Tags

Type your tag names separated by a space and hit enter

Stercoral perforation of the colon. Concepts of operative management.
Am Surg. 1985 Sep; 51(9):520-2.AS

Abstract

Stercoral perforation of the colon is a direct result of ischemic pressure necrosis by a stercoraceous mass. In over 90 per cent of cases, the perforation will involve either the sigmoid or rectosigmoid colon and is consistently centrally located within a region of mucosal ulceration of varying diameter and magnitude. A review of 33 surgically treated cases from the literature along with four cases presented here, support resection, end colostomy, and either mucous fistula or Hartmann's procedure as the operation of choice with the lowest operative mortality (23%) when compared to those patients treated by either loop colostomy or exteriorization (71%) or proximal colostomy with plication of the perforation (44%). Irrigation of the distal rectal segment as that for penetrating rectal injury is also recommended.

Authors

Guyton DP
No affiliation info available
Evans D
No affiliation info available
Schreiber H
No affiliation info available

MeSH

AgedColonic DiseasesColostomyFecal ImpactionFemaleHumansIntestinal PerforationRetrospective StudiesTherapeutic Irrigation

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

4037549

Citation

Guyton, D P., et al. "Stercoral Perforation of the Colon. Concepts of Operative Management." The American Surgeon, vol. 51, no. 9, 1985, pp. 520-2.
Guyton DP, Evans D, Schreiber H. Stercoral perforation of the colon. Concepts of operative management. Am Surg. 1985;51(9):520-2.
Guyton, D. P., Evans, D., & Schreiber, H. (1985). Stercoral perforation of the colon. Concepts of operative management. The American Surgeon, 51(9), 520-2.
Guyton DP, Evans D, Schreiber H. Stercoral Perforation of the Colon. Concepts of Operative Management. Am Surg. 1985;51(9):520-2. PubMed PMID: 4037549.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Stercoral perforation of the colon. Concepts of operative management. AU - Guyton,D P, AU - Evans,D, AU - Schreiber,H, PY - 1985/9/1/pubmed PY - 1985/9/1/medline PY - 1985/9/1/entrez SP - 520 EP - 2 JF - The American surgeon JO - Am Surg VL - 51 IS - 9 N2 - Stercoral perforation of the colon is a direct result of ischemic pressure necrosis by a stercoraceous mass. In over 90 per cent of cases, the perforation will involve either the sigmoid or rectosigmoid colon and is consistently centrally located within a region of mucosal ulceration of varying diameter and magnitude. A review of 33 surgically treated cases from the literature along with four cases presented here, support resection, end colostomy, and either mucous fistula or Hartmann's procedure as the operation of choice with the lowest operative mortality (23%) when compared to those patients treated by either loop colostomy or exteriorization (71%) or proximal colostomy with plication of the perforation (44%). Irrigation of the distal rectal segment as that for penetrating rectal injury is also recommended. SN - 0003-1348 UR - https://www.unboundmedicine.com/medline/citation/4037549/Stercoral_perforation_of_the_colon__Concepts_of_operative_management_ DB - PRIME DP - Unbound Medicine ER -