TITLE:
Stercoral Perforation of the Colon: A Rare Case Report
AUTHORS:
Daniel Biwole Biwole, Orok Orok-Tambe, Pierre Valery Mvondo Onana, Edouard Christian Domra, Eric Stephane Eya Mvondo, Ma’aga Dourwe, Fabrice Tim Tientcheu, Arthur Essomba
KEYWORDS:
Colonic Perforation, Spontaneous Perforation, Stercoral Perforation, Idiopathic Perforation
JOURNAL NAME:
Surgical Science,
Vol.17 No.3,
March
17,
2026
ABSTRACT: Stercoral perforation of the colon (SPC) is defined as a perforation of the bowel that occurs when accumulated fecal material creates an increased pressure on the parietal wall, leading to decreased vascular perfusion leading to necrosis, ulceration and subsequent perforation. It is a rare entity often diagnosed during surgery. Frequent sites include the sigmoid colon, the recto sigmoid junction, the splenic flexure, and the ileocecal region, and. If not managed promptly, this condition can lead to high morbidity and mortality rates. We are presenting the case of a 50 years old African female with generalized fecal peritonitis of 08 days managed by laparotomy in our setting. The diagnosis of spontaneous perforation was made during surgery.