Serpell J W, Sen M, Giddins G, Nicholls R J, Bradfield W J
Department of Surgery, St Thomas' Hospital, London, UK.
Postgrad Med J. 1991 Mar;67(785):299-300. doi: 10.1136/pgmj.67.785.299.
Stercoral perforation of the colon is rare, and has not previously been reported as a postoperative complication, proximal to an end colostomy. Two such cases are reported; in addition in one the stercoral perforation was recurrent, emphasizing the multifocal nature of the disease. Both cases demonstrate the failure of standard techniques to deal with scybala in the loaded proximal colon. It is, therefore, suggested that intra-operative orthograde colonic lavage is indicated to protect a terminal colostomy from the risk of stercoral perforation in such cases.
结肠粪性穿孔罕见，既往未见作为结肠造口近端术后并发症的报道。本文报告2例；其中1例粪性穿孔复发，强调了该病的多灶性。2例均显示标准技术在处理近端结肠内粪块方面的失败。因此，建议在此类病例中，术中进行顺行性结肠灌洗，以保护末端结肠造口免受粪性穿孔风险。
