Stercoral Perforation of the Colon With Favorable Pregnancy Outcome

Stercoral Perforation of the Colon With Favorable Pregnancy Outcome

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. A nulliparous female presented at 36 weeks of gestation with fever, tachycardia, and severe a...

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Bibliographic Details
Published in:Obstetrics and gynecology (New York. 1953) Vol. 113; no. 2; pp. 491 - 492
Main Authors: Sung, Joyce F., Salvay, Howard B., Hansman, Matthew F., Taslimi, M Mark
Format: Journal Article
Language:English
Published: Hagerstown, MD by The American College of Obstetricians and Gynecologists 01-02-2009
Lippincott Williams & Wilkins
Subjects:
Biological and medical sciences
Cesarean Section
Colostomy
Fecal Impaction - complications
Female
Gynecology. Andrology. Obstetrics
Humans
Infant, Newborn
Intestinal Perforation - etiology
Medical sciences
Pregnancy
Pregnancy Complications
Pregnancy Trimester, Third
Sigmoid Diseases - etiology
Pregnancy
Prognosis
Colon
Perforation
Obstetrics
Gynecology
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Summary: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. 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. 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.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0029-7844
1873-233X
DOI:10.1097/AOG.0b013e3181834b24