Stercoral colitis without perforation

Case contributed by Jayanth Keshavamurthy
Diagnosis almost certain

Presentation

Abdominal pain and distention

Patient Data

Age: 75 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Supine image of the abdomen demonstrate large stool burden with distension of the large bowel extending from the left upper quadrant to the umbilical and hypogastric region. Distention measures 17 x 23 cm.
 

Subtle thickening of colonic wall with large volume of feces. No perforation, mechanical obstruction or volvulus.

Incidental paraesophageal hernia.

Case Discussion

Patient was managed medically and disimpacted without complications.

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