A 60-year-old man who recently underwent bladder surgery suffered a rare side effect: his intestines came out of the wound after he sneezed.
- A 63-year-old man expelled his intestines from his body while sneezing.
- He had recently undergone surgery to remove his bladder because of a risk of cancer.
- This operative complication is rare.
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 can we explain this evisceration?
That day, the couple celebrates an event: the man leaves the hospital. That very morning, doctors removed staples from his stomach, because he recently underwent 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.”the authors point out. 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, are they developing. 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” Wound healing is a known complication of cystectomies, but it is rare: it affects less than 7% of cases. However, they note that these situations are poorly described in the medical literature.
Evisceration after surgery: patient is out of danger
In the restaurant, the ambulance driver who took care of him observed a “vertical laceration of approximately 7.6 cm with ‘large amounts of intestines’ passed through“The man was bleeding little and when he arrived at the hospital his vital signs were normal.”Three urological surgeons carefully returned the eviscerated intestine to 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 in hospital, the patient was able to return home.
How to manage evisceration?
For the scientists behind the report, this case demonstrates the need for better prevention of this type of complication. They recommend better training of paramedics in evisceration, because the one mobilized did not know the protocol to follow. Overall, they suggest following the “lines guidelines” management of abdominal evisceration, which includes the application of a sterile, moist dressing and the fight against intestinal contamination.
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