Stercoral perforation of the colon in a heroin addict

Tessier, Deron J.; Harris, Eric; Collins, Joseph P.; Johnson, Daniel J.

doi:10.1007/s00384-002-0417-4

Cited by 25 publications

(12 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this manuscript, we report the case of stercoral perforation as a consequence of constipation from chronic heroin use. This is one of very few such reports in the literature [4, 5]. Unlike previous reports, our patient did not present with clinical signs of gross peritonitis and plain radiographs did not demonstrate pneumoperitoneum.…”

Section: Introductioncontrasting

confidence: 49%

See 1 more Smart Citation

A Case of Stercoral Perforation Detected on CT Requiring Proctocolectomy in a Heroin-Dependent Patient

Seligman

Alam

Planner

et al. 2016

Case Reports in Surgery

View full text Add to dashboard Cite

Stercoral perforation of the colon is rare but carries with it significant morbidity and mortality. Stercoral perforation usually occurs in elderly, immobile patients with chronic constipation. In this manuscript, we report the case of stercoral perforation in a patient due to chronic heroin dependence. We report the case of a 56-year-old male patient with stercoral perforation, diagnosed by computed tomography, secondary to heroin dependence, requiring proctocolectomy and an end ileostomy. There are very few reports in the literature describing cases of stercoral perforation and questions have been asked about the importance of preoperative cross-sectional imaging. In our case, the diagnosis of stercoral perforation was made only on CT. Although this is not the first such case to be reported, it is significant as preoperative CT imaging was influential not only in determining the aetiology of the abdominal distension seen on the plain film, but also in detecting the pneumoperitoneum which was not evident clinically or on plain radiographs.

show abstract

Section: Introductioncontrasting

confidence: 49%

“…It lends weight to the existing report in the literature advocating the use of preoperative CT imaging in cases of suspected stercoral perforation [5]. …”

Section: Discussionmentioning

confidence: 82%

A Case of Stercoral Perforation Detected on CT Requiring Proctocolectomy in a Heroin-Dependent Patient

Seligman

Alam

Planner

et al. 2016

Case Reports in Surgery

View full text Add to dashboard Cite

show abstract

“…There have been case reports of stercoral perforation in association with antipsychotics, tricyclic antidepressants, verapamil, aluminum-based antacids, immunosuppressive agent safterrenal transplants, non steroidanti-inflammatory drugs (NSAIDs), andopioids including codeine, heroin, and methadone. These drugs are thought to affect colonic motility [7,8] . Pathophysiologic basis of idiopathic perforation is unknown.…”

Section: Discussionmentioning

confidence: 99%

Unusual Causes of Large Bowel Perforation – A Report of Three Cases

Murali¹,

Bhandary²

2016

jmscr

View full text Add to dashboard Cite

“…[6] There are a few risk factors for stercoral ulcer perforation, which include chronic intermittent constipation and the use of nonsteroidal anti-inflammatory drugs or drugs-like amitryptyline, antacids, steroids, codeine, and heroin. [378] On CT scan, the diagnosis of fecal impaction is obvious, with visualization of a dilated rectum and colon containing dense, lamellated fecal masses (fecalomas) with thin colonic walls. The CT scan findings of stercoral colitis include focal colonic or rectal wall thickening involving the dilated sigmoid colon and rectum, which demonstrate fecalomas.…”

Section: Discussionmentioning

confidence: 99%