PDF(Pubmed)
Abstract：
Stercoral colitis is a rare but serious condition characterized by inflammation of the colonic mucosa due to impacted and hardened faecal material. The word \"stercoral\" means \"related to faeces\". This condition usually develops due to the accumulation of hard stool masses in the colon, which cause localized inflammation and irritation. These faecalomas can exert persistent pressure on the colonic wall, causing damage and inflammation. Stercoral colitis presenting symptoms that mimic acute mesenteric ischemia is a diagnostic challenge for clinicians due to the overlap in clinical manifestations. Changes in bowel habits, bloating, and excruciating abdominal pain are potential manifestations of both illnesses, making it difficult to distinguish between them using clinical presentation. Diagnostic imaging, such as computed tomography scans, significantly discriminates between stercoral colitis and acute mesenteric ischemia. In cases where stercoral colitis mimics acute mesenteric ischemia, a thorough evaluation is essential to rule out vascular compromise. Timely and accurate diagnosis is crucial, as the management strategies for these two conditions differ significantly. Stercoral colitis often requires bowel evacuation and addressing the underlying faecal impaction. Acute mesenteric ischemia demands prompt vascular intervention to restore blood flow and prevent severe complications like bowel infarction. Given the potential overlap in symptoms and the critical importance of distinguishing between stercoral colitis and acute mesenteric ischemia, a multidisciplinary approach involving radiological imaging, clinical expertise, and timely intervention is essential for optimal patient care. This case highlights the importance of considering stercoral colitis when evaluating a patient with an acute abdomen, especially elderly patients with history of constipation.
CONCLUSIONS: Constipation is a common condition that can lead to serious complications, especially in older people, and should be addressed as soon as possible.Early recognition of stercoral colitis and appropriate treatment can prevent critical consequences.Stercoral colitis can induce bowel ischemia, causing acute abdominal pain mimicking acute mesenteric ischemia.
CONCLUSIONS: Constipation is a common condition that can lead to serious complications, especially in older people, and should be addressed as soon as possible.Early recognition of stercoral colitis and appropriate treatment can prevent critical consequences.Stercoral colitis can induce bowel ischemia, causing acute abdominal pain mimicking acute mesenteric ischemia.
摘要：
Stercoral结肠炎是一种罕见但严重的疾病，其特征是由于粪便物质受到冲击和硬化而导致结肠粘膜发炎。“stercoral”一词的意思是“与粪便有关”。这种情况通常是由于结肠中硬便肿块的积累而发展的，引起局部炎症和刺激。这些粪便瘤可以对结肠壁施加持续的压力，造成损伤和炎症。由于临床表现的重叠，表现出类似急性肠系膜缺血的症状的结型结肠炎是临床医生的诊断挑战。排便习惯的改变,腹胀,剧烈的腹痛是这两种疾病的潜在表现，这使得使用临床表现很难区分它们。诊断成像,比如计算机断层扫描,明显区分结型结肠炎和急性肠系膜缺血。在纯珊瑚结肠炎模拟急性肠系膜缺血的情况下，彻底的评估对于排除血管损害至关重要.及时准确的诊断至关重要,因为这两种情况的管理策略差异很大。Stercoral结肠炎通常需要肠排空并解决潜在的粪便嵌塞。急性肠系膜缺血需要提示血管介入以恢复血流并防止严重并发症如肠梗塞。考虑到潜在的症状重叠以及区分结型结肠炎和急性肠系膜缺血的重要性，涉及放射成像的多学科方法，临床专业知识，及时的干预对于优化患者护理至关重要。该病例强调了在评估急腹症患者时考虑考虑结型结肠炎的重要性，尤其是有便秘史的老年患者。
结论：便秘是一种可导致严重并发症的常见病，尤其是老年人，应该尽快解决。早期识别和适当的治疗可以防止严重的后果。Stercoral结肠炎可诱发肠缺血，引起模拟急性肠系膜缺血的急性腹痛。
结论：便秘是一种可导致严重并发症的常见病，尤其是老年人，应该尽快解决。早期识别和适当的治疗可以防止严重的后果。Stercoral结肠炎可诱发肠缺血，引起模拟急性肠系膜缺血的急性腹痛。
