Stercoral perforation of the normal colon: report of five cases

Autores

  • 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

Palavras-chave:

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

Resumo

O trabalho apresenta uma série consecutiva de 5 pacientes com perfuração estercoral de cólon. Quatro pacientes apresentavam perfuração livre e um deles um abscesso entre a flexão esplênica, baço e órgãos vizinhos, uma entidade ainda não relatada. Todos os pacientes foram submetidos à cirurgia de emergência, incluindo laparotomia com repetidas explorações e lavagens em dois deles. A etiologia, fisiopatologia e tratamento dessa afecção foi revisada. E proposto um gráfico algarítmico para tomada de decisão em casos de perfuração estercoral do cólon.

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Biografia do Autor

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.

Referências

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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.

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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.

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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.

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Publicado

1996-11-11

Como Citar

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]. 11º de novembro de 1996 [citado 12º de março de 2025];114(6):1317-23. Disponível em: https://periodicosapm.emnuvens.com.br/spmj/article/view/2056

Edição

v. 114 n. 6 (1996)

Seção

Relato de Caso

Licença

Creative Commons License
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.