Stercoral perforation of the normal colon: report of five cases

Authors

  • Nadko Velitchkov Surgery Military Medical Academy
  • Julian Losanoff Surgery Military Medical Academy
  • Kirien Kjossev Surgery Military Medical Academy
  • Georgi Grigorov Surgery Military Medical Academy
  • Meglena Vezdarova Surgery Military Medical Academy
  • Gueno Kirov Surgery Military Medical Academy

Keywords:

Stercoral perforation, colon, peritonitis, resection, colectomy, diversion, scybala, intraoperative ortho grade colonic lavage, algorithm

Abstract

A series of five consecutive patients with stercoral perforation of the colon is presented. Four of the patients had free perforation and one had an abscess between the splenic flexure, spleen and surrounding organs, a yet unreported entity. All patients underwent emergency surgery including Iaparostomy with repeated explorations and lavages in two of them. The ethiology, pathophysiology and treatment of the condition are updated. A graphic algorithm for decision-making in appropriately dealing with stercoral perforation of the colon is proposed.

Downloads

Download data is not yet available.

Author Biographies

Nadko Velitchkov, Surgery Military Medical Academy

Surgery Military Medical Academy, Department of Emergency, Sofia, Bulgaria.

Julian Losanoff, Surgery Military Medical Academy

Surgery Military Medical Academy, Department of Emergency, Sofia, Bulgaria.

Kirien Kjossev, Surgery Military Medical Academy

Surgery Military Medical Academy, Department of Emergency, Sofia, Bulgaria.

Georgi Grigorov, Surgery Military Medical Academy

Surgery Military Medical Academy, Department of Emergency, Sofia, Bulgaria.

Meglena Vezdarova, Surgery Military Medical Academy

Surgery Military Medical Academy, Department of Emergency, Sofia, Bulgaria.

Gueno Kirov, Surgery Military Medical Academy

Surgery Military Medical Academy, Department of Emergency, Sofia, Bulgaria.

References

Berardi RS, Lee SS, Chen HP, Stines GJ. Stercoraceous and spontaneous perforations of the colon. Int Surg 1987:72:235-40.

Casanova M, Ammann JF. Sterkorale Wandnekrose und Perforation des Colons. Chirurg 1985;56:189-91.

Claffey KB, Patton ML, Haith Jr LR, Germain TJ, Kerstein MD. Barium and fecal impaction: An unusual case of bilateral hydronephrosis. Am Surg 1995;61:709-13.

Durrans D, Redmont EJ, Marshman L. Stercoral perforation of the colon./letter/ Br J Surg 1991;78:1148.

Gekas P, Schuster MM. Stercoral perforation of the colon: Case report and review of the literature. Gastroenterology 1981;80:1054-8.

Gomez HF, Brent JA, Munoz DC, Mimmack RF, Ritvo J, Phillips S, McKinney P. Charcoal stercolith with intestinal perforation in a patient treated for amitriptyline ingestion. J Emerg Med 1994;12:57-60.

Hoballah JJ, Chalmars RTA, Sharp WJ, Stokes JB, Corson JD. Fecal impaction as a cause of acute lower limb ischemia. Am J Gastroenterol 1995;90:2055-7.

Huttunen R, Heikkinen E, Larmi TK. Stercoraceous and idiopathic perforations of the colon. Surg Gynecol Obstet 1975;140:756-60.

Lyon DC, Sheiner HJ. Idiopathic rectosigmoid perforation.Surg Gynecol Obstet 1969:128:991-1000.

Poos RJ. Kolonperforation. In: Beger HG, Kern E (eds). Akutes Abdomen. Stuttgart-New York. Thieme, 1987, 272-5.

Serpell JW, Nicholls RJ. Stercoral perforation of the colon. Br J Surg 1990;77:1325-9.

Soravia C, Baldi A, Kartheuser A, Mourad M, Kestens PJ, Detry R, Squifflet JP. Acute colonic complications after kidney transplantation. Acta chir belg 1995;95:157-61.

Thayer WR. Denucci T. Stercoral ulcerations and perforations of the colon. In: Kirsner JB, Shorter RG (eds). Diseases of the colon, rectum, and anal canal. Baltimore, Williams & Wilkins, 1988, 572-3.

Downloads

Published

1996-11-11

How to Cite

1.
Velitchkov N, Losanoff J, Kjossev K, Grigorov G, Vezdarova M, Kirov G. Stercoral perforation of the normal colon: report of five cases. Sao Paulo Med J [Internet]. 1996 Nov. 11 [cited 2025 Mar. 12];114(6):1317-23. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/2056

Issue

Section

Case Report