The patient had a history of deliberate self-harm and had several prior episodes of self stabbing.

Operative report:

• Very thick dense scar throughout abdominal wall

• Dense omental adhesions to midline abdominal wall but minimal SB & LB adhesions

• Small amount of bloody free fluid & clot

• Knife removed under vision without bleeding or retroperitoneal hematoma

• No contamination

• No bowel injury identified from DJ flexure to colon

• No IVC injury