Stercoral ulcer and perforation of the sigmoid colon

Case contributed by Dr Chris O'Donnell

Presentation

Past history of constipation. Now abdominal pain ? diverticulitis

Patient Data

Age: 65
Gender: Male

Large focal collection of faeces in the sigmoid without signs of obstruction or diverticular disease but with local wall thickening in the sigmoid and signs of a local perforation by way of free intraperitoneal gas (arrow).

Case Discussion

Stercoral ulcer is thought to be an ischaemic phenomenon due to the pressure effect of a large, hard faecal bolus on the bowel wall, i.e. pressure necrosis. If prolonged and severe, the colon can perforate.

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Case Information

rID: 19465
Case created: 12th Sep 2012
Last edited: 10th Nov 2015
Inclusion in quiz mode: Included

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