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Case Reports
. 2010 May;20(2):126-8.
doi: 10.4103/0971-3026.63051.

Case report: Stercoral sigmoid colonic perforation with fecal peritonitis

Monika Sharma  1 , Anjali Agrawal
Affiliations
Case Reports

Case report: Stercoral sigmoid colonic perforation with fecal peritonitis

Monika Sharma et al. Indian J Radiol Imaging. 2010 May.

Abstract

Chronic constipation can lead to fecal impaction. It can also rarely lead to catastrophic complications like perforation, colonic obstruction, and fecal peritonitis. We report a rare case of stercoral sigmoid colonic perforation with fecal peritonitis and pneumoperitoneum, which was diagnosed on preoperative CT scan.

Keywords: Constipation; fecal impaction; peritonitis; stercoral perforation.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1 (A, B)
Figure 1 (A, B)
Anteroposterior (A) and lateral (B) scout CT scan images show abundant fecal material and fecalomas in the pelvis (arrow in A) and left colon and pneumoperitoneum (arrow in B)
Figure 2
Figure 2
Contrast-enhanced axial CT scan demonstrates a fecaloma (arrow) in the proximal sigmoid colon and at the site of the perforation, with colonic wall thickening (arrowhead) due to pressure necrosis
Figure 3
Figure 3
Contrast-enhanced axial CT scan shows extensive extraluminal fecal matter in the peritoneal cavity (arrow) and air loculi, consistent with fecal peritonitis
See this image and copyright information in PMC

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