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Stercoraceous perforation of the sigmoid 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. Two cases of stercoraceous perforation of the sigmoid colon are presented in this paper. It is difficult to diagnose this lesion preoperatively, although ultrasonograms proved useful in showing the colon perforation. This lesion should always be suspected when a patient who has had chronic constipation presents with sudden severe abdominal pain. It is possible that this lesion is becoming more common as the mean age of the population increases and we stress the importance of immediate surgery and intensive care for improving the prognosis.
S Murakami, and
H Kawahara, and
K Kozima, and
H Tei, and
S Yasuda, and
T Nakamura, and
Y Mishima
January 1975,
Diseases of the colon and rectum,
S Murakami, and
H Kawahara, and
K Kozima, and
H Tei, and
S Yasuda, and
T Nakamura, and
Y Mishima
September 1975,
Diseases of the colon and rectum,
S Murakami, and
H Kawahara, and
K Kozima, and
H Tei, and
S Yasuda, and
T Nakamura, and
Y Mishima
January 1969,
Acta chirurgica Scandinavica,
S Murakami, and
H Kawahara, and
K Kozima, and
H Tei, and
S Yasuda, and
T Nakamura, and
Y Mishima
May 1989,
Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association,
S Murakami, and
H Kawahara, and
K Kozima, and
H Tei, and
S Yasuda, and
T Nakamura, and
Y Mishima
August 1972,
The Surgical clinics of North America,
S Murakami, and
H Kawahara, and
K Kozima, and
H Tei, and
S Yasuda, and
T Nakamura, and
Y Mishima
October 1979,
Southern medical journal,
S Murakami, and
H Kawahara, and
K Kozima, and
H Tei, and
S Yasuda, and
T Nakamura, and
Y Mishima
March 1977,
The American surgeon,
S Murakami, and
H Kawahara, and
K Kozima, and
H Tei, and
S Yasuda, and
T Nakamura, and
Y Mishima
April 1983,
Diseases of the colon and rectum,
S Murakami, and
H Kawahara, and
K Kozima, and
H Tei, and
S Yasuda, and
T Nakamura, and
Y Mishima
January 1989,
Southern medical journal,
S Murakami, and
H Kawahara, and
K Kozima, and
H Tei, and
S Yasuda, and
T Nakamura, and
Y Mishima
August 1965,
The Journal of the Maine Medical Association,
