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Stercoral colitis mimicking appendicitis
Abdelghafour Elkoundi1, Mustapha Bensghir2, Charki Haimeur2
1Department of Anesthesiology and Intensive Care, Military Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco. abd.el.koundi@gmail.com.
International Journal of Emergency Medicine
|February 22, 2017
Summary
Severe fecal impaction can cause stercoral colitis, a rare but life-threatening condition. This case highlights the importance of considering stercoral colitis in patients with altered mental status, especially those on anticholinergic drugs.
Area of Science:
- Gastroenterology
- Internal Medicine
- Radiology
Background:
- Stercoral colitis is a rare inflammatory condition of the colon linked to fecal impaction.
- It is associated with significant morbidity and mortality.
Purpose of the Study:
- To report an atypical presentation of stercoral colitis.
- To emphasize the diagnostic challenges and the role of imaging in such cases.
Main Methods:
- Case report of a 78-year-old woman with dementia on clozapine.
- Initial diagnosis of acute appendicitis based on clinical and sonographic findings.
- Computed tomography (CT) scan used for diagnosis confirmation.
Main Results:
- The patient presented with symptoms mimicking acute appendicitis.
- CT scan revealed stercoral colitis, a rare complication of severe fecal impaction.
- The case demonstrates an unusual clinical manifestation of stercoral colitis.
Conclusions:
- Severe fecal impaction can lead to life-threatening complications like stercoral colitis.
- Stercoral colitis should be considered in the differential diagnosis of acute appendicitis in patients with altered mental status, particularly those on anticholinergic medications.
- CT scan plays a critical role in the diagnosis of stercoral colitis.
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