Stercoraceous perforation, rare but potentially fatal cause: case report
DOI:
https://doi.org/10.18203/2320-6012.ijrms20232123Keywords:
Stercoral perforation, Chronic constipation, Rectosigmoid surgeryAbstract
Stercoraceous perforation is an infrequent pathology but with high mortality rates, it is increasingly recognized as a consequence of chronic constipation, it occurs in elderly people, the diagnosis is a surgical challenge, sudden abdominal pain is the initial symptom associated with signs of peritoneal irritation and the diagnostic study of choice is tomography, the treatment of choice is early surgery, the prognosis is related to the patient's comorbidities. We present the clinical case and review of the subject of a 72-year-old woman who presented stercoraceous perforation secondary to chronic constipation, emergency surgery was performed with resection of the affected bowel, colostomy and Hartmann's pouch with favorable short-term results.
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Naseer M, Gandhi J, Chams N, Kulairi Z. Stercoral colitis complicated with ischemic colitis: a double-edge sword. BMC Gastroenterol. 2017;17(1):129.
Heffernan C, Pachter HL, Megibow AJ, Macari M. Stercoral colitis leading to fatal peritonitis: CT findings. AJR Am J Roentgenol. 2005;184(4):1189-93.
Marget M, Ammar H. Not your usual constipation: stercoral perforation. BMJ Case Rep. 2017;2017:bcr2016218283.
Mazzucchelli L, Egger B, Seiler CA, Buchler MW. The use of precise diagnostic criteria may increase the incidence of steroidal perforation of the colon. Dis colon rectum. 2000;43:991-8.
Forootan M, Bagheri N, Darvishi M. Chronic constipation: a review of the literature. Medicine. 2018; 97(20):e10631.
Huang WS, Wang CS, Hsieh CC, Lin PY, Chin CC, Wang JY. Management of patients with stercoral perforation of the sigmoid colon: report of five cases. World J Gastroenterol. 2006;12:500.
Falcón B, Barceló LM, Mateos MB, Álvarez SA, Rey E. Fecal impaction: a systematic review of its medical complications. BMC Geriatr. 2016;16:4.
Bharucha AE, Lacy BE. Mechanisms, Evaluation, and Management of Chronic Constipation. Gastroenterology. 2020;158(5):1232-49.
Morano C, Sharman T. Stercoral Colitis. Treasure Island, FL: StatPearls Publishing; 2023.
Kang J, Chung M. A stercoral perforation of the descending colon. J Korean Surg Soc. 2012;82(2):125-7.
Ünal E, Onur MR, Balcı S, Görmez A, Akpınar E, Böge M. Stercoral colitis: diagnostic value of CT findings. Diagn Interv Radiol. 2017;23(1):5-9.
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