TITLE:
Three Cases of Severe Stercoral Colitis
AUTHORS:
Kashio Toyoda, Keiichi Yokoyama, Tomohide Matsushima, Naoki Hashimoto, Yasuhide Kitazawa
KEYWORDS:
Stercoral Colitis, CT, and Hartman’s Operation
JOURNAL NAME:
Open Journal of Emergency Medicine,
Vol.6 No.4,
November
30,
2018
ABSTRACT: Stercoral colitis is the inflammation of the colonic wall caused by fecal impaction. When a patient with a history of chronic constipation visits the Emergency Center with diffuse abdominal pain, sepsis and or rectal bleeding, clinicians should consider the possibility of stercoral colorectal perforation. An accurate diagnosis on a computed tomography (CT) scan (for fecal impaction, intra-abdominal feces, intraperitoneal free air, stranding of the peri-colonic fat in the segment, presence of extraluminal bubbles of gas) may facilitate early surgical intervention and improve the patient’s prognosis based on our clinical experience dealing with three patients who had stercoral colitis.