College
School of Osteopathic Medicine
Keywords
case reports, constipation, colitis, Respiratory Insufficiency
Date of Presentation
5-6-2021 12:00 AM
Poster Abstract
Constipation is an extremely common chief complaint in the emergency department, contributing to approximately 700,000 emergency department visits in 2011. Severe constipation can result in stercoral colitis, which in turn can lead to development of ulceration and colonic perforation leading to fatal peritonitis. As a result, prompt recognition and treatment of this condition with bowel cleansing and fecal disimpaction are often recommended. Here, we will discuss a case of a 62-year-old male with a history of schizoaffective disorder who came into the Emergency Department (ED) hypotensive with stercoral colitis secondary to severe constipation. Following bedside fecal disimpaction, the patient developed sudden respiratory failure and required emergent intubation.
Disciplines
Digestive System Diseases | Emergency Medicine | Gastroenterology | Medicine and Health Sciences | Pathological Conditions, Signs and Symptoms
Included in
Digestive System Diseases Commons, Emergency Medicine Commons, Gastroenterology Commons, Pathological Conditions, Signs and Symptoms Commons
Stercoral Colitis Leading to Hypotension and IVC Syndrome with Respiratory Failure Following Fecal Disimpaction
Constipation is an extremely common chief complaint in the emergency department, contributing to approximately 700,000 emergency department visits in 2011. Severe constipation can result in stercoral colitis, which in turn can lead to development of ulceration and colonic perforation leading to fatal peritonitis. As a result, prompt recognition and treatment of this condition with bowel cleansing and fecal disimpaction are often recommended. Here, we will discuss a case of a 62-year-old male with a history of schizoaffective disorder who came into the Emergency Department (ED) hypotensive with stercoral colitis secondary to severe constipation. Following bedside fecal disimpaction, the patient developed sudden respiratory failure and required emergent intubation.
