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Rectal stercoral perforation: an uncommon anatomical localization of a rare surgical emergency
Tom Vandaele1, Lisa Dekoninck1, Pauline Vanhove1
1Department of General Surgery, General Hospital Zeno, Knokke-Heist 8300, Belgium.
Abstract:
A stercoral rectal perforation is an uncommon cause of acute abdominal pain with only limited cases documented in medical literature. Timely and accurate imaging is essential when this condition is suspected, and immediate surgical intervention is imperative upon confirming the diagnosis of bowel perforation. Usually, the definitive diagnosis of a stercoral rectal perforation is established intraoperatively and a Hartmann procedure with (temporary) end colostomy is performed. In this case report, we present our first-hand experience in managing a stercoral rectal perforation, highlighting the importance of early diagnosis and rapid surgical intervention to achieve favorable outcomes.
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