Stercoral perforation of the colon in a heroin addict
نویسندگان
چکیده
منابع مشابه
A stercoral perforation of the descending colon
This is a case report on a stercoral perforation of the descending colon that was not adequately treated in the first operation. Re-operation was required in order to revise the primary repair site and to remove the impacted fecaloma.
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We report a 37 year old multi-parous lady, who in her third trimester of pregnancy, presented to the emergency room with acute diffuse abdominal pain and involuntary guarding. Findings on physical examination were consistent with peritonitis and a decision was made by the admitting team to perform an urgent laparotomy which surprisingly showed a stercoral perforation of the colon.
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While there are less than 100 cases of stercoral perforation of the colon reported in the literature in English to date, we believe that the actual incidence would be higher than reported if accurate diagnostic criteria were employed. Maurer et al.1, in their study, defined the diagnostic criteria for stercoral perforation of the colon as follows: (1) a round or ovoid colonic perforation exceed...
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An 88-year-old woman experienced fever, chills, and severe left abdominal pain for 1 day. She had a history of chronic constipation and was bedridden. Non-enhanced abdominal computed tomography (CT) showed wall thickening of the descending colon, a 2-cm wall defect, pericolonic stranding, fecal material outside the colonic lumen, and pneumoperitoneum, and stercoral perforation of the descending...
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A series of five consecutive patients with stercoral perforation of the colon is presented. Four of the patients had free perforation and one had an abscess between the splenic flexure, spleen and surrounding organs, a yet unreported entity. All patients underwent emergency surgery including laparostomy with repeated explorations and lavages in two of them. The ethiology, pathophysiology and tr...
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ژورنال
عنوان ژورنال: BMJ Case Reports
سال: 2017
ISSN: 1757-790X
DOI: 10.1136/bcr-2016-218875