title: [Life-threatening bleeding in obsessive-compulsive disorder].
abstract: We report on a case of life-threatening hemorrhoidal bleeding due to obsessive-compulsive disorder. The patient had irrational fears and felt compelled to defecate at least 3 times a day. This required massive abdominal pressing and caused inguinal hernias and prolapsed hemorrhoids. Severe obsessive-compulsive rituals may often result in physical complications. Conversely, obsessive-compulsive disorder should be considered when patients present with uncommon physical complaints, particularly skin symptoms or abnormalities in the context of micturition and defecation.
authors.affiliation: Schön Klinik Roseneck, Prien am Chiemsee.
authors.forename: Daniel
authors.initials: D
authors.lastname: Walz
authors.affiliation: Abteilung für Chirurgie, RoMed Klinik, Prien am Chiemsee.
authors.forename: Martin
authors.initials: M
authors.lastname: Huth
authors.affiliation: Schön Klinik Roseneck, Prien am Chiemsee.
authors.forename: Ulrich
authors.initials: U
authors.lastname: Voderholzer
mesh_terms: D000328:Adult; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D003672:Defecation; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000523:psychology* / Q000601:surgery; D006484:Hemorrhoids / Q000150:complications* / Q000523:psychology* / Q000601:surgery; D006801:Humans; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000150:complications* / Q000523:psychology*; D011391:Prolapse; D012002:Rectal Diseases / Q000209:etiology* / Q000523:psychology* / Q000601:surgery; D011795:Surveys and Questionnaires