Gekas P, Schuster M M
Gastroenterology. 1981 May;80(5 pt 1):1054-8.
A case of stercoral ulceration with perforation in a colostomy patient is presented, and the literature of stercoral ulcers is reviewed. Significant features of this illness include preceding history of constipation, its presentation as an acute abdomen, radiologic signs of a perforated viscus, and a distinctive histologic picture. Treatment of choice is surgery with exteriorization and colostomy. The condition is rate and has a high mortality, although preoperative diagnosis may play a role in greater survival.
本文报告了一例结肠造口术患者发生粪性溃疡穿孔的病例，并对粪性溃疡的相关文献进行了综述。该疾病的显著特征包括便秘病史、表现为急腹症、内脏穿孔的放射学征象以及独特的组织学表现。首选治疗方法是手术外置和结肠造口术。这种情况较为罕见且死亡率高，尽管术前诊断可能对提高生存率有一定作用。
