Presentation
Long standing constipation and acute abdominal pain
Patient Data
Age: 90 years
Gender: Male
From the case:
Stercoral colitis
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Colon is dilated and full of fecal material. The wall of the colon is thin, except for the rectosigmoid wall that is thickened. On the non-contrast CT, rectosigmoid mucosa is hyperdense. There is also hyperenhancement in the same location. Peri-colic fat stranding and stercoral ulcers are also noted. The presence of peritoneal fluid suggests stercoral peritonitis. The presence of pneumoatosis and discontinuation in the enhancement of rectal wall is suggestive of ischemic complication.