Colon perforation with fecal peritonitis

Case contributed by Dr Bruno Di Muzio

Presentation

Patient has performed fleet enema routinely as a treatment for constipation. She was admitted to the emergency department with acute abdomen.

Patient Data

Age: 80 years
Gender: Female

CT Abdomen and pelvis

CT

Extensive pneumoperitoneum associated with free fecal content in the abdominal cavity. Note also diffuse thickening of the colonic wall.

Case Discussion

Fecal peritonitis results from the presence of feces in the peritoneal cavity and is a serious and potentially fatal event.

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