Three patients died long after the hospital discharge due to reasons unrelated to
stercoral colitis (i.e., myocardial infarction, pulmonary failure, and pressure ulcers due to bedridden condition).
Buildup of semisolid fecal material above the level of the balloon may also contribute towards pressure necrosis, a mechanism similar to
stercoral perforation caused by fecal impaction in severely constipated patients [18].
The other common causes of LGIH are ischemic colitis, postpolypectomy bleeding, hemorrhoids, and
stercoral ulcer.
Rectal ulcer has the following differential diagnoses: Radiation rectal ulceration, solitary rectal ulcer syndrome, ischemic proctitis,
stercoral ulcer, and rectal ulcers secondary to treatment with nonsteroidal compounds.
(2)
Stercoral ulceration and perforation due to pressure necrosis from a hard, inspissated fecal mass is an uncommon but life-threatening complication requiring resection of the affected colonic segment?
Stercoral Perforation of the Sigmoid Colon in a Patient Undergoing CAPD: Case Report Peritoneal Dialysis International, 24(4), 399-404.
Idiopathic perforation should be in absence of trauma or Valsalva maneuver5,6, and
stercoral perforation may feature chronic constipation and hard stools as part of its cause.7 Our patient did not have any risk factors causing idiopathic perforation and
stercoral perforation noted in previous publications.
Stercoral perforation of the colon is caused by progressive ischemic necrosis of the bowel wall by a faecal mass.
Stercoral Perforation in a pregnant patient is an extremely rare surgical emergency seldom mentioned in the literature.
In the colon, solid bowel contents lead to
stercoral ulceration with resultant exposure of the abnormal artery and hemorrhage.
Spiders possess a large
stercoral pocket (cloacal chamber) with a muscular sphincter that allows them to store large amounts of excreta (Seitz 1987).