Management of patients with stercoral perforation of the sigmoid colon: report of five cases.

Abstract:

:To our knowledge, stercoral perforation of the colon is rarely seen with fewer than 90 cases reported in the literature till date. We explored the principles of management to prevent impending mortality in five patients with this condition. Five patients, two males and three females, whose median age was 64 years, had sustained stercoral perforation of the sigmoid colon. Chronic constipation was the common symptom among these patients. Three patients underwent a Hartmannos procedure and another two were treated with segmental colectomy with anastomosis and diverting colostomy. There was one surgical mortality and the other patients had an uneventful hospital stay. Timely intervention to prevent and/or treat any associated sepsis along with extensive peritoneal lavage and surgical intervention to remove diseased colonic tissue at the primary stercoral ulceration site coupled with aggressive therapy for peritonitis are key treatment modalities in salvaging patients presenting with stercoral perforation of the colon.

journal_name

World J Gastroenterol

authors

Huang WS,Wang CS,Hsieh CC,Lin PY,Chin CC,Wang JY

doi

10.3748/wjg.v12.i3.500

keywords:

subject

Has Abstract

pub_date

2006-01-21 00:00:00

pages

500-3

issue

3

eissn

1007-9327

issn

2219-2840

journal_volume

12

pub_type

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