Stercoral Perforation of the Sigmoid Colon with Faecal Peritonitis: Report of Two Cases

Full Article

CH Lam, LW Lo, KF Ma, LK Chan

Hong Kong J Radiol 2013;16:293-5

DOI: 10.12809/hkjr1312121

Stercoral colonic perforation is one of the causes of ‘spontaneous’ colonic perforation. Stercoral colonic perforation is well reported in the surgical and gastroenterology literature, yet little has been published in the radiology literature. This report describes two patients with stercoral perforation of the sigmoid colon and faecal peritonitis. The aetiology, pathophysiology, and imaging findings of this rare, but fatal, condition are reviewed.

 

中文摘要

乙狀結腸糞性穿孔伴糞便性腹膜炎:兩宗病例報告

林卓恆、羅麗雲、馬嘉輝、陳立堅

結腸糞性穿孔是結腸自發性穿孔的病因之一。外科和胃腸病學文獻已對結腸糞性穿孔充分報道,但放射學文獻極少發表該病。本文報告兩宗乙狀結腸糞性穿孔伴糞便性腹膜炎的病例;並回顧這種罕見致命病症的病因學、病理生理學和影像學表現。