Stercoral colitis: Difference between revisions
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*Rare condition, inflammatory colitis related to increased intraluminal pressure from impacted fecal material in the colon | *Rare condition, inflammatory colitis related to increased intraluminal pressure from impacted fecal material in the colon | ||
*Pressure may occur with ulceration resulting in perforation | *Pressure may occur with ulceration resulting in perforation | ||
*Primarily in elderly, nursing home or young patients with neurological impairment | |||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 04:30, 16 August 2019
Background
- Rare condition, inflammatory colitis related to increased intraluminal pressure from impacted fecal material in the colon
- Pressure may occur with ulceration resulting in perforation
- Primarily in elderly, nursing home or young patients with neurological impairment
Clinical Features
Differential Diagnosis
Constipation
- Behavioral-related
- Lack of exercise
- Diet-related
- Fecal impaction
- Diverticulitis
- Bowel obstruction
- Small bowel obstruction
- Large bowel obstruction
- Malignant bowel obstruction
- Specific causes: tumor, stricture, hernia, adhesion, volvulus
- Painful anorectal disorders (e.g. anal fissure, hemorrhoids)
- Medical causes
- Hypothyroidism
- Electrolytes
- Hypokalemia
- Medication-related
- Opiods, antipsychotics, anticholinergics, antacid, antihistamines
- Constipation (peds)