Das Snehasis, Prakash Sagar, Sunil Julia, Shaikh Oseen, Balasubramanian Gopal
Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Cureus. 2023 Jul 7;15(7):e41529. doi: 10.7759/cureus.41529. eCollection 2023 Jul.
Perforation peritonitis is one of the most common emergency presentations in Indian hospitals. Stercoral perforations are rare due to increased intraluminal pressure on the gut wall from impacted feces. This is associated with transmural necrosis. We present a 31-year-old pregnant woman who reported abdominal pain and vomiting at 34 weeks of gestation. The diagnosis was unclear from examination and imaging studies, and a provisional diagnosis of acute appendicitis was made. The patient underwent laparotomy and was found to have fecal contamination and multiple stercoral ileal perforations. The bowel segment was resected and exteriorized as a stoma.
穿孔性腹膜炎是印度医院最常见的急诊病症之一。由于干结粪便对肠壁的腔内压力增加，粪性穿孔较为罕见。这与透壁性坏死有关。我们报告一例31岁的孕妇，在妊娠34周时出现腹痛和呕吐。体格检查和影像学检查均未明确诊断，初步诊断为急性阑尾炎。患者接受了剖腹手术，术中发现有粪便污染和多处粪性回肠穿孔。切除肠段并外置造口。
