An unnamed man suffering from schizophrenia and bipolar disorder arrives at Kendall Regional Medical Center in Miami with a life-threatening septic shock, complaining of abdominal and pelvic pain for weeks.
Doctors performed computed tomography. The man's abdomen found what looked like a screwdriver, which was 8.2 inches wide by 1.1 inches. The instrument appears to have punctured part of his colon.
The screwdriver was successfully removed and it was found that the patient was coping with a functioning ostomy at the return visit two weeks later.
"The patient recovers and is enrolled in Behavioral Health for inpatient treatment of his psychiatric disorders," the authors, led by Dr. Yousef Shaban, wrote in a report on Annals of Medicine & Surgery.
The report emphasized the importance of surgeons maintain high suspicion of encountering psychiatric patients with lower abdominal or rectal pain.
"The patient may not come with information that is secondary to confusion or possible psychiatric problems," the report states. to express empathy and astradanie while keeping undesirable self. "