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Colon Ascendens Stent Peritonitis CASP - a Standardized Model for Polymicrobial Abdominal Sepsis

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Acute Constipation and A Stercoral Perforation: A Case Report.

Martha Flores¹, Mohamad M Moughnyeh¹, Athena Lekanides¹

¹Department of Surgery, Ascension Providence Hospital, Michigan State University College of Human Medicine, Southfield, MI, USA.

SAGE Open Medical Case Reports

|July 26, 2024

Summary

Stercoral perforation, a rare complication of chronic constipation, can cause bowel perforation. This case highlights its occurrence in a patient without constipation history, emphasizing clinical vigilance for early diagnosis and treatment.

Keywords:

Stercoral ulcer bowel perforation constipation fecal impaction fecalith large bowel obstruction ulceration

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Murine Ileocolic Bowel Resection with Primary Anastomosis

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

Area of Science:

Gastroenterology
Surgical Gastroenterology
Colorectal Surgery

Background:

Stercoral perforation is a rare but serious complication of fecal impaction, typically associated with chronic constipation.
It can lead to significant morbidity and mortality if not promptly recognized and managed.

Observation:

A 52-year-old female presented with symptoms of large bowel obstruction without a prior history of chronic constipation.
Diagnostic workup, including imaging, revealed evidence suggestive of stercoral perforation.

Findings:

The patient underwent diagnostic laparoscopy, which confirmed stercoral perforation.
A sigmoidectomy was performed for definitive treatment of the condition.

Implications:

This case highlights the importance of maintaining clinical suspicion for stercoral perforation even in the absence of typical risk factors like chronic constipation.
It demonstrates that minimally invasive surgical approaches, such as laparoscopy, can be safely employed in stable patients with stercoral perforation, leading to potentially faster recovery.