Three Cases of Severe Stercoral Colitis

• 作者: Kashio Toyoda Keiichi Yokoyama Naoki Hashimoto Tomohide Matsushima Yasuhide Kitazawa
• 来源期刊: 急诊医学(英文)
• 学科: 医学
• 关键词: Stercoral COLITIS CT and Hartman’s Operation
• 年，卷（期）: 2018,（4）
• 页码范围: 82-87
• 页数: 6页
• 分类号: R73

摘要

Stercoral colitis is the inflammation of the colonic wall caused by fecal impaction. When a patient with a history of chronic constipation visits the Emergency Center with diffuse abdominal pain, sepsis and or rectal bleeding, clinicians should consider the possibility of stercoral colorectal perforation. An accurate diagnosis on a computed tomography (CT) scan (for fecal impaction, intra-abdominal feces, intraperitoneal free air, stranding of the peri-colonic fat in the segment, presence of extraluminal bubbles of gas) may facilitate early surgical intervention and improve the patient’s prognosis based on our clinical experience dealing with three patients who had stercoral colitis.