A Case Report of a Patient with Suicidal Trauma, Abdominal Surgery, and Short Bowel Syndrome

Suicidal behavior in chronic spinal palsy is frequently reported and constitutes a significant cause of mortality in these patients. Continuous management of psychiatric conditions can reduce mortality and psychosomatic complaints. A 69-year-old man with a history of spinal cord palsy, psychological treatment, socioeconomic challenges, and frontal trauma presented to the emergency room with a pale face and a 15 cm abdominal laceration in the right upper quadrant caused by a suicidal attempt. After initiating fluid therapy and emergency stabilization, the patient was transferred to the operating room. Approximately 2 meters of the small intestine were resected due to trauma, and a colorrhaphy was performed. Although the surgical intervention saved the patient from severe trauma, his prognosis remained critical. In the intensive care unit (ICU), hemodynamic stabilization, bleeding management, and antibiotic therapy were conducted. Total parenteral nutrition (TPN) was gradually transitioned to enteral nutrition (EN) using a specialized technique described in this report. By the 28th day of hospitalization, the patient’s clinical, psychological, and mental conditions had stabilized, and he was discharged with special therapeutic care. Over the following three months, continuous monitoring of liver and kidney function, psychological health, diarrhea frequency, and physical strength revealed favorable outcomes, suggesting the effectiveness of the treatment protocol