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Mission Disimpaction: Endoscopic Management of Stercoral Colitis in an Adolescent

Stercoral colitis is a rare entity of inflammatory colitis with high morbidity and mortality attributable to colonic fecaloma impaction, often a result of chronic constipation. Despite demographic imbalance favoring elders, children hold comparative risk factors for chronic constipation. Suspicion f...

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Autores principales: Thomas, Michael J., Nanagiri, Apoorva, Duvidovich, Svetlana, Levy, Lior, Bamji, Natasha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins, Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10187833/
https://www.ncbi.nlm.nih.gov/pubmed/37200732
http://dx.doi.org/10.1097/PG9.0000000000000300
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author Thomas, Michael J.
Nanagiri, Apoorva
Duvidovich, Svetlana
Levy, Lior
Bamji, Natasha
author_facet Thomas, Michael J.
Nanagiri, Apoorva
Duvidovich, Svetlana
Levy, Lior
Bamji, Natasha
author_sort Thomas, Michael J.
collection PubMed
description Stercoral colitis is a rare entity of inflammatory colitis with high morbidity and mortality attributable to colonic fecaloma impaction, often a result of chronic constipation. Despite demographic imbalance favoring elders, children hold comparative risk factors for chronic constipation. Suspicion for stercoral colitis is warranted in nearly every stage of life. Computerized tomography (CT) is diagnostic for stercoral colitis, where radiological findings correlate to high sensitivity and specificity. Difficulty exists discerning from other acute and chronic intestinal etiologies with overlapping nonspecific symptoms and laboratory markers. Management involves prompt risk assessment for perforation and immediate disimpaction to avoid ischemic injury, with endoscopic directed disimpaction standard of care for nonoperative measures. Our case describes stercoral colitis in an adolescent with contributive risk factors for fecaloma impaction and is one of the first adolescent case reports involving successful endoscopic management.
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spelling pubmed-101878332023-05-17 Mission Disimpaction: Endoscopic Management of Stercoral Colitis in an Adolescent Thomas, Michael J. Nanagiri, Apoorva Duvidovich, Svetlana Levy, Lior Bamji, Natasha JPGN Rep Case Report Stercoral colitis is a rare entity of inflammatory colitis with high morbidity and mortality attributable to colonic fecaloma impaction, often a result of chronic constipation. Despite demographic imbalance favoring elders, children hold comparative risk factors for chronic constipation. Suspicion for stercoral colitis is warranted in nearly every stage of life. Computerized tomography (CT) is diagnostic for stercoral colitis, where radiological findings correlate to high sensitivity and specificity. Difficulty exists discerning from other acute and chronic intestinal etiologies with overlapping nonspecific symptoms and laboratory markers. Management involves prompt risk assessment for perforation and immediate disimpaction to avoid ischemic injury, with endoscopic directed disimpaction standard of care for nonoperative measures. Our case describes stercoral colitis in an adolescent with contributive risk factors for fecaloma impaction and is one of the first adolescent case reports involving successful endoscopic management. Lippincott Williams & Wilkins, Inc. 2023-03-09 /pmc/articles/PMC10187833/ /pubmed/37200732 http://dx.doi.org/10.1097/PG9.0000000000000300 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Thomas, Michael J.
Nanagiri, Apoorva
Duvidovich, Svetlana
Levy, Lior
Bamji, Natasha
Mission Disimpaction: Endoscopic Management of Stercoral Colitis in an Adolescent
title Mission Disimpaction: Endoscopic Management of Stercoral Colitis in an Adolescent
title_full Mission Disimpaction: Endoscopic Management of Stercoral Colitis in an Adolescent
title_fullStr Mission Disimpaction: Endoscopic Management of Stercoral Colitis in an Adolescent
title_full_unstemmed Mission Disimpaction: Endoscopic Management of Stercoral Colitis in an Adolescent
title_short Mission Disimpaction: Endoscopic Management of Stercoral Colitis in an Adolescent
title_sort mission disimpaction: endoscopic management of stercoral colitis in an adolescent
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10187833/
https://www.ncbi.nlm.nih.gov/pubmed/37200732
http://dx.doi.org/10.1097/PG9.0000000000000300
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