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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Language: | English |
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The Pan African Medical Journal
2021-01-01
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Series: | The Pan African Medical Journal |
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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. |
first_indexed | 2024-12-10T17:34:14Z |
format | Article |
id | doaj.art-de53cc70c82249bfaabbf251afccf826 |
institution | Directory Open Access Journal |
issn | 1937-8688 1937-8688 |
language | English |
last_indexed | 2024-12-10T17:34:14Z |
publishDate | 2021-01-01 |
publisher | The Pan African Medical Journal |
record_format | Article |
series | The Pan African Medical Journal |
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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