AI Article Synopsis
Article Abstract
Background/aims: A stercoral perforation of the colon (SPC) is a rare, life-threatening disease. The aim of this study was to represent the definition of SPC and help the diagnosis and treatment of this condition.
Methods: We reviewed 92 medical records of patients who underwent operation due to colonic perforation from January 2000 to February 2009 retrospectively. Maurers diagnostic criteria were used for the diagnosis of SPC.
Results: Eight patients (8.7%) were diagnosed as SPC. The age of the patients ranged from 59 to 85 years old. All of the patients were female and had a history of long-standing constipation. Only two patients (25%) were diagnosed as SPC preoperatively. The site of perforation of all patients was sigmoid colon. The methods of operation were Hartmanns procedure (7 cases), and primary repair with sigmoid loop colostomy (1 case). There were one recurrence and two deaths (25%) due to sepsis and multiple organ failure.
Conclusions: SPC should be considered in chronically constipated, and bedridden patients who present with acute abdomen. Hartmanns procedure is the treatment of choice in most situations. Mortality is high but can be minimized with early definitive surgery.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.4166/kjg.2010.55.1.46 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Unusual Causes of Death Due to Constipation.
Am J Forensic Med Pathol
December 2024
Forensic Pathology Unit, Royal Darwin Hospital, Darwin, Northern Territory and College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
Constipation is found in individuals with intellectual disabilities, autism, and cerebral palsy. Although generally a benign condition, it may lead to life-threatening intestinal obstruction, with or without volvulus, or to stercoral ulceration with enteritis and/or perforation. Two unusual cases of lethal chronic constipation are reported to demonstrate other very rare fatal mechanisms that may occur.
View Article and Find Full Text PDFAcute Pericarditis as a Complication of Hiatal Hernia Perforation.
Cureus
August 2024
Vascular Surgery, Hospital AGEL Třinec-Podlesí, Trinec, CZE.
Article Synopsis
- Acute pericarditis can be life-threatening and is not always easy to diagnose, while hiatal hernia is often asymptomatic but can lead to serious complications if advanced.
- A 74-year-old woman presented with chest pain and was initially treated for pneumonia but later diagnosed with a large hiatal hernia and purulent pericarditis after imaging tests.
- During surgery, doctors discovered a fistula between the heart and colon, leading to severe septic shock and the patient's death shortly after the operation, underscoring the need for collaborative medical approaches in complex cases.
Stercoral perforation of the sigmoid colon secondary to chronic heroin use: A case report and a review of the literature.
Int J Surg Case Rep
October 2024
University of Tunis El Manar, Department of General Surgery, Trauma Center Ben Arous, Tunisia.
Introduction: Stercoral perforation of the colon is a rare and life-threatening condition caused by pressure necrosis due to fecal impaction. It is commonly associated with chronic constipation, particularly in patients with neurogenic bowel disorders or prolonged opioid use. However, its occurrence in the context of chronic heroin use is rarely reported.
View Article and Find Full Text PDFAcute Constipation and A Stercoral Perforation: A Case Report.
SAGE Open Med Case Rep
July 2024
Department of Surgery, Ascension Providence Hospital, Michigan State University College of Human Medicine, Southfield, MI, USA.
Stercoral perforation typically arises as a sequela of chronic constipation and can lead to bowel perforation due to fecal impaction. While uncommon, maintaining a high clinical suspicion in the appropriate setting is crucial. We present a case report involving a 52-year-old female with no history of chronic constipation, who presented with an unexplained large bowel obstruction.
View Article and Find Full Text PDFCase report: Peritonitis secondary to traumatic bowel perforation during second-trimester surgical abortion.
Int J Surg Case Rep
September 2024
Department of Gynecology and Obstetrics, Hospital of Ben Arous, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia. Electronic address:
Introduction And Importance: Uterine perforation and bowel injury are rare but potentially life-threatening complications of surgical abortion. Early diagnosis results in easier management and better prognosis. We report here a case of a 39-year-old presented with peritonitis secondary to traumatic bowel perforation after second-trimester surgical abortion.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!