Stercoral perforation of the cecum:A case report  

作　　者：Hung-Chun Yu Ta-Wei Pu Jung-Cheng Kang Chao-Yang Chen Je-Ming Hu Ruei-Yu Su 

机构地区：[1]Department of Surgery,Taichung Armed Forces General Hospital,Taichung 411228,Taiwan [2]Department of Surgery,Tri-Service General Hospital,National Defense Medical Center,Taipei 11490,Taiwan [3]Division of Colon and Rectal Surgery,Department of Surgery,Tri-Service General Hospital Songshan Branch,National Defense Medical Center,Taipei 105,Taiwan [4]Division of Colon and Rectal Surgery,Department of Surgery,Taiwan Adventist Hospital,Taipei 105,Taiwan [5]Division of Colon and Rectal Surgery,Department of Surgery,Tri-Service General Hospital,National Defense Medical Center,Taipei 114,Taiwan [6]Department of Pathology,Tri-Service General Hospital,National Defense Medical Center,Taipei 105,Taiwan [7]Department of Pathology and Laboratory Medicine,Taoyuan Armed Forces General Hospital,Taoyuan 325,Taiwan

出　　处：《World Journal of Gastrointestinal Surgery》2024年第4期1189-1194,共6页世界胃肠外科杂志（英文版）（电子版）

摘　　要：BACKGROUND With less than 90 reported cases to date,stercoral perforation of the colon is a rare occurrence.Stercoral ulceration is thought to occur due to ischemic pressure necrosis of the bowel wall,which is caused by the presence of a stercoraceous mass.To underscore this urgent surgical situation concerning clinical presentation,surgical treatment,and results,we present the case of a 66-year-old man with a stercoral perforation.CASE SUMMARY A 66-year-old man with a history of hypertension,hyperlipidemia,and gout presented at the emergency department with lower abdominal pain and a low-grade fever lasting for a few hours.Abdominal computed tomography indicated a suspected bezoar(approximately 7.6 cm)in the dilated cecum,accompanied by pericolic fat stranding,mild proximal dilatation of the ileum,pneumoperitoneum,and minimal ascites.Intraoperatively,feculent peritonitis with isolated cecal perforation were observed.Consequently,a right hemicolectomy with peritoneal lavage was performed.A histopathological examination supported the intraoperative findings.CONCLUSION In stercoral perforations,a diagnosis should be diligently pursued,especially in older adults,and prompt surgical intervention should be implemented.

关 键 词：Acute abdomen COLECTOMY Peritoneal lavage PNEUMOPERITONEUM BEZOARS Case report 

分 类 号：R735.8[医药卫生—肿瘤]