He thought he was out of trouble and was getting back to his usual routine. In Florida, USA, a 63-year-old man was at a restaurant with his wife, having breakfast when he expelled his intestines from his body by sneezing. In American Journal of Medical Case Reportsscientists return, in detail, to his case.
Loud sneezing, coughing: how to explain this evisceration?
That day, the couple celebrates an event: the man leaves the hospital. That morning, doctors removed staples from his stomach because he had recently had a cystectomy. This operation consists of removing the bladder to limit the risk of cancer. “The operation was successful and he was sent home in good condition.”, underline the authors. During this breakfast, the sixty-year-old sneezed “with force”, then he coughed. “He immediately noticed a ‘wet’ sensation and pain in his lower abdomen, they develop. Looking down, he observed several loops of pink intestine protruding from where the operation was performed..” He was quickly taken care of by an ambulance. According to the authors of the report, the “disintegration” The wound is a known complication of cystectomies, but it is rare: it concerns less than 7% of cases. However, they note that these situations are poorly described in the medical literature.
Evisceration after an operation: the patient is out of the woods
In the restaurant, the paramedic who took care of him observed a “vertical laceration of approximately 3 inches with ‘large amounts of intestines’ passed through“The man was bleeding little and, when he arrived at the hospital, his constants were within normal limits.”Three urological surgeons carefully placed the gutted intestine back into the abdominal cavity, describes the document. They inspected the entire length of the small intestine and noted no signs of injury.” The wound was then carefully closed. After six days of hospitalization, the patient was able to return home.
How to deal with evisceration?
For the scientists behind the report, this case demonstrates the need for better prevention of these kinds of complications. They recommend better training paramedics in evisceration, because the one mobilized did not know the protocol to follow. Overall, they suggest following the “lines guidelines” the management of abdominal evisceration, which notably includes the application of a sterile, moist dressing, and the fight against intestinal contamination.
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