Falidas E, Mathioulakis S, Vlachos K, Archontovasilis F, Villias C
Department of Surgery, NIMTS, Veterans Hospital of Athens, Greece.
G Chir. 2011 Aug-Sep;32(8-9):368-71.
Stercoral perforation of the colon due to fecaloma is a rare disease and less than 100 cases have been described in the literature. The disease mainly involves the rectosigmoid colon. The condition is correlated with longstanding decubitus, chronic constipation, abuse of laxatives and/or constipating agents (anticholinergics, neuroleptics, etc). We report a case of 82-year old woman who presented a covered colonic perforation due to fecaloma, related with a history of longstanding decubitus because of senile dementia, chronic constipation and use of anticholinergic drugs.
粪块瘤导致的结肠粪性穿孔是一种罕见疾病，文献报道不足100例。该病主要累及直肠乙状结肠。其发病与长期卧床、慢性便秘、滥用泻药和/或致便秘药物（抗胆碱能药、抗精神病药等）有关。我们报告一例82岁女性患者，因粪块瘤出现结肠穿孔，伴有因老年痴呆导致的长期卧床史、慢性便秘及使用抗胆碱能药物史。
