Stercoral perforation, Peritonitis, Colonoscopy"/>
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HOME > Clin Endosc > Volume 42(5); 2011 > Article
A Case of Stercoral Perforation of Sigmoid Colon Diagnosed by Colonoscopy
[Epub ahead of print]
Published online: May 28, 2011
Departments of Internal Medicine and *Pathology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea
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Stercoral perforation of the colon is a rare disease. Yet, in recent times, the number of reported cases has increased because of the growing elderly population. Stercoral perforation of the colon usually occurs in the elderly or bedridden patients with chronic constipation. Stercoral perforation may cause a massive hemorrhage or peritonitis. The prognosis of stercoral perforation is poor, as the reported postoperative mortality is 35∼40%. So, early diagnosis and proper treatment are very important for improving survival. However, making an early diagnosis may be difficult because of the nonspecific initial symptoms. We experienced a case of stercoral perforation that was diagnosed by colonoscopy. The defect was in the sigmoid colon, and it was covered with peritoneum. The patient completely recovered after resection and anastomosis of the perforated colon. We report here on this case with a review of the relevant literature. (Korean J Gastrointest Endosc 2011;42:311-314)

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