Stercoral perforation in a child: a rare complication of NSAID use

The adverse effects of non-steroidal anti-inflammatory drugs (NSAIDs) on the gastrointestinal (GI) tract are well known. However, NSAID use rarely leads to a stercoral perforation, an extremely rare but life-threatening cause of acute abdomen. We present a case of stercoral sigmoid colon perforation...

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Bibliographic Details
Published in:BMJ case reports 2014-03, Vol.2014, p.bcr-2014-203652
Main Authors: Al Omran, Yasser, Al Hindi, Saeed, Alarayedh, Sharif, Hawash, Aamenah
Format: Article
Language:English
Subjects:
Abdomen
Anti-inflammatory agents
Anti-Inflammatory Agents, Non-Steroidal - poisoning
Blood tests
Case reports
Child, Preschool
Colon
Colon, Sigmoid - diagnostic imaging
Colonic Diseases - diagnostic imaging
Colonic Diseases - etiology
Constipation
Constipation - chemically induced
Constipation - complications
Drug dosages
Female
Humans
Intestinal Perforation - diagnostic imaging
Intestinal Perforation - etiology
Medical imaging
Medication Errors - adverse effects
Middle East
Nonsteroidal anti-inflammatory drugs
Ostomy
Rare Disease
Tomography, X-Ray Computed
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Summary:The adverse effects of non-steroidal anti-inflammatory drugs (NSAIDs) on the gastrointestinal (GI) tract are well known. However, NSAID use rarely leads to a stercoral perforation, an extremely rare but life-threatening cause of acute abdomen. We present a case of stercoral sigmoid colon perforation in a 2-year-old girl, secondary to unintentional NSAID overdose, developing as a result of miscommunication between the general practitioner (GP) and the mother. To the best of our knowledge, stercoral perforation has never before been reported in a child.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2014-203652