Stercolith perforation.

Malik M. Amjad Yasin; Ghazala Nasreen; Farooq Azam Rathore; Sikandar Ali Malik

Author(s)

Malik M. Amjad Yasin Department of General Surgery, Combined Military Hospital, Rawalpindi, Pakistan

Ghazala Nasreen Department of General Surgery, Combined Military Hospital, Rawalpindi, Pakistan

Farooq Azam Rathore Spinal Rehabilitation Unit, Armed Forces Institute of Rehabilitation Medicine, Rawalpindi, Pakistan

Sikandar Ali Malik Department of General Surgery, Combined Military Hospital, Rawalpindi, Pakistan

Abstract

A 62-year-old diabetic bed ridden woman, presented to the emergency department with symptoms suggestive of peritonitis. She had been taking oral laxatives and enemas to relieve her chronic constipation for last 6 years. Hard impacted stools and pelvic tenderness were found on digital rectal examination. Her X-ray abdomen showed soft tissue shadows in the colon but there was no gas under the diaphragm on chest X-ray. Sonography found free fluid in pelvis. She was resuscitated, and her hyperglycemia was controlled by use of regular insulin as per sliding scale. Operative findings revealed free fluid in pelvis and very hard faecalomas lying free in peritoneal cavity. There was a 2 x 3 cm perforation at the anterior wall of the recto-sigmoid junction. Peritoneal toilet was carried out followed by Hartmanns procedure. Histopathology of perforation side showed no evidence of malignancy.

Publication Details

Page(s) 455-457

DOI DOI not available

Published Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 22, Issue: 7, Year: 2012

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