并非寻常便秘：粪性穿孔。
Not your usual constipation: stercoral perforation.
作者信息
Marget Matthew, Ammar Hussam
机构信息
Third year medical student, University of Texas Health Science Center at Houston, Houston, Texas, USA.
Department of Internal Medicine, University of Texas Health Science Center at Houston, Houston, Texas, USA.
出版信息
BMJ Case Rep. 2017 Feb 13;2017:bcr2016218283. doi: 10.1136/bcr-2016-218283.
Abstract
Stercoral perforation is a rare cause of bowel perforation. It is caused by faecal impaction, which generates pressure against the colon wall, leading to ischaemic necrosis and subsequent perforation. Since diagnosis is often delayed, stercoral perforation is usually mistreated as constipation or faecal impaction, leading to high mortality. This report presents a case of stercoral perforation in a woman aged 34 years who was promptly diagnosed and successfully treated.
摘要
粪性穿孔是肠穿孔的一种罕见病因。它由粪块嵌塞引起，粪块嵌塞对结肠壁产生压力，导致缺血性坏死及随后的穿孔。由于诊断常常延误，粪性穿孔通常被误诊为便秘或粪块嵌塞，从而导致高死亡率。本报告介绍了一例34岁女性粪性穿孔的病例，该病例得到了及时诊断并成功治愈。
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