Stercoral perforation

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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Stercoral perforation
File:Stercoral perforation CT cine clip.webm
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Severe abdominal pain, fever, nausea, vomiting
Complications	Peritonitis, sepsis, shock
Onset	Sudden
Duration	Acute
Types	N/A
Causes	Fecal impaction, constipation
Risks	Chronic constipation, opioid use, immobility
Diagnosis	CT scan, abdominal X-ray, physical examination
Differential diagnosis	Diverticulitis, appendicitis, bowel obstruction
Prevention	N/A
Treatment	Surgery, antibiotics, supportive care
Medication	N/A
Prognosis	Variable, depends on promptness of treatment
Frequency	Rare
Deaths	N/A

Stercoral perforation is a rare and often severe condition that occurs when a hard, impacted stool (also known as a fecaloma) causes a hole, or perforation, in the wall of the colon. This can lead to serious complications, including peritonitis and sepsis, and requires immediate medical attention.

Causes

Stercoral perforation is typically caused by chronic constipation, which can lead to the formation of hard, impacted stools. Other factors that can contribute to the development of this condition include a low-fiber diet, lack of physical activity, and certain medications.

Symptoms

The symptoms of stercoral perforation can vary depending on the severity of the condition and the individual's overall health. Common symptoms include severe abdominal pain, nausea, vomiting, and fever. In severe cases, individuals may also experience signs of shock, such as rapid heart rate, low blood pressure, and confusion.

Diagnosis

Diagnosing stercoral perforation can be challenging, as the symptoms can be similar to those of other gastrointestinal conditions. However, a combination of physical examination, medical history, and imaging tests (such as a CT scan) can help confirm the diagnosis.

Treatment

Treatment for stercoral perforation typically involves surgery to repair the hole in the colon and remove the impacted stool. Antibiotics are also usually given to treat or prevent infection. In severe cases, a colostomy may be necessary.

Prevention

Preventing stercoral perforation involves managing constipation and maintaining a healthy lifestyle. This includes eating a high-fiber diet, staying hydrated, getting regular exercise, and taking medications as directed by a healthcare provider.

See also

• Fecal impaction
• Peritonitis
• Sepsis
• Colostomy

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