Acute Constipation and A Stercoral Perforation: A Case Report

Stercoral perforation typically arises as a sequela of chronic constipation and can lead to bowel perforation due to fecal impaction. While uncommon, maintaining a high clinical suspicion in the appropriate setting is crucial. We present a case report involving a 52-year-old female with no history o...

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Bibliographic Details
Published in:SAGE open medical case reports 2024-01, Vol.12, p.2050313X241263756
Main Authors: Flores, Martha, Moughnyeh, Mohamad M., Lekanides, Athena, Parker, Lisa
Format: Article
Language:English
Subjects:
Case Report
Case reports
Constipation
Intestinal obstruction
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Summary:Stercoral perforation typically arises as a sequela of chronic constipation and can lead to bowel perforation due to fecal impaction. While uncommon, maintaining a high clinical suspicion in the appropriate setting is crucial. We present a case report involving a 52-year-old female with no history of chronic constipation, who presented with an unexplained large bowel obstruction. Subsequent extensive diagnostic workup revealed stercoral perforation, necessitating diagnostic laparoscopy and sigmoidectomy. This case underscores that while stercoral perforation can be life-threatening, clinical stability permits the use of minimally invasive techniques without compromising patient safety or health.
ISSN:2050-313X
2050-313X
DOI:10.1177/2050313X241263756