Murakami S, Kawahara H, Kozima K, Tei H, Yasuda S, Nakamura T, Mishima Y
Second Department of Surgery, Tokyo Medical and Dental University, Japan.
Surg Today. 1992;22(5):461-3. doi: 10.1007/BF00308799.
Stercoraceous perforation of the sigmoid colon has rarely been reported in the literature. This lesion is assumed to be produced by the pressure from a hard scybalum resulting in a perforated ulcer with necrotic edges. Two cases of stercoraceous perforation of the sigmoid colon are presented in this paper. It is difficult to diagnose this lesion preoperatively, although ultrasonograms proved useful in showing the colon perforation. This lesion should always be suspected when a patient who has had chronic constipation presents with sudden severe abdominal pain. It is possible that this lesion is becoming more common as the mean age of the population increases and we stress the importance of immediate surgery and intensive care for improving the prognosis.
文献中鲜有关于乙状结肠粪性穿孔的报道。这种病变被认为是由坚硬粪块的压力导致边缘坏死的穿孔性溃疡所致。本文报告了两例乙状结肠粪性穿孔病例。尽管超声检查对显示结肠穿孔很有用，但术前诊断这种病变仍很困难。当慢性便秘患者突然出现剧烈腹痛时，应始终怀疑这种病变。随着人群平均年龄的增加，这种病变可能变得更加常见，我们强调立即手术和重症监护对改善预后的重要性。
