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KMID : 0385920150260010103
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Journal of the Korean Society of Emergency Medicine
2015 Volume.26 No. 1 p.103 ~ p.106
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Have You Ever Suspected Stercoral Perforation? : A Case Report
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Cho Young-Shin
Jung Chang-Hyuk
Jang Hye-Young
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Abstract
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Diagnosis and management of abdominal pain in old age is considered a challenge to emergency physicians. Stercoral perforation is an infrequent event, which most commonly develops in old age. We report on a case of stercoral perfo-ration in an elderly woman, which, to the best of our knowledge, is one of a few reported cases in the medical litera-ture. A 74-year-old woman who presented at our emer-gency department complaining of lower abdominal pain was found to have a perforation of the colon. Examination revealed a stercoral perforation by fecaloma. She under-went Hartman`s operation and colostomy. Stercoral perfora-tion is rare; however, emergency physicians should consid-er this disease entity in elderly patients with abdominal pain.
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KEYWORD
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Intestinal perforation, Colon, Peritonitis
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