Stercoral colitis mimicking appendicitis

• Published in: International journal of emergency medicine Vol. 10; no. 1; p. 7
• Main Authors: Elkoundi, Abdelghafour, Bensghir, Mustapha, Haimeur, Charki
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.12.2017; Springer Nature B.V; BMC
• Subjects: Angiology; Appendicitis; Cardiology; Clinical Image; CT scan; Emergency Medicine; Fecal impaction; Internal Medicine; Medicine; Medicine & Public Health; Pediatrics; Stercoral colitis; Stercoral colitis; Appendicitis; CT scan; Fecal impaction
• ISSN: 1865-1372; 1865-1380
• DOI: 10.1186/s12245-017-0134-y

Background Stercoral colitis is an inflammatory process involving the colonic wall related to fecal impaction. This rare condition is associated with high morbidity-mortality. Findings We report a case of a 78-year-old woman with a history of dementia under clozapine who presented a clinical and sonographic presentation of acute appendicitis. The worsening of her clinical condition prompted us to review our diagnosis and modify our approach using the CT scan which was consistent with stercoral colitis. This report concerns an atypical presentation of this condition. Conclusions The present case highlights the ability of severe forms of fecal impaction to precipitate very rare and life-threatening complications like stercoral colitis. It also points the importance of including stercoral colitis in the differential diagnosis of acute appendicitis in altered patients under anticholenergic drugs and the critical role of the CT scan as a crucial radiologic adjunct.