Stercoral colitis: diagnostic value of CT findings

Stercoral Colitis: A Surgical Dilemma

“…1). 4 Both patients' CT scan findings correlate with the published literature. Other findings, such as bowel wall edema, pericolonic fat stranding, fluid collections, and free fluid in the pelvis, suggest complications such as perforation, abscess, or ischemic colitis.…”

Rare case of fecal impaction caused by a fecalith originating in a large colonic diverticulum: A case report

“…A systematic review reported that the symptoms that accompany diverticula include — but are not limited to — abdominal pain, constipation, diarrhea, vomiting, and nausea. Since these symptoms are not specific for the manifestation, radiological imaging is very important[ 5 ]. CT is thought to be the most accurate imaging modality and is recommended for decision-making in relation to treatment.…”

Stercoral Colitis in a Patient with Pediatric Onset Systemic Lupus Erythematosus: Case Analysis and Review of Literature

“…Although previous experts have mentioned in their reports that pain during upright abdominal X-ray can offer clues regarding stercoral colitis or perforation, including distention of the colon at the site of impaction, calci ed fecaloma, or free air, fecal matter may obscure these ndings [6,37]. The pivotal diagnostic role of radiologic investigation, including CT, has been mentioned for decades, including large fecaloma with distention > 6 cm of the affected colon, wall thickening > 3 mm of the affected colon, pericolonic fat stranding, mucosal discontinuity, free uid, pericolonic abscess and extraluminal gas bubbles, which suggest perforation [18,[37][38][39]. In addition, ascites can be found on CT and may be a result of severe systemic in ammation [40].…”