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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.
View Article and Find Full Text PDFInt J Surg Case Rep
September 2017
Sisli Hamidiye Etfal Research and Training Hospital, Department of General Surgery, Istanbul, Turkey.
Introduction: Chronic constipation is very common in elderly patients. As a result of this situation fecaloma is also frequently seen at these ages. However, the stercoral perforation caused by fecaloma is a rare situation to occur.
View Article and Find Full Text PDFAm Surg
January 2002
Department of Surgery, Morehouse School of Medicine, South Fulton Medical Center, Atlanta, Georgia 30310-1495, USA.
Stercoral perforation of the colon is a rare phenomenon with fewer than 90 cases reported in the literature to date. The pathogenesis of stercoral ulceration is thought to result from ischemic pressure necrosis of the bowel wall caused by a stercoraceous mass. Stercoral perforation in more than 90 per cent of cases involves the sigmoid or rectosigmoid colon with associated fecal mass causing localized mucosal ulceration and bowel wall thinning due to localized pressure effect.
View Article and Find Full Text PDFMinerva Chir
September 1993
Divisione di Chirurgia Generale, Ospedale S. Giacomo, Novi Ligure, Alessandria.
The authors report their experience of the treatment of 43 cases of perforated colonic diverticula. The operations were: 12 primary resections-anastomoses; 7 resections-anastomoses with protective colostomy; 2 operations of suture and drainage; 22 Hartmann's resections. The authors believe that Hartmann's resection is the operation of first choice in cases of diffuse or stercoraceous peritonitis.
View Article and Find Full Text PDFSurg Today
December 1992
Second Department of Surgery, Tokyo Medical and Dental University, Japan.
Stercoraceous perforation of the sigmoid colon has rarely been reported in the literature. This lesion is assumed to be produced by the pressure from a hard scybalum resulting in a perforated ulcer with necrotic edges. Two cases of stercoraceous perforation of the sigmoid colon are presented in this paper.
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