Related Experiment Video
Updated: Jun 24, 2026
08:49
Cardiac Loading using Passive Left Atrial Pressurization and Passive Afterload for Graft Assessment
Published on: August 2, 2024
Stercoral perforation in a 17-year old
S McHugh1, N Todkari, T Moloney
1Department of General and Vascular Surgery, Beaumont Hospital, Dublin 9, Ireland. seamusmarkmchugh@yahoo.com
Irish Journal of Medical Science
|April 3, 2009
Summary
This case report details a rare instance of stercoral perforation in a teenager, linked to a partial eating disorder (ED). Early psychiatric and dietary intervention is crucial for managing this condition and preventing recurrence.
Area of Science:
- Gastroenterology
- Psychiatry
- Colorectal Surgery
Background:
- Stercoral perforation is an uncommon cause of bowel perforation.
- This study presents the first reported case where a partial eating disorder (ED) is the primary differential diagnosis.
Observation:
- A 17-year-old female presented with acute left-sided abdominal pain, progressing to sigmoid perforation confirmed by CT scan.
- The patient underwent a total colectomy with end ileostomy.
- Histopathology revealed stercoral perforation without intestinal ganglioneuropathy.
Findings:
- The patient was diagnosed with a partial eating disorder (ED) by the psychiatric team.
- This highlights a potential link between ED and stercoral perforation.
Implications:
- Emphasizes the necessity of a multidisciplinary approach for optimal patient management.
- Aggressive medical and psychiatric management, alongside dietetics, is vital for addressing underlying psychological factors and preventing relapse.
Related Concept Videos
01:22Esophageal Perforation-I: Introduction
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
01:28Esophageal Perforation-II: Clinical Manifestations and Management
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
01:17The Thoracic Cage: Sternum
The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid process.
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid process.
01:30Esophageal Strictures-I: Introduction
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
01:19Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...