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DOI: 10.1055/s-0034-1544105
Stercoral Perforation of the Colon during Pregnancy: A Case Report and Review of the Literature
Publikationsverlauf
15. Juli 2014
28. November 2014
Publikationsdatum:
04. März 2015 (online)
Abstract
Stercoral perforation of the colon, though rare, is associated with high mortality. Review of the literature identified only three prior cases reported during pregnancy. We report a case on a multiparous female presenting at 31 weeks of gestation with acute abdominal pain. Computed tomography suggested a sigmoid colon perforation. An urgent exploratory laparotomy was performed where feculent peritonitis and a stercoral perforation of the sigmoid colon was confirmed. A cesarean delivery and sigmoid colectomy with descending end colostomy was performed. While the newborn had an uncomplicated course, the mother developed an intra-abdominal abscess requiring operative management.
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References
- 1 Serpell JW, Nicholls RJ. Stercoral perforation of the colon. Br J Surg 1990; 77 (12) 1325-1329
- 2 Matsushita T, Yumoto Y, Fukushima K , et al. Stercoral perforation of the colon during pregnancy. J Obstet Gynaecol Res 2011; 37 (11) 1685-1688
- 3 Chakravartty S, Chang A, Nunoo-Mensah J. A systematic review of stercoral perforation. Colorectal Dis 2013; 15 (8) 930-935
- 4 Maurer CA, Renzulli P, Mazzucchelli L, Egger B, Seiler CA, Büchler MW. Use of accurate diagnostic criteria may increase incidence of stercoral perforation of the colon. Dis Colon Rectum 2000; 43 (7) 991-998
- 5 Kumar P, Pearce O, Higginson A. Imaging manifestations of faecal impaction and stercoral perforation. Clin Radiol 2011; 66 (1) 83-88
- 6 Hsiao TF, Chou YH. Stercoral perforation of colon: a rare but important mimicker of acute appendicitis. Am J Emerg Med 2010; 28 (1) 112.e1-112.e2
- 7 Likar R. Transdermal buprenorphine in the management of persistent pain - safety aspects. Ther Clin Risk Manag 2006; 2 (1) 115-125
- 8 Russell WL. Stercoraceous ulcer. Am Surg 1976; 42 (6) 416-420
- 9 Sung JF, Salvay HB, Hansman MF, Taslimi MM. Stercoral perforation of the colon with favorable pregnancy outcome. Obstet Gynecol 2009; 113 (2 Pt 2) 491-492
- 10 Israel GM, Malguria N, McCarthy S, Copel J, Weinreb J. MRI vs. ultrasound for suspected appendicitis during pregnancy. J Magn Reson Imaging 2008; 28 (2) 428-433
- 11 Furukawa A, Sakoda M, Yamasaki M , et al. Gastrointestinal tract perforation: CT diagnosis of presence, site, and cause. Abdom Imaging 2005; 30 (5) 524-534
- 12 Rao PM, Rhea JT, Novelline RA, Mostafavi AA, McCabe CJ. Effect of computed tomography of the appendix on treatment of patients and use of hospital resources. N Engl J Med 1998; 338 (3) 141-146
- 13 Lazarus E, Mayo-Smith WW, Mainiero MB, Spencer PK. CT in the evaluation of nontraumatic abdominal pain in pregnant women. Radiology 2007; 244 (3) 784-790
- 14 Singh JP, Steward MJ, Booth TC, Mukhtar H, Murray D. Evolution of imaging for abdominal perforation. Ann R Coll Surg Engl 2010; 92 (3) 182-188
- 15 Maniatis V, Chryssikopoulos H, Roussakis A , et al. Perforation of the alimentary tract: evaluation with computed tomography. Abdom Imaging 2000; 25 (4) 373-379
- 16 ACOG Committee Opinion No. ACOG Committee Opinion. Number 299, September 2004 (replaces No. 158, September 1995). Guidelines for diagnostic imaging during pregnancy. Obstet Gynecol 2004; 104 (3) 647-651