[Anorectal foreign bodies--only a surgical question?].
Treatment of anorectal foreign bodies is a frequent surgical and proctologic question. However, psychiatric implications of paraphilias are rarely discussed. Since the liberalisation of sexual behaviour in the 1970s, the reported number of severe complications due to paraphilias is increasing, and sexuality is performed until higher age. We describe the case of an 88 year old man who had undergone laparotomy for removal of foreign bodies. The initial diagnosis of a dementia with inappropriate sexual behaviour could not be confirmed as the paraphilia existed since his youth. Etiologic, diagnostic and therapeutic implications of the case are discussed.
Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Ludwig-Maximilians-Universität München. ulrich.palm@med.unimuenchen.de
Ulrich
U
Palm
Alice
A
Schwarznau
Martin
M
Lieb
D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D001003:Anal Canal / Q000601:surgery*; D015897:Comorbidity; D005547:Foreign Bodies / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology* / Q000601:surgery*; D006801:Humans; D018783:Impotence, Vasculogenic / Q000523:psychology; D007872:Legal Guardians / Q000331:legislation & jurisprudence / Q000523:psychology; D008297:Male; D016743:Mental Competency / Q000331:legislation & jurisprudence; D010262:Paraphilic Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology*; D012007:Rectum / Q000601:surgery*; D012307:Risk Factors; D016728:Self-Injurious Behavior / Q000175:diagnosis* / Q000517:prevention & control / Q000523:psychology*; D012725:Sexual Behavior; D016312:Treatment Refusal