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J Korean Soc Emerg Med > Volume 26(1); 2015 > Article
Journal of The Korean Society of Emergency Medicine 2015;26(1): 103-106.
Have You Ever Suspected Stercoral Perforation?: A Case Report
Young Shin Cho, Chang Hyuk Jung, Hye Young Jang
Department of Emergency Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea. emedhy@schmc.ac.kr
Diagnosis and management of abdominal pain in old age is considered a challenge to emergency physicians. Stercoral perforation is an infrequent event, which most commonly develops in old age. We report on a case of stercoral perforation in an elderly woman, which, to the best of our knowledge, is one of a few reported cases in the medical literature. A 74-year-old woman who presented at our emergency department complaining of lower abdominal pain was found to have a perforation of the colon. Examination revealed a stercoral perforation by fecaloma. She underwent Hartman's operation and colostomy. Stercoral perforation is rare; however, emergency physicians should consider this disease entity in elderly patients with abdominal pain.
Key words: Intestinal perforation, Colon, Peritonitis
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