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Case Report
A rare occurrence of road accident: Stercoral colonic perforation
1 Radiology Department, Mohamed the Fifth Military Instruction Hospital, Mohamed V University, Rabat, Morocco
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Ayouche Othman
Radiology Department, Mohamed the Fifth Military Instruction Hospital, Mohamed V University, Rabat,
Morocco
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Article ID: 101251Z01AO2021
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Othman A, Zakariya T, Edderai M, Boumdin H, Ennouali H, EL Fenni J. A rare occurrence of road accident: Stercoral colonic perforation. Int J Case Rep Images 2021;12:101251Z01AO2021.ABSTRACT
Introduction: Stercoral perforation of the colon is a rare complication of road accidents, it constitutes a surgical emergency, of which the prognosis, often gloomy, depends on the terrain and the speed of treatment. We report the case of a stercoral perforation of the colon that occurred in a 25-year-old patient whose diagnosis was made preoperatively on computed tomography (CT) and we try to recall the pathophysiology, clinical characteristics, and therapeutic modalities of this entity.
Case Report: We present the case of a 25-year-old patient, with a history of chronic smoking, consulted in the emergency department for a sub-occlusive syndrome evolving for less than 24 hours. An abdominal CT was conducted: The diagnosis of stercoral colonic perforation was retained. Due to the development of hypovolemic shock, the decision was to do a laparotomy with peritoneal lavage with colonic resection followed by an ostomy of the proximal segment and drainage of the abdominal cavity. The evolution was characterized by the discharge of the patient seven days after.
Conclusion: Stercoral perforation of the colon is a rare complication of abdominal trauma. The diagnosis, often difficult and delayed, must be known by all physicians caring working in trauma centers. Stercoral perforation of the colon is a surgical emergency, the prognosis of which, often poor, depends on the terrain and the speed of treatment.
Keywords: Colon, CT, Perforation, Road accident, Stercoral peritonitis
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Author Contributions
Ayouche Othman - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Toufga Zakariya - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Meriem Edderai - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Hassan Boumdin - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Hassan Ennouali - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Jamal EL Fenni - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Ayouche Othman et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
