Maxim Saksonov1, Gil N Bachar, Sara Morgenstern, Abdel-Rauf Zeina, Margarita Vasserman, Orith Protnoy, Ofer Benjaminov. 1. From the *Department of Diagnostic Imaging, Rabin Medical Center, Petah-Tikva; †Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv; ‡Department of Diagnostic Imaging, Hillel Yaffe Medical Center, Hadera; §Department of Diagnostic Imaging, Asaf Harofe Medical Center, Tzrifin; and ∥Department of Diagnostic Imaging, Sheba Tel Hashomer Medical Center, Ramat-Gan, Israel.
Abstract
OBJECTIVE: The aim of this study was to describe the radiographic findings in stercoral colitis. METHODS: The computed tomographic scans and abdominal radiographs of 13 patients with surgically and pathologically confirmed stercoral colitis from 4 affiliated hospitals were reviewed by a board-certified abdominal radiologist blinded to the official imaging, surgical, and pathologic findings. RESULTS: The median age was 66 years. The patients presented mainly with constipation (100%) and an acute inflammatory process (85%); 5 patients (38%) had frank septic shock. Mortality was 46%. Imaging scans showed that the colon dilated proximally to the impaction site in 6 patients (50%). Other findings included fat stranding (100%), mucosal sloughing (58%), mesenteric hyperemia (58%), and extraluminal gas (17%). CONCLUSIONS: Computed tomography is an important diagnostic modality for stercoral colitis. The presence of a large fecaloma with distention of the affected colon and wall thickening and pericolonic fat stranding should alert radiologists and surgeons to the presence of this potentially fatal condition.
OBJECTIVE: The aim of this study was to describe the radiographic findings in stercoral colitis. METHODS: The computed tomographic scans and abdominal radiographs of 13 patients with surgically and pathologically confirmed stercoral colitis from 4 affiliated hospitals were reviewed by a board-certified abdominal radiologist blinded to the official imaging, surgical, and pathologic findings. RESULTS: The median age was 66 years. The patients presented mainly with constipation (100%) and an acute inflammatory process (85%); 5 patients (38%) had frank septic shock. Mortality was 46%. Imaging scans showed that the colon dilated proximally to the impaction site in 6 patients (50%). Other findings included fat stranding (100%), mucosal sloughing (58%), mesenteric hyperemia (58%), and extraluminal gas (17%). CONCLUSIONS: Computed tomography is an important diagnostic modality for stercoral colitis. The presence of a large fecaloma with distention of the affected colon and wall thickening and pericolonic fat stranding should alert radiologists and surgeons to the presence of this potentially fatal condition.
Authors: A Jaber; S Hemmer; R Klotz; T Ferbert; C Hensel; C Eisner; Y M Ryang; P Obid; K Friedrich; W Pepke; M Akbar Journal: Orthopade Date: 2021-06 Impact factor: 1.087