A Case Report of Stercoraceous Perforation of the Cecum due to Scybalum

• Main Authors: HR Khorshidi, M Sattari
• Format: Article
• Language: fas
• Published: Yasuj University Of Medical Sciences 2006-10-01
• Series: Armaghane Danesh Bimonthly Journal
• Subjects: Keywords :Colon Perforation; Scybalum; Stercoral Perforation
• Online Access: http://armaghanj.yums.ac.ir/browse.php?a_code=A-10-39-101&slc_lang=en&sid=1
• ISSN: 1728-6506; 1728-6514

ABSTRACT: Introduction & Objective: Non-traumatic colon perforations are usually caused by malignancy, diverticulum and colitis. Stercoraceous perforation of the colon has rarely been reported in the literature. This lesion is assumed to be produced by the pressure from a hard scybalum resulting in a perforated ulcer with necrotic edges. We report a case of stercoraceous perforation of the cecum due to scybalum. Case: We report a 50-year-old man who had a severe abdominal pain from 3 days ago and had peritonitis in physical exam. He was admitted in Mars, 2005 at Mobasher Kashani Hospital in Hamadan and he was parapelegic from 8 months ago due to trauma in his medical history and then he had severe and chronic constipation that necessitated the use of cathartic drugs. We operated him with diagnosis of peritonitis, and perforation of cecum due to scybalum was seen and right hemicolectomy and colostomy and ileostomy was done. Conclusion: The most common site of colon perforation due to scybalum is rectosigmoid area and cecal perforation is a rare area in the literature. It is presented with peritonitis in old patients that have chronic constipation. It is difficult to diagnose this lesion preoperatively. This lesion was only 11% correctly diagnosed before operation and should be always suspected when a patient with chronic constipation suffers from sudden abdominal pain. Resection and colostomy is the treatment of choice in most situations.