Stercoral perforation requiring a total colectomy: a challenging and extreme case
Author(s)
Hoff, J
Castrisos, G
Sivasuthan, G
Ho, YM
Zalewska, K
Kapadia, C
Griffith University Author(s)
Year published
2021
Metadata
Show full item recordAbstract
A 53‐year‐old man presented to a rural hospital with a sudden onset of severe epigastric pain, associated with vomiting and abdominal bloating. He reported his bowels had not opened in the previous 30 days. The computed tomography images of the abdomen demonstrated a large amount of free gas and fluid in the abdomen with an unclear site of perforation. Marked faecal loading of the large bowel was present from the rectum to descending colon, displacing other intra‐abdominal organs (Fig. 1). The patient rapidly deteriorated into septic shock, requiring intubation and inotropic support prior to regional hospital transfer.A 53‐year‐old man presented to a rural hospital with a sudden onset of severe epigastric pain, associated with vomiting and abdominal bloating. He reported his bowels had not opened in the previous 30 days. The computed tomography images of the abdomen demonstrated a large amount of free gas and fluid in the abdomen with an unclear site of perforation. Marked faecal loading of the large bowel was present from the rectum to descending colon, displacing other intra‐abdominal organs (Fig. 1). The patient rapidly deteriorated into septic shock, requiring intubation and inotropic support prior to regional hospital transfer.
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Journal Title
ANZ Journal of Surgery
Note
This publication has been entered as an advanced online version in Griffith Research Online.
Subject
Clinical sciences