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Stercoral Perforation of the Colon during Pregnancy: A Case Report and Review of the Literature.

ABSTRACT: Stercoral perforation of the colon, though rare, is associated with high mortality. Review of the literature identified only three prior cases reported during pregnancy. We report a case on a multiparous female presenting at 31 weeks of gestation with acute abdominal pain. Computed tomography suggested a sigmoid colon perforation. An urgent exploratory laparotomy was performed where feculent peritonitis and a stercoral perforation of the sigmoid colon was confirmed. A cesarean delivery and sigmoid colectomy with descending end colostomy was performed. While the newborn had an uncomplicated course, the mother developed an intra-abdominal abscess requiring operative management.

SUBMITTER: Costales AB

PROVIDER: S-EPMC4502617 | biostudies-other | 2015 Apr

REPOSITORIES: biostudies-other

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