Discussion: Stercoral colitis can be fatal and requires prompt treatment. The importance of early recognition is underscored by the high mortality rate associated with late complications reported in the surgical literature.
What does stercoral colitis mean?
Stercoral colitis is a rare inflammatory process involving the colonic wall secondary to fecal impaction with high morbidity and mortality; especially if complicated with ischemic colitis, stercoral ulcer formation and subsequent perforation.Stercoral colitis is a rare inflammatory process involving the colonic wall secondary to fecal impaction with high morbidity and mortality; especially if complicated with ischemic colitisischemic colitisEpidemiology. The exact incidence of ischemic colitis is difficult to estimate, as many patients with mild ischemia may not seek medical attention. Ischemic colitis is responsible for about 1 in 2000 hospital admissions and is seen on about 1 in 100 endoscopies.https://en.wikipedia.org › wiki › Ischemic_colitisIschemic colitis - Wikipedia, stercoral ulcer formation and subsequent perforation.28 Nov 2017
Is stercoral colitis an infection?
Stercoral colitis is a rare inflammatory condition involving the large bowel wall secondary to fecal impaction. Stercoral colitis has a clinical course ranging from non-complicated fecaloid impaction to colonic perforation.Stercoral colitis is a rare inflammatory condition involving the large bowellarge bowelColo-colonic intussusception is a rare cause of intestinal obstruction in adults. Patients generally present with subacute abdominal pain and obstructive symptoms, rendering the clinical diagnosis challenging. Computed tomography has been shown to be the most accurate diagnostic imaging modality.https://www.sciencedirect.com › science › article › piiAdult colo-colonic intussusception caused by congenital bands wall secondary to fecal impaction. Stercoral colitis has a clinical course ranging from non-complicated fecaloid impaction to colonic perforation.
What causes stercoral colitis?
Stercoral colitis (SC) is an inflammatory colitis caused by increased intraluminal pressure from impacted fecal material in the colonic segments (1). SC may present with a spectrum ranging between impacted fecaloma associated with inflammation to colonic perforation.Stercoral colitis (SC) is an inflammatory colitis caused by increased intraluminal pressure from impacted fecal material in the colonic segments (1). SC may present with a spectrum ranging between impacted fecalomafecalomaFecaloma is a severe form of fecal impaction. Fecalomas are formed due to prolonged retention of intracolonic fecal residue which gets organized with time to form a well-formed, hard intraluminal fecal mass. Calcification can also be seen. Sigmoid colon and rectum are common sites for fecaloma [1].https://www.ncbi.nlm.nih.gov › pmc › articles › PMC3726803A Case of Fecaloma - NCBI associated with inflammation to colonic perforation.
Is stercoral colitis serious?
Stercoral colitis is a rare yet serious inflammatory condition that carries a high morbidity and mortality, especially if complicated with intestinal perforation and ischemic colitis.Stercoral colitis is a rare yet serious inflammatory condition that carries a high morbidity and mortality, especially if complicated with intestinal perforationintestinal perforationGastrointestinal perforation, also known as ruptured bowel, is a hole in the wall of part of the gastrointestinal tract. The gastrointestinal tract includes the esophagus, stomach, small intestine, and large intestine. Symptoms include severe abdominal pain and tenderness.https://en.wikipedia.org › wiki › Gastrointestinal_perforationGastrointestinal perforation - Wikipedia and ischemic colitisischemic colitisEpidemiology. The exact incidence of ischemic colitis is difficult to estimate, as many patients with mild ischemia may not seek medical attention. Ischemic colitis is responsible for about 1 in 2000 hospital admissions and is seen on about 1 in 100 endoscopies.https://en.wikipedia.org › wiki › Ischemic_colitisIschemic colitis - Wikipedia.28 Nov 2017
How is stercoral colitis treated?
Elevated lactic acid level secondary to ischemia of the bowel wall with CT scan findings aid in establishing the diagnosis of stercoral colitis complicated with ischemic colitis. Urgent treatment with laxatives and fecal disimpaction is indicated to prevent perforation and peritonitis.Elevated lactic acid level secondary to ischemia of the bowel wall with CT scan findings aid in establishing the diagnosis of stercoral colitis complicated with ischemic colitisischemic colitisEpidemiology. The exact incidence of ischemic colitis is difficult to estimate, as many patients with mild ischemia may not seek medical attention. Ischemic colitis is responsible for about 1 in 2000 hospital admissions and is seen on about 1 in 100 endoscopies.https://en.wikipedia.org › wiki › Ischemic_colitisIschemic colitis - Wikipedia. Urgent treatment with laxatives and fecal disimpaction is indicated to prevent perforation and peritonitis.28 Nov 2017