Stercoral Perforation of the Colon With Favorable Pregnancy Outcome

Sung, Joyce F.; Salvay, H.B.; Hansman, Matthew F; Taslimi, M. Mark

doi:10.1097/aog.0b013e3181834b24

Cited by 11 publications

(8 citation statements)

References 4 publications

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“…Due to a lack of clear diagnosis, cesarean section was performed and the patient delivered a liveborn baby. Stercoral perforation was found intraoperatively in the sigmoid colon 8 . Our case also illustrates the difficulty in diagnosis.…”

Section: Discussionmentioning

confidence: 55%

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Stercoral perforation of the colon during pregnancy

Matsushita¹,

Yumoto²,

Fukushima³

et al. 2011

J of Obstet and Gynaecol

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A 39-year-old Japanese woman was referred to our hospital for severe abdominal pain at 22 weeks and 2 days of gestation. Abdominal computed tomography (CT) suggested perforation of the gastrointestinal tract and emergency surgery was conducted. There was a fibrous adhesion between an enlarged uterus and the sigmoid colon. There was a 5.0-cm perforation near the adhesion in the posterior wall of the sigmoid colon. We performed a partial resection of the sigmoid colon and Hartmann's procedure with copious intraperitoneal lavage. Five hours following the laparotomy, uterine contractions could not be controlled and the patient delivered vaginally. The neonate died almost immediately after delivery. We conclude that although stercoral bowel perforation is rare, poor prognosis after perforation emphasizes the need to carry out a CT scan for patients who present with undiagnosed severe abdominal pain and compatible medical history, even if the patient is pregnant.

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Section: Discussionmentioning

confidence: 55%

“…Stercoral perforation was found intraoperatively in the sigmoid colon. 8 Our case also illustrates the difficulty in diagnosis. At first presentation to her obstetrician, our patient was treated for threatened premature delivery.…”

Section: Discussionmentioning

confidence: 65%

Stercoral perforation of the colon during pregnancy

Matsushita¹,

Yumoto²,

Fukushima³

et al. 2011

J of Obstet and Gynaecol

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show abstract

“…Mortality because of stercoral perforation of the colon is reported to be high [5,7,19,20]. Similarly in our cases, four patients (40 percent) had been dead.…”

Section: Discussionmentioning

confidence: 56%

Pathophysiological analysis and strategy for stercoral perforation of the colon

Sato¹,

Maekawa²,

Sakurada³

et al. 2012

OJGas

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“…Others in the literature have adopted a similar definition [7,12–14]. Previous reports have stated that faecal impaction can lead to complications such as faecal incontinence or paradoxical diarrhoea [15,16], urinary frequency and overflow incontinence [16], hydronephrosis [9,15,17], stercoral ulceration [18,19], megacolon [20], fever and leucocytosis [5,14,16], fainting episodes, rectal prolapse [21], rectal bleeding [8], cardiac tamponade [22] and death [5]. Our study confirms and extends those observations by including common presentations, such as urinary tract infection, and rare presentations, such as cardiac tamponade [22].…”

Section: Discussionmentioning

confidence: 99%