Shruti Jeyakumar¹, Raseeka Subramanian¹, Keshavi Mehta¹, Sanjay Chatterjee²* and Gajanan Rodge³

¹Postgraduate Student, Department oF General Surgery, Bombay Hospital, New Marine Lines, Mumbai, Maharashtra, India
²Assistant Professor, Maharashtra University of Health Sciences, Nashik Postgraduate Teacher, Bombay Hospital Institute of Medical Sciences, Mumbai, India
³DNB Medicine, DrNB Gastroenterology, MNAMS, MACG (USA), Consultant Gastroenterologist, Bombay Hospital and Institute of Medical Sciences, India

*Corresponding Author: Sanjay Chatterjee, Assistant Professor, Maharashtra University of Health Sciences, Nashik Postgraduate Teacher, Bombay Hospital Institute of Medical Sciences, Mumbai, India.

Received: April 11, 2025; Published:April 30, 2025

Abstract

Stecoral ulcer perforation is a rare but life-threatening complication of stercoral colitis, with the mortality rate as high as 35%. Early diagnosis and prompt surgical intervention is the key to a favourable prognosis. To the best of our knowledge, there have been only 2 reported cases of recurrent stercoral ulcer perforation proximal to an end colostomy created for management of the initial stercoral ulcer perforation. High grade of suspicion for its recurrence in the postoperative period along with excision of the entire affected segment, clearance of the proximal loaded colon during and appropriate management of chronic constipation is the accepted modality of treatment for this condition.

Keywords: Postoperative; Stercoral Ulcer; Stercoral Colitis

References

1. Berry J. “Dilatation and rupture of sigmoid flexure short report”. British Medical Journal 1 (1894):
2. Naseer M., et al. “Stercoral colitis complicated with ischemic colitis: a double-edge sword”. BMC Gastroenterology1 (2017): 129.
3. Maurer CA., et al. “Use of accurate diagnostic criteria may increase incidence of stercoral perforation of the colon”. Diseases of the Colon and Rectum 7 (2000): 991-998.
4. Raman SP., et al. “MDCT and CT angiography evaluation of rectal bleeding: the role of volume visualization”. American Journal of Roentgenology 3 (2013): 589-597.
5. Kim YW., et al. “Stercoral perforation of the colon in sigmoid colostomy patients: Two case reports”. International Journal of Surgery Case Reports 11 (2013): 1038-1040.
6. Kataoka J., et al. “Successful multi-stage treatment of stoma limb perforation following Hartmann's operation report a case”. Surgical Case Reports 1 (2020): 102.
7. Serpell JW., et al. “Stercoral perforation of the colon proximal to an end colostomy”. Postgraduate Medical Journal 785 (1991): 299-300.
8. Heffernan C., et al. “Stercoral colitis leading to fatal peritonitis: CT findings”. American Journal of Roentgenology 4 (2005): 1189-1193.
9. Ünal E., et al. “Stercoral colitis: diagnostic value of CT findings”. Diagnostic and Interventional Radiology 1 (2017): 5-9.
10. Bhatt VR., et al. “Perforation in a patient with stercoral colitis and diverticulosis: who did it?” Journal of Community Hospital Internal Medicine Perspectives 1 (2014).v
11. Canders Caleb P., et al. “Stercoral Colitis in Two Young Psychiatric Patients Presenting with Abdominal Pain”. Journal of Emergency Medicine4 (2006): e99-e103.
12. Ünal E., et al. “Stercoral colitis: diagnostic value of CT findings”. Diagnostic and Interventional Radiology 1 (2017): 5-9.
13. Huttunen R., et al. “Stercoraceous and idiopathic perforations of the colon”. Surgery, Gynecology and Obstetrics 5 (1975): 756-760.
14. Guyton DP., et al. “Stercoral perforation of the colon. Concepts of operative management”. The American Surgeon 9 (1985): 520-252.
15. Durrans D., et al. “Stercoral perforation of the colon”. British Journal of Surgery 9 (1991): 1148.
16. N M Koruth., et al. “Intra-operative colonic irrigation in the management of left-sided large bowel emergencies”. British Journal of Surgery9 (1985): 708-711.
17. Huang WS., et al. “Management of patients with stercoral perforation of the sigmoid colon: report of five cases”. World Journal of Gastroenterology 3 (2006): 500-503.

Citation

Citation: Sanjay Chatterjee., et al. “Case Report: Postoperative Recurrent Stercoral Ulcer - Management and Prevention".Acta Scientific Gastrointestinal Disorders 8.5 (2025): 46-49.

Copyright

Copyright: © 2025 Sanjay Chatterjee., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.