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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 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 PDFStercoral perforation of the cecum: A case report.
World J Gastrointest Surg
April 2024
Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei 105, Taiwan.
Background: With less than 90 reported cases to date, stercoral perforation of the colon is a rare occurrence. Stercoral ulceration is thought to occur due to ischemic pressure necrosis of the bowel wall, which is caused by the presence of a stercoraceous mass. To underscore this urgent surgical situation concerning clinical presentation, surgical treatment, and results, we present the case of a 66-year-old man with a stercoral perforation.
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