Stercoral colitis

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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

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

Management

Disposition

See Also

External Links

References