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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.
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.
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