Stercoral perforation, Peritonitis, Colonoscopy"/> A Case of Stercoral Perforation of Sigmoid Colon Diagnosed by Colonoscopy
Korean J Gastrointest Endosc > Volume 42(5); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;42(5): 311-314.
대장내시경으로 진단된 구불창자의 숙변성 천공 1예
장원ㆍ전태주ㆍ허란ㆍ강화미ㆍ오태훈ㆍ서동대ㆍ신원창ㆍ김현정*
인제대학교 의과대학 상계백병원 내과학교실, *병리학교실
A Case of Stercoral Perforation of Sigmoid Colon Diagnosed by Colonoscopy
Won Jang, M.D., Tae Joo Jeon, M.D., Ran Heo, M.D., Hwa Mi Kang, M.D., Tae-Hoon Oh, M.D., Dong Dae Seo, M.D., Won Chang Shin, M.D. and Hyun-Jung Kim, M.D.*
Departments of Internal Medicine and *Pathology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea
Abstract
Stercoral perforation of the colon is a rare disease. Yet, in recent times, the number of reported cases has increased because of the growing elderly population. Stercoral perforation of the colon usually occurs in the elderly or bedridden patients with chronic constipation. Stercoral perforation may cause a massive hemorrhage or peritonitis. The prognosis of stercoral perforation is poor, as the reported postoperative mortality is 35∼40%. So, early diagnosis and proper treatment are very important for improving survival. However, making an early diagnosis may be difficult because of the nonspecific initial symptoms. We experienced a case of stercoral perforation that was diagnosed by colonoscopy. The defect was in the sigmoid colon, and it was covered with peritoneum. The patient completely recovered after resection and anastomosis of the perforated colon. We report here on this case with a review of the relevant literature. (Korean J Gastrointest Endosc 2011;42:311-314)
Key Words: Stercoral perforation, Peritonitis, Colonoscopy
주요어: 숙변성 천공, 복막염, 대장내시경
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