Abstract
Abdominal self-stabbing, a type of sharp abdominal trauma, is a rare form of attempted suicide. Such cases are not commonly seen in the emergency department, but a prompt and well-reasoned decision is essential in the management of these patients. We report a case of a SI-ASW and a literature review to show the management of the aforementioned condition.
Highlights
Self-inflicted stab wounds are an uncommon form of suicide, accounting for approximately 3% of all suicides [1], and the abdomen is the site of injury in approximately 30% of men and 13% of women in cases of self-stabbing [2]
Considering the epidemiology of self-inflicted abdominal stab wounds (SI-ASWs), our case is a typical patient with this condition
SI-ASWs are most common among men, with percentages in the literature of approximately 70% [9]
Summary
Self-inflicted stab wounds are an uncommon form of suicide, accounting for approximately 3% of all suicides [1], and the abdomen is the site of injury in approximately 30% of men and 13% of women in cases of self-stabbing [2]. Self-inflicted abdominal stab wounds (SI-ASWs) are a rarely seen surgical emergency [3]. Stabbing as a form of sharp abdominal trauma can be associated with major abdominal injury, and it has been shown that self-inflicted stab wounds are usually as severe as stab wounds by assault [4]. Cases of SI-ASWs are mostly reported in medicolegal and psychiatric literature [5,6,7]; there is inadequate published information relevant to the surgical management of SI-ASWs. We report a case of a SI-ASW and a literature review to elucidate the treatment options in the aforementioned condition.
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