Al Shukry Sabah
Department of Surgery, Rustaq Hospital, South Batina, Sultanate of Oman.
Oman Med J. 2009 Apr;24(2):137-41. doi: 10.5001/omj.2009.30.
Spontaneous perforation of the colon is rare and is classified as "Idiopathic" and "Stercoral." Four patients with a total of 5 episodes of spontaneous perforation of the large bowel treated at the department of surgery, Rustaq hospital over the past 5 years are presented in this study as well as a literature review of clinical and pathological characteristics of each case. Spontaneous perforation of the colon should be considered in the differential diagnosis of patients with acute peritonitis and free gas under the diaphragm. The condition is usually associated with chronic constipation and the use of NSAIDs. Early surgical intervention reduces morbidity and mortality.
结肠自发性穿孔较为罕见，可分为“特发性”和“粪性”。本研究报告了过去5年在鲁斯塔克医院外科治疗的4例共5次大肠自发性穿孔患者，并对每个病例的临床和病理特征进行了文献综述。对于急性腹膜炎和膈下游离气体患者的鉴别诊断，应考虑结肠自发性穿孔。这种情况通常与慢性便秘和使用非甾体抗炎药有关。早期手术干预可降低发病率和死亡率。
