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Never visited STERCORAL COLITIS Certified Random Case
Authored By: MSU Radiology, Jeffry Brace D.O.
History: 79 year old female presented with abdominal pain and constipation.
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Findings: Mild inflammatory change surrounding the rectosigmoid junction where there is a mildly thickened and edematous mucosal wall.  A significant amount of fecal material is seen at this level and is also noted throughout the more proximal portions of the large bowel.  Focal inflammatory change and mucosal wall edema is seen at the rectosigmoid junction likely related to the fecal impaction.  These findings of stercoral colitis may lead to ischemic pressure necrosis and subsequent colonic perforation.    The opacified loops of small and large bowel are otherwise normal in caliber and demonstrate no additional areas of adjacent inflammatory change or mucosal thickening.
DDx:

Fecal impaction.

Diverticulitis.

Stercoral colitis.

Colon carcinoma.

Diagnosis: Fecal impaction with stercoral colitis. 
Specific Discussion: The patient was disimpacted successfully with no perforation.  No ulceration or malignancy was suspected.
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Additional Details:

Case Number: 1746514Last Updated: 06/21/2013
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Anatomy: Gastrointestinal (GI)   Pathology: Non-Infectious Inflammatory Disease
Modality: CTAccess Level: Readable by all users
Contained in: All Public Cases, Inbox
Never visited You are viewing this case for the first time. Case has been viewed 4746 times.
Certified Certified by Gerald Aben on 06/23/2011