30

References
1. Kisely S, Preston N, Xiao J, Lawrence D, Louise S, Crowe E. Reducing all-cause mortality among patients with psychiatric disorders: a population-based study. CMAJ. 2013;185(1):E50-E56. [DOI:10.1503/cmaj.121077]
2. Han S, Kim W, Kim O. Risk factors for suicidality in individuals with spinal cord injury: a focus on physical and functional characteristics. Ann Rehabil Med. 2023;47(5):377-384. [DOI:10.5535/arm.23110]
3. Faleiros F, Binati F, Bimbatti K, Vedana KGG, Carvalho e Silva J, De Oliveira Käppler C, et al. suicidal ideation in people with traumatic spinal cord injury. Psychiatry Int. 2023;4(4):394-403. [DOI:10.3390/psychiatryint4040035]
4. Carroll RE, Benedetti E, Schowalter JP, Buchman AL. Management and complications of short bowel syndrome: an updated review. Curr Gastroenterol Rep. 2016;18(7):40. [DOI:10.1007/s11894-016-0511-3]
5. Kelly DG, Tappenden KA, Winkler MF. Short bowel syndrome: highlights of patient management, quality of life, and survival. JPEN J Parenter Enteral Nutr. 2014;38(4):427-437. [DOI:10.1177/0148607113512678]
6. Kim A, Sim S, Kim J, Hwang J, Park J, Lee J, et al. Nutrition management through nitrogen balance analysis in patient with short bowel syndrome. Clin Nutr Res. 2022;11(2):146-152. [DOI:10.7762/cnr.2022.11.2.146]
7. Jiang L, Wang Y, Xiao Y, Wang Y, Yan J, Schnabl B, et al. Role of the gut microbiota in parenteral nutrition-associated liver disease: from current knowledge to future opportunities. J Nutr. 2022;152(2):377-385. [DOI:10.1093/jn/nxab380]
8. Puoti MG, Köglmeier J. Nutritional management of intestinal failure due to short bowel syndrome in children. Nutrients. 2022;15(1):62. [DOI:10.3390/nu15010062]
9. Mocanu V. Harnessing gut microbial modulation in chronic inflammatory gastrointestinal disease. 2021.

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