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English Journal

Stercoral Perforation of the Colon: A Potentially Fatal Complication of Opioid-Induced Constipation.

Davies A1, Webber K2.
Journal of pain and symptom management.J Pain Symptom Manage.2015 Aug;50(2):260-2. doi: 10.1016/j.jpainsymman.2015.02.019. Epub 2015 Apr 3.
Stercoral perforation of the colon is a rare complication of constipation, and there have only been a few reported cases of stercoral perforation of the colon secondary to opioid-induced constipation. This article describes such a case in a cancer survivor with chronic cancer-related pain and review
PMID 25847850

Stercoral Colitis in Two Young Psychiatric Patients Presenting with Abdominal Pain.

Canders CP1, Shing R1, Rouhani A2.
The Journal of emergency medicine.J Emerg Med.2015 Jul 2. pii: S0736-4679(15)00373-X. doi: 10.1016/j.jemermed.2015.04.026. [Epub ahead of print]
BACKGROUND: Fewer than 150 cases of stercoral colitis have been reported in the literature. Stercoral colitis develops when feces impacts in the colon, resulting in increased luminal pressure, colon wall ulceration, and an inflammatory colitis. Patients are typically over the age of 60 years and hav
PMID 26145886

Majtan P, Neumann J, Kocián P, Hoch J.
Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti.Rozhl Chir.2015 May;94(5):199-203.
INTRODUCTION: Peritonitis is a life-threatening disease with high mortality and morbidity. The prognosis depends on patient factors, the nature of the disease, and on diagnostic and therapeutic methods. The goal of our study was to perform a retrospective analysis of a group of patients with seconda
PMID 26112685

松永篤志,浦上秀次郎,石志紘,島田敦,大石崇,磯部陽
日本腹部救急医学会雑誌 34(8), 1485-1488, 2014
症例は48歳，男性。特に既往歴はなく，排便習慣も良好であったが，2日前よりの便秘症状を認め，突然下腹部を中心とした腹痛で搬送された。精査の結果，S状結腸穿孔による汎発性腹膜炎を疑い緊急開腹術を施行した。S状結腸に約10mm大の穿孔を認め，同部には便塊が貯留しており，泥状便が腹腔内に流出していた。穿孔部を含めてS状結腸を切除し，口側に単孔式の人工肛門造設を行った。術後エンドトキシン吸着療法を必要とし …
NAID 130005062572

今裕史
日本腹部救急医学会雑誌 34(7), 1405-1408, 2014
症例は84歳の女性。末期腎不全のため他院で11ヵ月前より外来維持透析を受けていたが腹痛，嘔吐を主訴に当院救急外来受診し入院となった。翌日，白血球数，CRPが著増したため腹部CTを施行，横行結腸の宿便と腹腔内遊離ガス，腸管外の便塊を疑わせる所見を認めたため宿便性大腸穿孔の疑いで緊急手術を行った。術前に穿孔部の同定が困難であったため，まず，臍部より腹腔鏡を挿入し腹腔内を観察したところ，横行結腸脾彎曲部 …
NAID 130004890956