Self-Evisceration of Intestines as the Initial Presentation of Schizoaffective Disorder

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dc.contributor.authorHamlin, Stephanieen
dc.contributor.authorSharma, Dana L.en
dc.contributor.authorKablinger, Anita S.en
dc.date.accessioned2023-03-17T12:00:14Zen
dc.date.available2023-03-17T12:00:14Zen
dc.date.issued2023-03-14en
dc.date.updated2023-03-16T22:26:38Zen
dc.description.abstractSchizoaffective disorder is categorized by major mood episodes and symptoms of schizophrenia that include disorganized speech, delusions, paranoia, and hallucinations. It is associated with risk factors, including a history of abuse and cannabis use, and patients are typically diagnosed in adolescence and young adulthood. In this case report, we describe the unusual case of a 39-year-old male patient with undiagnosed schizoaffective disorder who self-eviscerated his intestines during an episode of psychosis. He received an emergent exploratory laparotomy with a partial colectomy. After medical stabilization and reorientation, the patient recalled a 10-year history of paranoia associated with significant cannabis use, despite otherwise functioning appropriately in society. During a two-week hospital course, his paranoia and hallucinations were remitted on olanzapine and valproic acid. In addition to discussing his presentation and recollection of the incident, we also discuss similar cases of self-mutilation in nonsuicidal patients and the relationship between cannabis use and schizophrenia spectrum disorders.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationStephanie Hamlin, Dana L. Sharma, and Anita S. Kablinger, “Self-Evisceration of Intestines as the Initial Presentation of Schizoaffective Disorder,” Case Reports in Psychiatry, vol. 2023, Article ID 4334552, 3 pages, 2023. doi:10.1155/2023/4334552en
dc.identifier.doihttps://doi.org/10.1155/2023/4334552en
dc.identifier.eissn2090-6838en
dc.identifier.issn2090-682Xen
dc.identifier.orcidKablinger, Anita [0000-0002-7131-0036]en
dc.identifier.urihttp://hdl.handle.net/10919/114120en
dc.identifier.volume2023en
dc.language.isoenen
dc.publisherHindawien
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectSchizoaffective disorderen
dc.subjectSelf-eviscerationen
dc.titleSelf-Evisceration of Intestines as the Initial Presentation of Schizoaffective Disorderen
dc.title.serialCase Reports in Psychiatryen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherArticleen
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/Faculty of Health Sciencesen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Psychiatry and Behavioral Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Psychiatry and Behavioral Medicine/Psychiatry and Behavioral Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/TEACH Membersen

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