INTRODUCTION Stercoral perforation of the colon is a rare pathology, which is believed to be caused by an increased intraluminal pressure created by a fecaloma. Opioid induced constipation is a rare and often unsuspected cause of colonic perforation. PRESENTATION OF CASE We report the case of a 58-year-old woman, who presented to the emergency department (ED) with severe hypotension, abdomina...

Spontaneous perforation of the sigmoid colon or rectom is defined as a sudden perforation of the colon in the absence of diseases such as tumors, diverticulosis or external injury. It is a very rare finding, and if neglected, results in severe peritonitis and high mortality. The causes of this rare condition are numerous, and in this case it might be due to the chronic constipation induced by a...

coronary artery perforation is a rare, but potentially serious, complication of percutaneous coronary intervention and is associated with a high incidence of death, q-wave myocardial infarction, and emergency coronary bypass surgery. management is different but requires prompt recognition and treatment. we describe a case of coronary perforation only after guidewire removal and also review the ...

INTRODUCTION Sevelamer is an anion exchange resin used to treat hyperphosphatemia. A common adverse effect of sevelamer is constipation. According to a review of the available literature, colon perforation associated with this resin agent was less common. PRESENTATION OF CASE A 66-year-old man complaining of lower abdominal pain was transferred to our hospital. The patient had been undergoing...

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. The rectosigmoid colon is the most affected colonic segment. It is seen in older patients with concomitant diseases and a low quality of life. PRESENTATION OF CASE...

    Idiopathic colon perforation is rare in children. It is more common at the extremes of age. Splenic flextures, ileocecal and lower sigmoid regions are the most common sites of perforation. Delay in proper management of this condition is associated with high mortality and morbidity rate. We report on the case of a 2.5 years old girl who presented with fever, diarrhea, nausea and vomiting and...

Surgical complications of typhoid fever usually involve gut but infrequently typhoid fever also involves gallbladder. Complications range from acalculous cholecystitis to perforation. We present a series of three cases which included acalculous cholecystitis, gangrenous cholecystitis and perforation of gallbladder. Investigations revealed them to be a complication of Enteric fever. Acalculous c...

Neonatal gastric perforation (NGP) may be spontaneous, secondary to necrotizing enterocolitis (NEC), or due to distal obstruction. A 27-week old premature male newborn presented with pneumoperitoneum. A single perforation of stomach was found at surgery. Primary repair and gastrostomy were performed. On fifth postoperative day, pneumoperitoneum was again detected. At reoperation, multiple gastr...

Foreign bodies in the appendix are a rare but well described clinical entity and may cause perforation. Presented here is the case of a 13 yr old Ugandan boy who had features of acute appendicitis, was sent for appendicectomy and during the operation was found to have perforation of the appendix due to a seed. The boy was treated with broad spectrum antibiotics and made an uneventful recovery.