Recurrent self-inflicted abdominal stab injuries leading case report and literature-backed review

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dc.contributor.authorTurker, Baris
dc.contributor.authorKurtkulagi, Ozgur
dc.contributor.authorKaracaer, Mehmet Ali
dc.contributor.authorGokten, Gokhan
dc.contributor.authorKaya, Mustafa
dc.date.accessioned2026-02-03T12:00:23Z
dc.date.available2026-02-03T12:00:23Z
dc.date.issued2025
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractMeckel's diverticulum (MD) is a frequently silent congenital anomaly of the gastrointestinal tract. While complications such as bleeding and obstruction are more common, traumatic perforation remains extremely rare, particularly from penetrating injuries. To date, isolated perforation of MD following self-inflicted abdominal stab wounds has been reported only sporadically. We present the case of a 39-year-old male with a long-standing history of schizophrenia and epilepsy who arrived at the emergency department following his fifth self-inflicted abdominal stab injury over the past decade. On physical examination, a segment of small bowel was found protruding from a 4 cm periumbilical wound. Emergency exploratory laparotomy revealed extensive intra-abdominal adhesions and an isolated perforation of a Meckel's diverticulum located 60 cm proximal to the ileocecal valve. No other visceral injuries or hemorrhage were detected. The diverticulum was resected using a linear stapler, and serosal defects were repaired. The postoperative course was uneventful, and the patient was discharged on postoperative day five. Isolated MD perforation caused by penetrating abdominal trauma is exceedingly rare and diagnostically challenging. When occurring in psychiatric patients with repetitive self-harm behavior, it presents an even more complex scenario. This case underscores the importance of meticulous intra-abdominal exploration in stab wound patients and contributes novel insight to the limited literature on traumatic MD injuries.
dc.identifier.doi10.14744/tjtes.2025.60273
dc.identifier.endpage1272
dc.identifier.issn1306-696X
dc.identifier.issn1307-7945
dc.identifier.issue12
dc.identifier.pmid41424427
dc.identifier.scopus2-s2.0-105025378343
dc.identifier.scopusqualityQ2
dc.identifier.startpage1268
dc.identifier.urihttps://doi.org/10.14744/tjtes.2025.60273
dc.identifier.urihttps://hdl.handle.net/20.500.12428/34595
dc.identifier.volume31
dc.identifier.wosWOS:001653325800014
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Assoc Trauma Emergency Surgery
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgery
dc.relation.publicationcategoryDiğer
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20260130
dc.subjectMeckel's diverticulum
dc.subjectpenetrating trauma
dc.subjectstab wound
dc.subjectself-inflicted injury
dc.subjectpsychiatric patient
dc.subjectcase report
dc.titleRecurrent self-inflicted abdominal stab injuries leading case report and literature-backed review
dc.typeReview

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