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Self-inflicted abdominal stab wounds.

Fizan Abdullah1, Amy Nuernberg, Reuven Rabinovici

  • 1Section of Trauma and Surgical Critical Care, Department of Surgery, Yale University School of Medicine, 333 Cedar Street, LH 118, New Haven, CT 06520-8062, USA.

Injury
|January 18, 2003
PubMed
Summary
This summary is machine-generated.

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Self-inflicted abdominal stab wounds (ASWs) are uncommon but can cause significant injuries. Trauma surgeons should consider psychiatric history when treating these patients.

Area of Science:

  • Trauma Surgery
  • Psychiatric Surgery
  • Abdominal Trauma

Background:

  • Self-inflicted abdominal stab wounds (ASWs) are rare clinical events.
  • Characterizing the profile of patients with ASWs is crucial for surgical and psychiatric management.

Purpose of the Study:

  • To define the clinical characteristics of patients with self-inflicted abdominal stab wounds.
  • To inform trauma surgeons on managing this unique patient population.

Main Methods:

  • Retrospective review of 23 patients with intentional ASWs.
  • Data collected from two urban level I trauma centers over a 10-year period.

Main Results:

  • Most patients were male (70%) with a mean age of 40 years.

Related Experiment Videos

  • 74% had a history of psychiatric illness, and 41% had prior suicide attempts.
  • Knives were the most common instrument (87%), with injuries primarily in the right upper quadrant (40%).
  • 10 patients had intra-abdominal or retroperitoneal organ injuries, including the stomach, colon, and inferior vena cava.
  • Wound infection was the only postoperative complication in two patients.

    • Conclusions:

    • Self-inflicted ASWs can cause significant, though typically non-lethal, abdominal and retroperitoneal injuries.
    • Understanding the psychiatric background is essential for trauma surgeons treating these patients.