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Diagnosis and emergency surgical management of stercoral colitis-induced colonic ischemia: A case report and literature review

INTRODUCTION AND IMPORTANCE: Stercoral colitis is an urgent complication of fecal impaction that requires aggressive management. The rare complicated with bowel ischemia requires a high index of suspicion for early diagnosis. This case report describes the detection and management of this rare and f...

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Autores principales: Wongwaisayawan, Sirote, Krutsri, Chonlada, Koosaksathaporn, Arichaya, Choikrua, Pattawia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10551616/
https://www.ncbi.nlm.nih.gov/pubmed/37793237
http://dx.doi.org/10.1016/j.ijscr.2023.108864
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author Wongwaisayawan, Sirote
Krutsri, Chonlada
Koosaksathaporn, Arichaya
Choikrua, Pattawia
author_facet Wongwaisayawan, Sirote
Krutsri, Chonlada
Koosaksathaporn, Arichaya
Choikrua, Pattawia
author_sort Wongwaisayawan, Sirote
collection PubMed
description INTRODUCTION AND IMPORTANCE: Stercoral colitis is an urgent complication of fecal impaction that requires aggressive management. The rare complicated with bowel ischemia requires a high index of suspicion for early diagnosis. This case report describes the detection and management of this rare and fatal complication of stercoral colitis. CASE PRESENTATION: An 80-year-old man presented after 3 days of obstipation. Abdominal plain radiography revealed several air-fluid levels in the colon with centralized small bowel gas. Computed tomography revealed fecal impaction and stercoral colitis without evidence of bowel ischemia. CLINICAL DISCUSSION: Fecal impaction and stercoral colitis without evidence of bowel ischemia was suspected. Owing to the development of refractory septic shock, we performed damage control surgery. Definitive surgery with end ileostomy was follow by 48 h later. The patient was discharged home safely. CONCLUSION: Stercoral colitis-induced ischemia is rare but potentially fatal; ischemia should be highly suspected. CT can help diagnosed of stercoral colitis but no single parameters for diagnosed of bowel ischemia. Prompt resuscitation and surgical exploration with damage control surgery are recommended.
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spelling pubmed-105516162023-10-06 Diagnosis and emergency surgical management of stercoral colitis-induced colonic ischemia: A case report and literature review Wongwaisayawan, Sirote Krutsri, Chonlada Koosaksathaporn, Arichaya Choikrua, Pattawia Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Stercoral colitis is an urgent complication of fecal impaction that requires aggressive management. The rare complicated with bowel ischemia requires a high index of suspicion for early diagnosis. This case report describes the detection and management of this rare and fatal complication of stercoral colitis. CASE PRESENTATION: An 80-year-old man presented after 3 days of obstipation. Abdominal plain radiography revealed several air-fluid levels in the colon with centralized small bowel gas. Computed tomography revealed fecal impaction and stercoral colitis without evidence of bowel ischemia. CLINICAL DISCUSSION: Fecal impaction and stercoral colitis without evidence of bowel ischemia was suspected. Owing to the development of refractory septic shock, we performed damage control surgery. Definitive surgery with end ileostomy was follow by 48 h later. The patient was discharged home safely. CONCLUSION: Stercoral colitis-induced ischemia is rare but potentially fatal; ischemia should be highly suspected. CT can help diagnosed of stercoral colitis but no single parameters for diagnosed of bowel ischemia. Prompt resuscitation and surgical exploration with damage control surgery are recommended. Elsevier 2023-09-30 /pmc/articles/PMC10551616/ /pubmed/37793237 http://dx.doi.org/10.1016/j.ijscr.2023.108864 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Wongwaisayawan, Sirote
Krutsri, Chonlada
Koosaksathaporn, Arichaya
Choikrua, Pattawia
Diagnosis and emergency surgical management of stercoral colitis-induced colonic ischemia: A case report and literature review
title Diagnosis and emergency surgical management of stercoral colitis-induced colonic ischemia: A case report and literature review
title_full Diagnosis and emergency surgical management of stercoral colitis-induced colonic ischemia: A case report and literature review
title_fullStr Diagnosis and emergency surgical management of stercoral colitis-induced colonic ischemia: A case report and literature review
title_full_unstemmed Diagnosis and emergency surgical management of stercoral colitis-induced colonic ischemia: A case report and literature review
title_short Diagnosis and emergency surgical management of stercoral colitis-induced colonic ischemia: A case report and literature review
title_sort diagnosis and emergency surgical management of stercoral colitis-induced colonic ischemia: a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10551616/
https://www.ncbi.nlm.nih.gov/pubmed/37793237
http://dx.doi.org/10.1016/j.ijscr.2023.108864
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