Giant faecaloma causing perforation of the rectum presented as a subcutaneous emphysema, pneumoperitoneum and pneumomediastinum: a case report.
Eur J Emerg Med
; 14(6): 351-3, 2007 Dec.
Article
in En
| MEDLINE
| ID: mdl-17968202
ABSTRACT
Constipation with faecal impaction is a common condition, which may lead to serious potential complications. Among such complications, stercoral perforation has been rarely reported in the literature. We report a single case of 75-year-old woman, with a massive faecal impaction, which resulted in a rectum perforation, presented as a pneumoperitoneum, pneumomediastinum and subcutaneous emphysema. We present this case to remind physicians that neglected accumulation of faecal matter in the rectum may lead to ischemia and perforation of the colon and rectum. This case illustrates that severe chronic constipation requires adequate management, including disimpaction and aggressive medical treatment. Appropriate operative treatment may be life-saving.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pneumoperitoneum
/
Rectum
/
Subcutaneous Emphysema
/
Constipation
/
Fecal Impaction
/
Intestinal Perforation
/
Mediastinal Emphysema
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Risk_factors_studies
Limits:
Aged
/
Female
/
Humans
Language:
En
Journal:
Eur J Emerg Med
Journal subject:
MEDICINA DE EMERGENCIA
Year:
2007
Document type:
Article
Affiliation country: