Self-inflicted transanal stripping of colorectal mucosa: report of an unusual case.
A young mentally retarded patient with self-abusive behavior managed to dissect between the mucosa and muscularis layers of the anal canal, through the anus, using his fingers; he managed then to strip the mucosal-submucosal layers of his rectum and colon all the way up to the splenic flexure and presented with an unusual two-yard long "rectal prolapse" which was actually stripped colorectal mucosal-submucosal tube. Diagnosis and management of this unusual patient are discussed. The authors could not find any similar case report in the English Medical literature.
D000328:Adult; D003108:Colonic Diseases / Q000175:diagnosis; D006801:Humans; D008607:Intellectual Disability / Q000150:complications; D007413:Intestinal Mucosa / Q000293:injuries*; D008297:Male; D012002:Rectal Diseases / Q000175:diagnosis; D012005:Rectal Prolapse / Q000175:diagnosis*; D012652:Self Mutilation / Q000175:diagnosis* / Q000209:etiology