Stercoral perforation of the colon: a mortal consequence of chronic constipation in the elderly: a case report

The stercoral perforation is a mortal condition. It affects elderly patients who have a long history of chronic and severe constipation as well as constitutes a surgical emergency whose prognosis, often grim, depends on the early diagnosis and treatment. We report the case of a stercoral colon perfo...

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Main Authors: Bouali Mounir, Lafkih Oussama, Abbad El Andaloussi Zineb, El Bakouri Abdelilah, El Hattabi Khalid, Bensardi Fatima-Zahra, Fadil Abdelaaziz
Format: Article
Language:English
Published: The Pan African Medical Journal 2021-01-01
Series:The Pan African Medical Journal
Subjects:
Online Access: https://www.panafrican-med-journal.com/content/article/38/48/pdf/48.pdf
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author Bouali Mounir
Lafkih Oussama
Abbad El Andaloussi Zineb
El Bakouri Abdelilah
El Hattabi Khalid
Bensardi Fatima-Zahra
Fadil Abdelaaziz
author_facet Bouali Mounir
Lafkih Oussama
Abbad El Andaloussi Zineb
El Bakouri Abdelilah
El Hattabi Khalid
Bensardi Fatima-Zahra
Fadil Abdelaaziz
author_sort Bouali Mounir
collection DOAJ
description The stercoral perforation is a mortal condition. It affects elderly patients who have a long history of chronic and severe constipation as well as constitutes a surgical emergency whose prognosis, often grim, depends on the early diagnosis and treatment. We report the case of a stercoral colon perforation which occurred in an 89 year’s old patient. The clinical symptomatology was that of an acute peritonitis evolving for four days. The diagnosis was only made intraoperatively and the surgical gesture was a resection of the involved left colon segment and Bouilly Volkmann colostomy. The consequences were unfortunately marked by a resistant septic shock resulting in the death of the patient on the 1st postoperative day. The diagnosis of stercoral colon perforation, which is often difficult and delayed, must be known by all physicians who manage an increasingly older patient population.
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spelling doaj.art-de53cc70c82249bfaabbf251afccf8262022-12-22T01:39:36ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882021-01-01384810.11604/pamj.2021.38.48.2294822948Stercoral perforation of the colon: a mortal consequence of chronic constipation in the elderly: a case reportBouali Mounir0Lafkih Oussama1Abbad El Andaloussi Zineb2El Bakouri Abdelilah3El Hattabi Khalid4Bensardi Fatima-Zahra5Fadil Abdelaaziz6 Department of Visceral Surgical Emergency, Ibn Rochd University Hospital, Casablanca, Morocco Department of Visceral Surgical Emergency, Ibn Rochd University Hospital, Casablanca, Morocco Department of Radiology, Ibn Rochd University Hospital, Casablanca, Morocco Department of Visceral Surgical Emergency, Ibn Rochd University Hospital, Casablanca, Morocco Department of Visceral Surgical Emergency, Ibn Rochd University Hospital, Casablanca, Morocco Department of Visceral Surgical Emergency, Ibn Rochd University Hospital, Casablanca, Morocco Department of Visceral Surgical Emergency, Ibn Rochd University Hospital, Casablanca, Morocco The stercoral perforation is a mortal condition. It affects elderly patients who have a long history of chronic and severe constipation as well as constitutes a surgical emergency whose prognosis, often grim, depends on the early diagnosis and treatment. We report the case of a stercoral colon perforation which occurred in an 89 year’s old patient. The clinical symptomatology was that of an acute peritonitis evolving for four days. The diagnosis was only made intraoperatively and the surgical gesture was a resection of the involved left colon segment and Bouilly Volkmann colostomy. The consequences were unfortunately marked by a resistant septic shock resulting in the death of the patient on the 1st postoperative day. The diagnosis of stercoral colon perforation, which is often difficult and delayed, must be known by all physicians who manage an increasingly older patient population. https://www.panafrican-med-journal.com/content/article/38/48/pdf/48.pdf constipationfecal impactionperforation
spellingShingle Bouali Mounir
Lafkih Oussama
Abbad El Andaloussi Zineb
El Bakouri Abdelilah
El Hattabi Khalid
Bensardi Fatima-Zahra
Fadil Abdelaaziz
Stercoral perforation of the colon: a mortal consequence of chronic constipation in the elderly: a case report
The Pan African Medical Journal
constipation
fecal impaction
perforation
title Stercoral perforation of the colon: a mortal consequence of chronic constipation in the elderly: a case report
title_full Stercoral perforation of the colon: a mortal consequence of chronic constipation in the elderly: a case report
title_fullStr Stercoral perforation of the colon: a mortal consequence of chronic constipation in the elderly: a case report
title_full_unstemmed Stercoral perforation of the colon: a mortal consequence of chronic constipation in the elderly: a case report
title_short Stercoral perforation of the colon: a mortal consequence of chronic constipation in the elderly: a case report
title_sort stercoral perforation of the colon a mortal consequence of chronic constipation in the elderly a case report
topic constipation
fecal impaction
perforation
url https://www.panafrican-med-journal.com/content/article/38/48/pdf/48.pdf
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