- Rectal perforation caused by a sharp pig backbone in a middle-aged patient with mild depression.
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Hyeong Ju Sun, Jeonghun Lee, Dong Min Kim, Myeong Su Chu, Kyoung Sun Park, Dong Jin Choi
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Yeungnam Univ J Med. 2015;32(1):31-34. Published online June 30, 2015
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DOI: https://doi.org/10.12701/yujm.2015.32.1.31
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 Abstract
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- In Korea, cases of direct insertion of foreign bodies into the rectum are rare in the literature. Most cases of rectal insertion of foreign bodies are associated with sexual acts and psychiatric disorder such as schizophrenia. Objects inserted into the anus are usually blunt and shaped like the male genitalia. The removal method can be varied depending on the size and shape of the foreign object, its anatomical location, and the accompanying complications. In cases wherein attempts to remove the object fail or there are rectal perforation and peritonitis complications, immediate laparotomy may be required in order to prevent serious complications such as sepsis. Here, we report on a case of rectal perforation and peritonitis due to insertion of a foreign body in a middle-aged patient, with a literature review. He inserted a sharp pig backbone in his rectum and he only had depression. The patient underwent a Hartmann's operation as well as psychiatric counseling and treatment. Thus, after removal of foreign bodies, psychiatric counseling and treatment should be carried out in order to prevent similar accidents and to minimize the need for trauma medicine.
- Diabetic ketoacidosis with pulmonary thromboembolism.
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Dong Min Kim, Jeonghun Lee, Soo Min Nam, Yeon Sun Lee, Hee Moon, Kang Woo Lee, In Wook Jang
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Yeungnam Univ J Med. 2014;31(2):99-102. Published online December 31, 2014
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DOI: https://doi.org/10.12701/yujm.2014.31.2.99
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Abstract
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- Diabetic ketoacidosis (DKA), a fatal acute diabetic complication, is characterized by severe metabolic decompensation and intravascular volume depletion. These conditions may result in hypercoagulability and prothrombic state. Pulmonary thromboembolism (PTE) could be presented as an uncommon and life-threatening complication of DKA. Reported herein is a case involving a 54-year-old male patient who was admitted with DKA due to chronic alcohol consumption and stopping the intake of oral antidiabetic drugs. After low-molecular-weight heparin and warfarin treatment because of PTE during the DKA treatment, the patient's condition improved over the week that he was discharged on insulin and warfarin.
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Yeungnam University College of Medicine
