1/18. fecal impaction causing megarectum-producing colorectal catastrophes. A report of two cases.PURPOSE: Massive fecal impaction leading to surgical catastrophes has rarely been reported. We present 2 such patients to remind physicians that neglected accumulation of fecal matter in the rectum may lead to ischemia and perforation of the colon and rectum. methods: Report of 2 patients and a medline search of the literature. RESULTS: In the 1st case massive fecal impaction produced an abdominal compartment syndrome and rectal necrosis. In the 2nd patient fecal impaction resulted in colonic obstruction and ischemia. In both, an operation was life-saving. CONCLUSION: Neglected fecal impaction may lead to a megarectum causing an abdominal compartment syndrome and colorectal obstruction, perforation or necrosis. Measures to prevent fecal impaction are of paramount importance and prompt manual disimpaction before the above complications develop is mandatory. Appropriate operative treatment may be life-saving.- - - - - - - - - - ranking = 1keywords = colonic (Clic here for more details about this article) |
2/18. Abdominal compartment syndrome in a patient with congenital megacolon.A 13-year-old male with a history of chronic congenital megacolon presented to the emergency department with a 1-day history of increasing abdominal pain, distension, and emesis. The patient was admitted for bowel disimpaction and irrigation. The patient rapidly developed an acute abdominal compartment syndrome because of his massive colonic dilation. Surgical decompression resulted in a reperfusion phenomenon and ultimately resulted in coagulopathy and patient demise. This case presents a unique cause of the abdominal compartment syndrome and discusses the implications to the emergency physician.- - - - - - - - - - ranking = 1keywords = colonic (Clic here for more details about this article) |
3/18. Rectal carcinoma with stercoral ulcer perforation.We report a case of ruptured stercoral ulceration due to chronic constipation which is caused by rectal carcinoma. This case suffered from difficulty of stool passage for 5 months. Periumbilical pain and current-jelly stool were experienced before his admission. physical examination revealed diffuse abdominal rebounding pain and laboratory data showed leukocytosis. Computed tomography demonstrated marked dilatation of the sigmoid colon with stool impaction due to neoplastic growth in the rectosigmoid junction. Thickening and edematous change of the colonic wall were noted. There was amorphous material with gas in the mesocolon, which indicated fecal peritonitis. Emergent operation with Hartman's procedure and left colostomy was performed. Diffuse pressure gangrene of the sigmoid colon wall with a perforating hole was identified. Pathologically, the resected colon specimen showed non-specific-acute and chronic inflammatory change. The perforating hole was surrounded by a necrotic border of ulcerative mucosa. After the operation, pelvic drainage was undertaken for 1 month and then the patient was discharged uneventfully.- - - - - - - - - - ranking = 1keywords = colonic (Clic here for more details about this article) |
4/18. Fecaloma simulating colonic neoplasm.Large, discrete fecal masses in the colon may be confused with neoplasms, particularly if they are relatively immobile. The radiologic features of such masses generally permit their true identification.- - - - - - - - - - ranking = 4keywords = colonic (Clic here for more details about this article) |
5/18. Stercoral colitis leading to fatal peritonitis: CT findings.OBJECTIVE: Stercoral colitis is an inflammatory process involving the colonic wall related to fecal impaction. Our purpose was to describe the imaging findings of stercoral colitis and ulceration and to emphasize the potential serious clinical implications of the condition. CONCLUSION: fecal impaction may lead to ischemic pressure necrosis and subsequent colonic perforation. In the appropriate clinical setting, the imaging findings that should prompt the radiologist to consider this diagnosis are the presence of fecal impaction, focal colonic wall thickening, and adjacent stranding of the fat. If the fecal impaction is not promptly relieved, the condition can lead to colonic perforation, peritonitis, and patient demise.- - - - - - - - - - ranking = 4keywords = colonic (Clic here for more details about this article) |
6/18. death from colonic disease in epidermolysis bullosa dystrophica.BACKGROUND: Squamous cell carcinomas and renal failure were reported the causes of death in patients with recessive dystrophic epidermolysis bullosa (RDEB). death from colonic disease in epidermolysis bullosa (EB) is never reported. CASE PRESENTATION: We demonstrate a male patient with RDEB. He suffered megacolon due to fecal impaction and died from sigmoid colon perforation with peritonitis at age 35 years. CONCLUSION: constipation is a common clinical feature of RDEB, but fetal complications of chronic constipation are rarely reported. To the author's best knowledge, it has not been reported or recognized in the English literature previously. The aggressive assessment of constipation with fecal impaction is recommended in patients with RDEB.- - - - - - - - - - ranking = 5keywords = colonic (Clic here for more details about this article) |
7/18. Acute renal failure secondary to fecal impaction.A 23-year-old man presented with a massive fecal impaction, and was subsequently found to be in renal failure along with the presence of intraperitoneal free air on x-ray. Following disimpaction, the renal failure rapidly resolved and exploratory laporotomy revealed no colonic perforations. Obstructive renal failure resulting from fecal impaction is a rare but reported complication. In this report acute renal failure is attributed to severe fecal impaction.- - - - - - - - - - ranking = 1keywords = colonic (Clic here for more details about this article) |
8/18. Distal colonic impaction requiring laparotomy in an adult with cystic fibrosis.A sigmoid fecal impaction leading to colonic obstruction in an adult with cystic fibrosis was evacuated at laparotomy by manual compression of the inspissated stool through the rectum. In cystic fibrosis beyond infancy, constipation is a common management problem. intestinal obstruction caused by inspissated stool in the terminal ileum and cecum has been well documented; however, distal colonic obstruction requiring operation has not been previously reported.- - - - - - - - - - ranking = 6keywords = colonic (Clic here for more details about this article) |
9/18. Massive gangrene of the colon--a complication of fecal impaction. Report of a case.A case of extensive gangrene of the colon secondary to fecal impaction is reported. The role of ischemia in the management of colonic obstruction and the pathogenesis and treatment of colonic gangrene are discussed.- - - - - - - - - - ranking = 2keywords = colonic (Clic here for more details about this article) |
10/18. Zonal colonic hypoganglionosis.We report the case of a patient with chronic constipation since birth, a strictured area in the distal sigmoid colon, and histologic findings of localized hypoganglionosis. We have compared this entity (zonal colonic hypoganglionosis) and reviewed the literature of all known cases of zonal colonic aganglionosis and hypoganglionosis.- - - - - - - - - - ranking = 6keywords = colonic (Clic here for more details about this article) |
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