What is Stercoral perforation?
Stercoral perforation has been defined as “perforation of the bowel due to pressure necrosis from fecal masses.”8 It is a somewhat “rare” phenomenon, with stercoral perforation of the terminal ileum, cecum and rectum being an even less common phenomenon.
What causes Stercoral perforation?
Stercoral perforation (SP) is a rare cause of peritonitis. It is caused by pressure necrosis of the colonic wall by fecaloma. SP is a lethal condition that is associated with high morbidity and mortality, therefore early diagnosis and treatment are of paramount importance.
How is stercoral colitis diagnosed?
CT scan is the most helpful imaging modality for the diagnosis of stercoral colitis. CT findings that should prompt the radiologist to consider this diagnosis include colonic dilatation containing impacted feces, mural thickening, and pericolic fat stranding.
What is stercoral Proctocolitis?
CT of the abdomen/pelvis demonstrates findings consistent with stercoral proctocolitis, inflammation of the rectum secondary to fecal impaction (fecaloma). There is no imaging evidence to suggest the presence of stercoral perforation, a known complication of stercoral colitis.
What is the survival rate of a perforated bowel?
An intestinal perforation is a major life-threatening condition with high morbidity and mortality that requires emergency surgery. Despite improvements in surgical and medical treatments, the overall mortality rate is 30% and the mortality rate of cases that also have diffuse peritonitis is up to 70% [1,2,3,4].
Is a perforated bowel serious?
A bowel perforation is a hole in the lining of your colon. When this happens, the contents of your digestive tract can leak out from the affected site. This may lead to a life-threatening or even fatal infection. Seek emergency care right away if you have symptoms.
Is stercoral colitis serious?
Stercoral colitis is a rare yet serious inflammatory condition that carries a high morbidity and mortality, especially if complicated with intestinal perforation and ischemic colitis.
Is stercoral colitis curable?
Discussion: Stercoral colitis can be fatal and requires prompt treatment. The importance of early recognition is underscored by the high mortality rate associated with late complications reported in the surgical literature.
How serious is stercoral colitis?
Is stercoral colitis an inflammatory bowel disease?
Stercoral colitis is an inflammatory colitis related to increased intraluminal pressure from impacted fecal material in the colon [1-3]. This rare condition, first reported in 1894, has been described primarily in the surgical and gastrointestinal literature [1-6].
How serious is a bowel perforation?
A perforated bowel is a medical emergency. Left untreated, it can quickly lead to sepsis, organ failure, shock, and even death. The acronym TIME can tell you when to call 911 or seek emergency medical care for potential sepsis: T = Temperature, which can be higher or lower than normal.