Stercoral Perforation Of Colon Research Articles

Primitive Splenic Lymphoma: A Case Report and Review of the Literature

Introduction: Malignant lymphomas are defined as malignant proliferations developed from constituents of lymphoid organs, but also from lymphoid formations contained in most organs (liver, kidneys, digestive) without blood contamination. Lymphoma is a set of monoclonal tumor proliferations developed at the expense of lymphocytes. Lymphoma is the most common malignant tumor of the spleen, but primary lymphoma of the spleen remain an exceptional presentation. We report the case of a stercoral perforation of the colon that occurred in a 67-year-old patient whose diagnosis was made on ct and we try to recall the clinical and CT characteristics of primary aneurismal spleen lymphoma. Case Report: We expose the case of a 66-year-old patient, with a history of chronic smoking, consulted in the emergency department for a sub occlusive syndrome evolving for less than 24hours. An abdominal CT was conducted: The diagnosis of stercoral colonic perforation was retained. Due to a development of hypovolemic shock, the decision was to do a laparotomy with peritoneal lavage with colonic resection followed by an ostomy of the proximal segment and drainage of the abdominal cavity. The evolution was characterized by the discharge of the patient 7 days after. Conclusion: Stercoral perforation of the colon is a rare complication of abdominal trauma. The diagnosis, often difficult and delayed, must be known by all physicians caring working in trauma centers. Stercoral perforation of the colon is a surgical emergency, the prognosis of which, often poor, depends on the terrain and the speed of treatment.

A rare occurrence of road accident: Stercoral colonic perforation

A rare occurrence of road accident: Stercoral colonic perforation

Clinical features of stercoral perforation of colon compared with perforated colon diverticulum: A single center experience

Clinical features of stercoral perforation of colon compared with perforated colon diverticulum: A single center experience

Clinical Analysis of Stercoral Perforation without Mortality

Aims: This study was designed to review the clinical features of stercoral colonic perforation and to evaluate the appropriate intraoperative procedures and postoperative management to achieve the best surgical outcomes. Methods: Between January 2009 and December 2015, 12 patients with stercoral perforation confirmed surgically and pathologically were included in this study, and their medical records were reviewed retrospectively. Results: The enrolled patients included 2 men and 10 women; their mean age was 73.8 years. Abdomino-pelvic CT was an important diagnostic tool, which revealed fecalomas, extraluminal air and pericolic fat stranding in all patients. Hartmann's operation was performed in all patients, with a mean operation time of 239.3 min. Perforation site was in the left colon, mainly in the sigmoid colon. Intraoperative hypotension developed in 8 cases (66.7%). Postoperatively, all patients needed intensive care for 6.5 days and 6 patients needed the administration of inotropic agents for 3.0 days postoperatively. Disseminated intravascular coagulation developed in 10 cases (83.3%). There was no surgical mortality. Conclusion: Colorectal surgeons should be aware of the possibility of stercoral perforation, despite its rare incidence. Deep understanding of this potentially fatal disease by surgeons could reduce surgical mortality and improve postoperative outcomes.

Perforación estercórea de colon: caso clínico y revisión del tema

Colon perforation has several causes, including stercoral perforation of the colon, which was first described in 1894. Currently, reported cases are fewer than 100. Male patient of 67 years old, treated at Huichapan General Hospital, Hidalgo, Mexico, with abdominal pain, bloating and no bowel movements. He referred being constipated for the last ten years. Imaging revealed an extremely dilated sigmoid colon with fecal matter as well as free gas in the peritoneal cavity. The suspicion of stercoral colonic perforation is established. Exploratory laparotomy was performed immediately, finding a perforation and a hard scybalum protruding in the ascending colon. Colectomy, ileostomy and Hartmann's pouch are performed. After surgery, the condition of the patient worsened and progressed to septic shock and respiratory failure. The patient died four hours after surgery, with the diagnosis of organ failure due to sepsis. Stercoral perforation accounts for 3.2% of all colon perforations and is caused by a rupture of the intestinal wall through direct pressure of a fecaloma on the colon. It occurs especially in patients older than 70 years with severe chronic constipation, weakened and/or are hospitalized with multiple medications and immobilized. Stercoral perforation of the colon is a rare cause of bowel perforation, which should be suspected in patients with a history of chronic constipation, acute abdominal pain, bloating and sepsis, in order to intervene in a timely fashion.

A Case of a Stercoral Colonic Perforation by the Barium in a Young Man with no Underlying Disease

A Case of a Stercoral Colonic Perforation by the Barium in a Young Man with no Underlying Disease

Sigmoid Colonic Perforation with Faecal Peritonitis due to Faecaloma

Colon perforation is an uncommon event usually caused by malignancy, diverticular disease, amoebic colitis, steroid therapy, trauma and ulcerative colitis, but stercoral perforation is very rare. Severe chronic constipation is considered to be the main causative factor in development of stercoral perforation of colon. Sometimes it can also produce catastrophic complications like colonic obstruction, faecal peritonitis and septicaemia. We report a rare case of sigmoid colonic perforation with faecal peritonitis and pneumoperitonium due to faecaloma which was diagnosed after exploratory laparotomy. DOI: http://dx.doi.org/10.3329/jemc.v4i3.20959 J Enam Med Col 2014; 4(3): 188-190

A Useful Case of Diagnostic Laparoscopy for a Stercoral Colonic Perforation during Hemodialysis Treatment

A Useful Case of Diagnostic Laparoscopy for a Stercoral Colonic Perforation during Hemodialysis Treatment

Stercoral Perforation of the Sigmoid Colon with Faecal Peritonitis: Report of Two Cases

Stercoral colonic perforation is one of the causes of ‘spontaneous’ colonic perforation. Stercoral colonic perforation is well reported in the surgical and gastroenterology literature, yet little has been published in the radiology literature. This report describes two patients with stercoral perforation of the sigmoid colon and faecal peritonitis. The aetiology, pathophysiology, and imaging findings of this rare, but fatal, condition are reviewed.

Stercoral perforation of colon: a rare but important mimicker of acute appendicitis

Stercoral perforation of colon: a rare but important mimicker of acute appendicitis

Management of patients with stercoral perforation of the sigmoid colon: Report of five cases

To our knowledge, stercoral perforation of the colon is rarely seen with fewer than 90 cases reported in the literature till date. We explored the principles of management to prevent impending mortality in five patients with this condition. Five patients, two males and three females, whose median age was 64 years, had sustained stercoral perforation of the sigmoid colon. Chronic constipation was the common symptom among these patients. Three patients underwent a Hartmannos procedure and another two were treated with segmental colectomy with anastomosis and diverting colostomy. There was one surgical mortality and the other patients had an uneventful hospital stay. Timely intervention to prevent and/or treat any associated sepsis along with extensive peritoneal lavage and surgical intervention to remove diseased colonic tissue at the primary stercoral ulceration site coupled with aggressive therapy for peritonitis are key treatment modalities in salvaging patients presenting with stercoral perforation of the colon.

Stercoral Perforation of the Sigmoid Colon: Report of a Rare Case and Its Possible Association with Nonsteroidal Anti-Inflammatory Drugs

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. We report the case of a 45-year-old woman who presented with a 12-hour history of epigastric pain. Significant comorbidities included systemic lupus erythematosus, sarcoidosis, hypertension, and previous history of congestive heart failure. The patient was also on prednisone and a nonsteroidal anti-inflammatory drug for joint pains. On physical examination the patient had signs of generalized peritonitis. Chest X-ray showed significant free air under the diaphragm. Emergency laparotomy revealed localized perforation over the antimesenteric border of the sigmoid colon with associated stercoral mass at the site of perforation. A segmental resection of the sigmoid colon with end colostomy (Hartmann's procedure) was performed. The patient made an uneventful recovery. Stercoral perforation is often a consequence of chronic constipation; however, there are other predisposing factors as the condition is rare compared with the frequency of severe constipation. One of the hypotheses includes the association of nonsteroidal anti-inflammatory drugs (NSAIDs) with stercoral perforation of the colon. Our case report lends support to this association with NSAID use; thus there need to be greater awareness and caution when using NSAIDs in chronically constipated patients.

TWO CASES OF STERCORAL PERFORATION OF THE COLON

Stercoral perforation of the colon is rare. It is believe that the disease tends to occuer in aged patients with constipation tendency, long-term bedridden patients, or patients taken psychotropic drugs. But we have experienced two healthy patients with stercoral perforation of the colon. Patient 1, a 69-year-old man, was admitted to the hospital because of abdominal pain. Plain X-rays film and abdominal CT scan showed free air below the diaphragm and a fecal mass. Panperitonitis due to perforation of the colon was suspected, and an emergency operation was performed. The perforation of the sigmoid colon and feces in the peritoneal cavity were found. Paient 2, a 56-year-old woman, was admitted to the hospital because of abdominal pain. Abdominal CT scan revealed multiple air bubbles in the peritoneal cavity. We carried out an emergency operation, and found a perforation of the sigmoid colon with a hard fecal mass. In both cases, resection of the sigmoid colon with proximal colostomy was performed, a diagnosis of stercoral perforation of the sigmoid colon was established.