Flores Martha, Moughnyeh Mohamad M, Lekanides Athena, Parker Lisa
Department of Surgery, Ascension Providence Hospital, Michigan State University College of Human Medicine, Southfield, MI, USA.
SAGE Open Med Case Rep. 2024 Jul 24;12:2050313X241263756. doi: 10.1177/2050313X241263756. eCollection 2024.
Stercoral perforation typically arises as a sequela of chronic constipation and can lead to bowel perforation due to fecal impaction. While uncommon, maintaining a high clinical suspicion in the appropriate setting is crucial. We present a case report involving a 52-year-old female with no history of chronic constipation, who presented with an unexplained large bowel obstruction. Subsequent extensive diagnostic workup revealed stercoral perforation, necessitating diagnostic laparoscopy and sigmoidectomy. This case underscores that while stercoral perforation can be life-threatening, clinical stability permits the use of minimally invasive techniques without compromising patient safety or health.
粪性穿孔通常是慢性便秘的后遗症，可因粪块嵌塞导致肠穿孔。虽然不常见，但在适当情况下保持高度临床怀疑至关重要。我们报告一例病例，患者为一名52岁女性，无慢性便秘病史，表现为不明原因的大肠梗阻。随后广泛的诊断检查发现粪性穿孔，需要进行诊断性腹腔镜检查和乙状结肠切除术。该病例强调，虽然粪性穿孔可能危及生命，但临床稳定允许使用微创技术，而不会损害患者安全或健康。
