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Stercoral colitis refers to a condition where the presence of impacted feces in the colonic lumen is associated with inflammation and distention of the affected colon segment To describe and update stercoral colitis clinical risk factors, relative frequency, location, and ct imaging features correlated with surgical and pathological results. It is seen primarily in elderly patients (often bedbound as a consequence of dementia, stroke, or orthopedic surgery).
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Imaging, especially ct, plays a vital role in the diagnosis of stercoral colitis, demonstrating hallmark features such as fecal impaction and a large colorectal stool burden. A retrospective review of presentation, management, and outcomes significant morbidity and mortality associated with fecal impaction in patients who present to the emergency department Stercoral colitis occurs when a patient has chronic constipation leading to stagnation of fecal matter
This leads to an increase in volume, impaction, and eventual deformation of the colon.
Ct showed colonic distention, mural thickening, and perirec. Distinguishing mild cases of stercoral colitis from uncomplicated faecal impaction can be challenging In case of uncomplicated faecal impaction, the colon diameter is distended while the wall appears thin. This can ultimately lead to rupture due to ischemia, necrosis and ulceration
It primarily occurs in elderly or bedbound patients with chronic constipation. Stercoral colitis is an inflammatory process involving the colonic wall related to fecal impaction Our purpose was to describe the imaging findings of stercoral colitis and ulceration and to emphasize the potential serious clinical implications of the condition. Ct is the primary imaging modality to aid in diagnosing stercoral colitis and its potential complications
Identification of fecal impaction is essential for diagnosis
Inflammatory changes such as wall thickening and fat stranding typically are associated with the area affected by fecal impaction. Review of imaging features and complications stercoral colitis in the emergency department
