Abstract
Massive Fecal Peritonitis Caused by Stercoral Sigmoid Colonic Perforation in the Elderly.
Highlights
Unenhanced Abdominal CT was immediately performed (A = axial view, B = coronal oblique MPR, C = sagital oblique MPR)
Severe chronic constipation is considered to be the main causative factor of stercoral colonic perforation because it may induce the formation of stone-hard fecalomas and maintain a persistent pressure over the bowel wall leading to pressure necrosis of the mucosa
A great majority of patients remain at the intermediate state of stercoral colitis
Summary
Massive Fecal Peritonitis Caused by Stercoral Sigmoid Colonic Perforation in the Elderly The major CT finding was a very large accumulation of solid feces within the free peritoneal cavity (white stars) extending from the right paraumbilical area to the Douglas’ pouch and that all along the antimesenteric border of the thin and stretched distal sigmoid (white arrows). * Department of Diagnostic Radiology, Clinique St Luc, Bouge (Namur), Belgium
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