A Stercoral Perforation of the Rectum

Kwag, Seung-Jin; Choi, Sang-Kyung; Park, Ji-Ho; Jung, Eun-Jung; Jung, Chi-Young; Jung, Sang-Ho; Ju, Young‐Tae

doi:10.3393/ac.2013.29.2.77

Cited by 17 publications

(24 citation statements)

References 10 publications

(12 reference statements)

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“…8 It is a somewhat ''rare'' phenomenon, with stercoral perforation of the terminal ileum, cecum and rectum being an even less common phenomenon. 8,10,11 Thus, Serpell and Nicholls 8 reviewed the literature from 1894 (date of the first recorded case 12 ) to 1990 and identified a total of 64 cases. Similarly, Maurer et al 9 reviewed the literature from 1894 to 1998 and identified a total of 81 cases, although they also reported a further seven cases managed in their unit in the preceding five-year period.…”

Section: Discussionmentioning

confidence: 99%

Stercoral Perforation of the Colon: A Potentially Fatal Complication of Opioid-Induced Constipation

Davies

Webber

2015

Journal of Pain and Symptom Management

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Section: Discussionmentioning

confidence: 99%

Stercoral Perforation of the Colon: A Potentially Fatal Complication of Opioid-Induced Constipation

Davies

Webber

2015

Journal of Pain and Symptom Management

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“…Stercoral perforation due to faecaloma causing pressure-induced ischemic necrosis of the bowel wall was also reported [ 8 ]. Therefore, colonic perforations in spinal cord injury patients were mainly related to stercoral perforation, digital evacuation of feces, and insertion of enemas [ 9 – 11 ].…”

Section: Resultsmentioning

confidence: 99%

Acute Spontaneous Perforation of Rectosigmoid Junction in a Patient with Quadriplegia following Spinal Cord Injury

Basnayake

Rathnaweera

Jayarajah

et al. 2020

Case Reports in Surgery

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Background. Patients with cervical spinal injury with quadriplegia are at an increased risk of developing serious gastrointestinal complications. We report an unusual case of spontaneous rectosigmoid perforation in a quadriplegic patient. Case Presentation. A 58-year-old man with diabetes mellitus and hypertension presented to the emergency department following a fall from 25 feet of height. He sustained a fifth cervical vertebral fracture with quadriplegia and neurogenic shock. One week later, he developed progressive abdominal distension with tachycardia, low blood pressure, and respiratory distress. His abdomen was soft but had impaired liver dullness. Imaging showed evidence of visceral perforation. He underwent an emergency laparotomy and was found to have a perforation of the antemesenteric border of the rectosigmoid junction with fecal contamination. The perforation was repaired primarily, and a temporary loop ileostomy was created. The patient received intensive care for 4 days, and thereafter, the recovery was uneventful. He was later transferred to the spinal unit for further management. The intraoperative findings, histology, and subsequent colonoscopy did not reveal any underlying cause for the perforation. Conclusions. Clinical signs and symptoms are generally absent in patients following spinal cord injury, and the diagnosis of serious gastrointestinal pathology can be difficult and challenging. We believe that ischemia at the rectosigmoid junction precipitated by multiple factors was the possible reason for the spontaneous perforation.

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“…In patients with fecal impaction, CT scans may reveal the presence of stercoral colitis. Chest x-rays may only reveal free air under the diaphragm in 30% of cases of colonic perforation [14]. In uncomplicated fecal impaction, there is colonic distension, and the wall is thin; however, in stercoral ulceration, focal thickening of the colonic wall may be present caused by edema from the ischemia and ulceration.…”

Section: Discussionmentioning

confidence: 99%

Pelvic Rectal Stercoral Perforation Resulting in Diffuse Pneumatosis

Gupta

Vazquez

Lopez-Viego

2020

Cureus

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An 83-year-old woman with oral corticosteroid use for chronic autoimmune conditions presented with abdominal pain and constipation for the previous seven days. CT of the abdomen and pelvis revealed a large fecaloma with diffuse pneumatosis involving the retroperitoneum, subcutaneous tissue, and mediastinum. An emergent exploratory laparotomy revealed perforation of the rectum below the peritoneal reflection into the retroperitoneum. An end-colostomy with Hartmann's operation was then performed intra-operatively. Despite operative treatment complicated by prolonged intubation, the patient succumbed to multiorgan failure and expired.

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A Stercoral Perforation of the Rectum

Cited by 17 publications

References 10 publications

Stercoral Perforation of the Colon: A Potentially Fatal Complication of Opioid-Induced Constipation

Stercoral Perforation of the Colon: A Potentially Fatal Complication of Opioid-Induced Constipation

Acute Spontaneous Perforation of Rectosigmoid Junction in a Patient with Quadriplegia following Spinal Cord Injury

Pelvic Rectal Stercoral Perforation Resulting in Diffuse Pneumatosis

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