Stercoraceous perforation of the sigmoid colon: Report of two cases |
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Authors: | Saburo Murakami Hiroto Kawahara Kazuyuki Kozima Heishun Tei Shigeru Yasuda Takaya Nakamura Yoshio Mishima |
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Institution: | (1) The Second Department of Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, 113 Tokyo, Japan |
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Abstract: | Stercoraceous perforation of the sigmoid colon has rarely been reported in the literature. This lesion is assumed to be produced by the pressure from a hard scybalum resulting in a perforated ulcer with necrotic edges. Two cases of stercoraceous perforation of the sigmoid colon are presented in this paper. It is difficult to diagnose this lesion preoperatively, although ultrasonograms proved useful in showing the colon perforation. This lesion should always be suspected when a patient who has had chronic constipation presents with sudden severe abdominal pain. It is possible that this lesion is becoming more common as the mean age of the population increases and we stress the importance of immediate surgery and intensive care for improving the prognosis. |
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Keywords: | stercoraceous perforation sigmoid colon scybala |
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