Rectal stercoral perforation: an uncommon anatomical localization of a rare surgical emergency

Abstract A stercoral rectal perforation is an uncommon cause of acute abdominal pain with only limited cases documented in medical literature. Timely and accurate imaging is essential when this condition is suspected, and immediate surgical intervention is imperative upon confirming the diagnosis of...

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Bibliographic Details
Published inJournal of surgical case reports Vol. 2024; no. 1; p. rjad704
Main Authors Vandaele, Tom, Dekoninck, Lisa, Vanhove, Pauline, Devos, Bart, Vandeputte, Mathieu, Philippe, Marc, Vlasselaers, Johan
Format Journal Article
LanguageEnglish
Published England Oxford University Press 03.01.2024
Subjects
Case Report
emergency surgery
colorectal surgery
fecaloma
acute abdominal surgery
stercoral rectal perforation
rectal perforation
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Summary:Abstract A stercoral rectal perforation is an uncommon cause of acute abdominal pain with only limited cases documented in medical literature. Timely and accurate imaging is essential when this condition is suspected, and immediate surgical intervention is imperative upon confirming the diagnosis of bowel perforation. Usually, the definitive diagnosis of a stercoral rectal perforation is established intraoperatively and a Hartmann procedure with (temporary) end colostomy is performed. In this case report, we present our first-hand experience in managing a stercoral rectal perforation, highlighting the importance of early diagnosis and rapid surgical intervention to achieve favorable outcomes.
ISSN:2042-8812
2042-8812
DOI:10.1093/jscr/rjad704