Stercoral Colitis

Saksonov, Maxim; Bachar, Gideon; Morgenstern, Sara; Zeina, Abdel-Rauf; Vasserman, Margarita; Protnoy, Orith; Benjaminov, Ofer

doi:10.1097/rct.0000000000000117

Cited by 31 publications

(13 citation statements)

References 14 publications

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“…FI causes increased colonic intraluminal pressure that exceeds the capillary perfusion pressure in the bowel wall [ 2 ] and results in intestinal suffering, an uncommon condition called stercoral colitis. There is a high degree of mortality associated with this disease ranging from 32 to 57% [ 3 ]. If left untreated, it may result in a variety of complications, including perforation, peritonitis, and sepsis secondary to bacteremia and absorption of toxins into the blood stream.…”

Section: Resultsmentioning

confidence: 99%

Stercoral colitis mimicking appendicitis

2017

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BackgroundStercoral colitis is an inflammatory process involving the colonic wall related to fecal impaction. This rare condition is associated with high morbidity-mortality.FindingsWe report a case of a 78-year-old woman with a history of dementia under clozapine who presented a clinical and sonographic presentation of acute appendicitis. The worsening of her clinical condition prompted us to review our diagnosis and modify our approach using the CT scan which was consistent with stercoral colitis. This report concerns an atypical presentation of this condition.ConclusionsThe present case highlights the ability of severe forms of fecal impaction to precipitate very rare and life-threatening complications like stercoral colitis. It also points the importance of including stercoral colitis in the differential diagnosis of acute appendicitis in altered patients under anticholenergic drugs and the critical role of the CT scan as a crucial radiologic adjunct.

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Section: Resultsmentioning

confidence: 99%

Stercoral colitis mimicking appendicitis

2017

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“…Stercoral perforation commonly occurs in bedridden patients with a history of chronic constipation and may present with abdominal pain, rectal discomfort, fecal incontinence, anorexia, nausea, vomiting, paradoxical diarrhea, urinary frequency, melena, and urinary overflow incontinence [12]. Most patients have an elevated white blood cell count with a left shift, but physical examination or laboratory tests are not always reliable for diagnosing stercoral colitis [13]. In patients with fecal impaction, CT scans may reveal the presence of stercoral colitis.…”

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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“…Manual disimpaction is extremely effective at decreasing intraluminal pressure within the colon and reducing the risk of ulceration secondary to high pressure placed on colonic walls by a fecaloma mass [5]. More than 50% of stercoral colitis patients can be managed with disimpaction and bowel regimen, whereas those with severe complications and concern for bowel perforation, and peritonitis may require prompt surgical treatment such as colectomy, hemicolectomy, or sigmoidectomy [5,8]. Prompt intervention is important to prevent perforation and further complications such as septic shock and multiorgan failure [2].…”

Section: Introductionmentioning

confidence: 99%

Altered Mental Status as the Primary Presentation of Stercoral Colitis

Himax¹,

Anna²,

Ali³

2021

J Clin Gastroenterol Treat

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Past medical history was significant for dementia and cerebrovascular accident (CVA). On admission, the patient's family was concerned regarding her acute change in mentation given her history of CVAs. Her vitals were significant for tachycardia to 103 beats per minutes. Her labs revealed leukocytosis of 23.4 thousand/mm 3 . Given AMS, Computed tomography (CT) head was obtained which revealed no evidence of acute intracerebral event. CT abdomen was also obtained given her abdominal pain

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Stercoral Colitis

Cited by 31 publications

References 14 publications

Stercoral colitis mimicking appendicitis

Stercoral colitis mimicking appendicitis

Pelvic Rectal Stercoral Perforation Resulting in Diffuse Pneumatosis

Altered Mental Status as the Primary Presentation of Stercoral Colitis

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