An Unusual Case of Stercoral Perforation in a Patient with 86 cm of Small Bowel
A 77-year-old male who previously had extensive enterectomy due to ischaemic gut with loss of all but 86 cm of jejunum in addition to a right hemicolectomy presented to the emergency department (ED) with abdominal pain and constipation of 12-day duration. Abdominal imaging with X-ray and CT revealed...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2013/317250 |
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| author | Alfin Okullo Ghiyath Alsnih Titus Kwok |
| author_facet | Alfin Okullo Ghiyath Alsnih Titus Kwok |
| author_sort | Alfin Okullo |
| collection | DOAJ |
| description | A 77-year-old male who previously had extensive enterectomy due to ischaemic gut with loss of all but 86 cm of jejunum in addition to a right hemicolectomy presented to the emergency department (ED) with abdominal pain and constipation of 12-day duration. Abdominal imaging with X-ray and CT revealed pneumoperitoneum in addition to a grossly redundant and faecally loaded colon. At laparotomy, rectal perforation was found. In view of the patient’s advanced age, comorbidities, and the absence of intraperitoneal faecal contamination, manual disimpaction followed by wedge resection and primary closure of the perforation was done. On postop day 11, a perforation in the sigmoid colon with free subdiaphragmatic gas was picked up on CT after a work up for abdominal tenderness. In the absence of peritonism and other signs of deterioration, conservative management was chosen with subsequent uneventful recovery for the patient. |
| format | Article |
| id | doaj-art-cbe0dd06842147738550227f352e3c3f |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-cbe0dd06842147738550227f352e3c3f2025-02-03T01:26:55ZengWileyCase Reports in Surgery2090-69002090-69192013-01-01201310.1155/2013/317250317250An Unusual Case of Stercoral Perforation in a Patient with 86 cm of Small BowelAlfin Okullo0Ghiyath Alsnih1Titus Kwok2Department of Surgery, Blacktown-Mt Druitt Hospital, Blacktown Road, Blacktown, Sydney, NSW 2148, AustraliaDepartment of Surgery, Blacktown-Mt Druitt Hospital, Blacktown Road, Blacktown, Sydney, NSW 2148, AustraliaDepartment of Surgery, Concord Repatriation and General Hospital, Hospital Road, Concord, Sydney, NSW 2139, AustraliaA 77-year-old male who previously had extensive enterectomy due to ischaemic gut with loss of all but 86 cm of jejunum in addition to a right hemicolectomy presented to the emergency department (ED) with abdominal pain and constipation of 12-day duration. Abdominal imaging with X-ray and CT revealed pneumoperitoneum in addition to a grossly redundant and faecally loaded colon. At laparotomy, rectal perforation was found. In view of the patient’s advanced age, comorbidities, and the absence of intraperitoneal faecal contamination, manual disimpaction followed by wedge resection and primary closure of the perforation was done. On postop day 11, a perforation in the sigmoid colon with free subdiaphragmatic gas was picked up on CT after a work up for abdominal tenderness. In the absence of peritonism and other signs of deterioration, conservative management was chosen with subsequent uneventful recovery for the patient.http://dx.doi.org/10.1155/2013/317250 |
| spellingShingle | Alfin Okullo Ghiyath Alsnih Titus Kwok An Unusual Case of Stercoral Perforation in a Patient with 86 cm of Small Bowel Case Reports in Surgery |
| title | An Unusual Case of Stercoral Perforation in a Patient with 86 cm of Small Bowel |
| title_full | An Unusual Case of Stercoral Perforation in a Patient with 86 cm of Small Bowel |
| title_fullStr | An Unusual Case of Stercoral Perforation in a Patient with 86 cm of Small Bowel |
| title_full_unstemmed | An Unusual Case of Stercoral Perforation in a Patient with 86 cm of Small Bowel |
| title_short | An Unusual Case of Stercoral Perforation in a Patient with 86 cm of Small Bowel |
| title_sort | unusual case of stercoral perforation in a patient with 86 cm of small bowel |
| url | http://dx.doi.org/10.1155/2013/317250 |
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