Date of Presentation
5-4-2023 12:00 AM
College
School of Osteopathic Medicine
Poster Abstract
Stercoral colitis is a form of colitis caused by fecal impaction distending the colon and causing fecaloma formation. Fecalomas lead to pressure necrosis of the colon and eventual perforation. The increased intraluminal pressure from the distention of the colon causes vascular compromise and ischemia. The most common locations of necrosis are in the sigmoid colon and rectum . When progressed to perforation, the mortality rate is as high as 60%. The most common cases of stercoral colitis occur in nursing home patients, mentally impaired patients, or those with chronic constipation. Here we describe an unusual case of stercoral colitis causing septic shock, provoked by opioids.
Keywords
Colitis, Stercoral Colitis, Fecaloma, Septic Shock, Sepsis, Fecal Impaction, Case Reports, Constipation
Disciplines
Bacterial Infections and Mycoses | Digestive System Diseases | Emergency Medicine | Gastroenterology | Medicine and Health Sciences | Pathological Conditions, Signs and Symptoms
Document Type
Poster
Included in
Bacterial Infections and Mycoses Commons, Digestive System Diseases Commons, Emergency Medicine Commons, Gastroenterology Commons, Pathological Conditions, Signs and Symptoms Commons
When Constipation Becomes Lethal: Septic Shock Induced by Stercoral Colitis In A 77-Year-Old Female
Stercoral colitis is a form of colitis caused by fecal impaction distending the colon and causing fecaloma formation. Fecalomas lead to pressure necrosis of the colon and eventual perforation. The increased intraluminal pressure from the distention of the colon causes vascular compromise and ischemia. The most common locations of necrosis are in the sigmoid colon and rectum . When progressed to perforation, the mortality rate is as high as 60%. The most common cases of stercoral colitis occur in nursing home patients, mentally impaired patients, or those with chronic constipation. Here we describe an unusual case of stercoral colitis causing septic shock, provoked by opioids.