Stercoral colitis

Revision as of 14:45, 8 September 2019 by ClaireLewis (talk | contribs)


  • 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



  • 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]


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


  • Admit

See Also

External Links


  1. Tsai TC, Chao CM. Stercoral colitis. Resuscitation & Intensive Care Med 2017;4:231-232
  2. Heffernan C. et al. Stercoral Colitis Leading to Fatal Peritonitis: CT findings. American Journal of Roentgenology, 2005. 184(4); 1189-1193.