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

Wen Shih Huang*, Chia Siu Wang, Ching Chuan Hsieh, Paul Y. Lin, Chih Chien Chin, Jeng Yi Wang

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

49 Scopus citations

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 Hartmann's 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.

Original languageEnglish
Pages (from-to)500-503
Number of pages4
JournalWorld Journal of Gastroenterology
Volume12
Issue number3
DOIs
StatePublished - 21 01 2006
Externally publishedYes

Keywords

  • Colon
  • Management
  • Stercoral perforation

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