Department of Visceral Surgical Emergency, Ibn Rochd University Hospital, Casablanca, Morocco.
Department of Radiology, Ibn Rochd University Hospital, Casablanca, Morocco.
Pan Afr Med J. 2021 Jan 18;38:48. doi: 10.11604/pamj.2021.38.48.22948. eCollection 2021.
The stercoral perforation is a mortal condition. It affects elderly patients who have a long history of chronic and severe constipation as well as constitutes a surgical emergency whose prognosis, often grim, depends on the early diagnosis and treatment. We report the case of a stercoral colon perforation which occurred in an 89-year-old patient. The clinical symptomatology was that of an acute peritonitis evolving for four days. The diagnosis was only made intraoperatively and the surgical gesture was a resection of the involved left colon segment and Bouilly Volkmann colostomy. The consequences were unfortunately marked by a resistant septic shock resulting in the death of the patient on the 1 postoperative day. The diagnosis of stercoral colon perforation, which is often difficult and delayed, must be known by all physicians who manage an increasingly older patient population.
粪石穿孔是一种致命的情况。它影响到有长期慢性和严重便秘病史的老年患者，是一种外科急症，其预后通常很严峻，取决于早期诊断和治疗。我们报告了一例发生在 89 岁患者身上的粪石性结肠穿孔病例。临床症状表现为急性腹膜炎，持续了四天。该诊断仅在手术中做出，手术方式为切除受累的左结肠段和 Bouilly Volkmann 结肠造口术。不幸的是，后果是顽固的感染性休克，导致患者在术后第 1 天死亡。粪石性结肠穿孔的诊断常常很困难且被延误，管理日益老龄化患者群体的所有医生都必须了解这一诊断。
