Massive fecal impaction presenting with megarectum and perforation of a stercoral ulcer at the rectosigmoid junction

Southern Medical Journal

Volumn 99, Issue 5, 2006, Pages 525-527

  Lundy, Jonathan B ^a   Gadacz, Thomas R ^b  

^a EISENHOWER ARMY MEDICAL CENTER   (United States)

^b NONE

Author keywords

Constipation; Idiopathic megarectum; Stercoral ulcer

Indexed keywords

CANNABIS; NARCOTIC AGENT; NONSTEROID ANTIINFLAMMATORY AGENT;

ABDOMINAL PAIN; ACUTE ABDOMEN; ADULT; ARTICLE; CASE REPORT; COLON PERFORATION; COLON RESECTION; COLON ULCER; COLOSTOMY; CONSTIPATION; DIAPHORESIS; EROSION; FECES IMPACTION; FOLLOW UP; HUMAN; LAPAROTOMY; LAVAGE; MALE; MEGACOLON; MEGARECTUM; PATIENT COMPLIANCE; PERITONITIS; STERCORAL ULCER; TACHYCARDIA; TACHYPNEA;

ADULT; COLONIC DISEASES; DILATATION, PATHOLOGIC; FECAL IMPACTION; HUMANS; INTESTINAL PERFORATION; MALE; RECTAL DISEASES; SIGMOID DISEASES; ULCER;

EID: 33744487888     PISSN: 00384348     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.smj.0000215762.71272.8b     Document Type: Article

References (14)

1. Grinvalsky HT, Bowerman CI. Stercoraceous ulcers of the colon: relatively neglected medical and surgical problem. JAMA 1959;171:1941-1946.
2. Baren JM, Seidel JS. Fecal impaction: a rare cause of respiratory arrest in childhood. Pediatr Emerg Care 1994;10:339-341.
3. McWilliams WA, Khauli RB, Zein TA. Ureteral obstruction due to massive fecal impaction. South Med J 1984;77:275-276.
4. Hoballah JJ, Chalmers RT, Sharp WJ, et al. Fecal impaction as a cause of acute lower limb ischemia. Am J Gastroenterol 1995;90:2055-2057.
5. Lerman BB, Levin ML, Patterson R. Hepatic encephalopathy precipitated by fecal impaction. Arch Intern Med 1979;139:707-708.
6. Preston DM, Lennard-Jones JE, Thomas BM. Towards a radiologic definition of idiopathic megacolon. Gastrointest Radiol 1985;10:167-169.
7. Maull KI, Kinning WK, Kay S. Stercoral ulceration. Am Surg 1982;48:20-24.
8. Patel VG, Kalakuntla V, Fortson JK, et al. Stercoral perforation of the sigmoid colon: report of a rare case and its possible association with nonsteroidal anti-inflammatory drugs. Am Surg 2002;68:62-64.
9. Serpell JW, Nicholls RJ. Stercoral perforation of the colon. Br J Surg 1990;77:1325-1329.
10. Ó Suilleabhain CB, Anderson JH, McKee RF, et al. Strategy for the surgical management of patients with idiopathic megarectum and megacolon. Br J Surg 2001;88:1392-1396.
11. Hosie KB, Kmoit WA, Keighley MR. Constipation: another indication for restorative proctocolectomy. Br J Surg 1990;77:801-802.
12. Williams NS, Fajobi OA, Lunniss PJ, et al. Vertical reduction rectoplasty: a new treatment for idiopathic megarectum. Br J Surg 2000;87:1203-1208.
13. Apelgren KN, Yuen JC. Distal colonic impaction requiring laparotomy in an adult with cystic fibrosis. J Clin Gastroenterol 1989;1:687-690.
14. Lohlun J, Margolis M, Gorecki P, et al. Fecal impaction causing megarectum-producing colorectal catastrophes: a report of two cases. Dig Surg 2000;17:196-198.