Stercoral perforation

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Stercoral Perforation

Stercoral perforation (pronunciation: stərˈkôrəl pərfəˈrāSH(ə)n) is a rare and severe complication of chronic constipation, where a pressure necrosis from a hard fecaloma leads to the perforation of the colon.

Etymology

The term "stercoral" is derived from the Latin word "stercus" meaning "dung", and "perforation" from the Latin "perforare" meaning "to bore through".

Definition

Stercoral perforation is defined as a perforation of the colon due to pressure necrosis from a fecaloma or hardened feces. This condition is often associated with chronic constipation, fecal impaction, and megacolon.

Symptoms

Symptoms of stercoral perforation can include severe abdominal pain, nausea, vomiting, and signs of sepsis such as fever and increased heart rate.

Diagnosis

Diagnosis of stercoral perforation is often made through a combination of clinical symptoms, physical examination, and imaging studies such as computed tomography (CT) scans.

Treatment

Treatment of stercoral perforation typically involves surgical intervention to repair the perforation, along with supportive care such as antibiotics and fluid resuscitation.

Prognosis

The prognosis of stercoral perforation is generally poor due to the severity of the condition and the high risk of complications such as peritonitis and sepsis.

Related Terms

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