Document Detail

Stercoral perforation of the colon with favorable pregnancy outcome.
MedLine Citation:
PMID:  19155931     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Stercoral perforation of the colon is a rarely reported disease with high mortality rate. Our literature review identified one prior case reported during pregnancy, with mortality in both mother and infant. CASE: A nulliparous female presented at 36 weeks of gestation with fever, tachycardia, and severe abdominal pain. She delivered by cesarean when purulent ascites and stercoral perforation of the sigmoid colon were discovered. After a sigmoid resection with end colostomy, she and her infant recovered uneventfully. CONCLUSION: Stercoral perforation of the colon is rare in pregnancy. Prompt surgical treatment is necessary. Surgical exploration may be warranted in the pregnant patient with unexplained abdominal pain.
Joyce F Sung; Howard B Salvay; Matthew F Hansman; M Mark Taslimi
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  113     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-01-21     Completed Date:  2009-02-23     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  491-2     Citation Subset:  AIM; IM    
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Stanford University, Stanford, California, USA.
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MeSH Terms
Cesarean Section*
Fecal Impaction / complications*
Infant, Newborn
Intestinal Perforation / etiology*
Pregnancy Complications*
Pregnancy Trimester, Third
Sigmoid Diseases / etiology*

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