A Case of Ileus in a Patient with Schizophrenia Under Paliperidone Palmitate Treatment

cial withdrawal when he was carrying out his military service.He was examined by a physician since he had some adjustment problems on his sixth month in military and was exempted with diagnosis of psychotic disorder.After returning from army, he kept on stucking at home and waste storage.Social participation and self care skills of the patient, who had no medical treatment, diminished for the last 6 years.He did not have a shower or bath and kept his hair, nail and beard growing.The patient stucking at home, kept on talking himself and cursing, having agressive behaviours, repetative gesture and body movements.The patient was referred to Bolu Mental Health Care Hospital accompanied by the police with the complains in question 2 years ago.Having been hospitalised for fortnight the patient took biperiden 5 mg/day, haloperidole 10 mg/day, then olanzapine 5 mg/day added on his order.On his constipation complains during his hospitalisation, he was diagnosed as ileus during his examination.He was undergone sigmoid resection operation by general surgeons.After his discharge from the hospital, he continued his olanzapine 20 mg/day for 6 months and then quited his treatment.Having applied for keratoconus treatment to opthalmology department, the patients rejected cornea transplantation and reffered to our department in October, 2013.The patient having weight loss, diminishing his self care and social skills, stacking the waste, having agressive behaviours, repetative gesture and body movements was brought to our department accompanied by the police.Paliperidone palmitate 150 mg intramuscular and biperiden 2 mg/day treatment was given to