Difference between revisions of "Stercoral colitis"

(Created page with "==Background== ==Clinical Features== ==Differential Diagnosis== ==Evaluation== ==Management== ==Disposition== ==See Also== ==External Links== ==References== <r...")
 
 
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==Background==
 
==Background==
 
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*Inflammatory [[colitis]] related to increased intraluminal pressure from [[fecal impaction|impacted fecal material]] in the colon
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**Pressure may cause ulceration and ultimately perforation
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*Rare condition
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*Primarily in elderly, nursing home or young patients with neurological impairment, chronic opioid use
  
 
==Clinical Features==
 
==Clinical Features==
 
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*History of chronic [[constipation]]
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*May be asymptomatic or have only mild [[abdominal pain]] at initial stages
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*Abdominal pain/tenderness, distension, [[vomiting]] are most common symptoms <ref> Tsai TC, Chao CM. Stercoral colitis. Resuscitation & Intensive Care Med 2017;4:231-232 http://www.tsccm.org.tw/Magazine/Folder/a02_4/N20183712037_14-%BCv%B9%B3-10502-%BD%B2%A9v%A7%D3-231-232.pdf </ref>
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
 
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{{Constipation DDX}}
  
 
==Evaluation==
 
==Evaluation==
 
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*CT findings with focal thickening of colonic wall, stranding of pericolonic fat in segment showing fecal impaction, and presence of extraluminal bubbles of gas or abscess <ref> Heffernan C. et al.  Stercoral Colitis Leading to Fatal Peritonitis: CT findings.  American Journal of Roentgenology, 2005. 184(4); 1189-1193. </ref>
  
 
==Management==
 
==Management==
 
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*Surgical consult
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*May ultimately be treated nonsurgically (e.g. manual disimpaction, enemas) if no evidence of bowel perforation or ischemia
  
 
==Disposition==
 
==Disposition==
 
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*Admit
  
 
==See Also==
 
==See Also==
 
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*[[Fecal impaction]]
  
 
==External Links==
 
==External Links==
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==References==
 
==References==
 
<references/>
 
<references/>
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[[Category:GI]] [[Category:Surgery]]

Latest revision as of 14:45, 8 September 2019

Background

  • Inflammatory colitis related to increased intraluminal pressure from impacted fecal material in the colon
    • Pressure may cause ulceration and ultimately perforation
  • Rare condition
  • Primarily in elderly, nursing home or young patients with neurological impairment, chronic opioid use

Clinical Features

Differential Diagnosis

Constipation

Evaluation

  • CT findings with focal thickening of colonic wall, stranding of pericolonic fat in segment showing fecal impaction, and presence of extraluminal bubbles of gas or abscess [2]

Management

  • Surgical consult
  • May ultimately be treated nonsurgically (e.g. manual disimpaction, enemas) if no evidence of bowel perforation or ischemia

Disposition

  • Admit

See Also

External Links

References

  1. Tsai TC, Chao CM. Stercoral colitis. Resuscitation & Intensive Care Med 2017;4:231-232 http://www.tsccm.org.tw/Magazine/Folder/a02_4/N20183712037_14-%BCv%B9%B3-10502-%BD%B2%A9v%A7%D3-231-232.pdf
  2. Heffernan C. et al. Stercoral Colitis Leading to Fatal Peritonitis: CT findings. American Journal of Roentgenology, 2005. 184(4); 1189-1193.