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Stercoral ulcer

MedGen UID:
569024
•Concept ID:
C0333302
•
Disease or Syndrome
Synonyms: Colon ulcer; Recto-sigmoid colon stercoral ulcer; Stercoraceous ulcer
SNOMED CT: Stercoraceous ulcer (38084005); Stercoral ulcer (38084005)
 
HPO: HP:0012425

Definition

An ulcer of the colon due to pressure and irritation from retained fecal masses. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVStercoral ulcer

Professional guidelines

PubMed

Management and prevention of fecal impaction.
Wald A
Curr Gastroenterol Rep 2008 Oct;10(5):499-501. doi: 10.1007/s11894-008-0091-y. PMID: 18799126
Isolated colonic ulcers: diagnosis and management.
Nagar AB
Curr Gastroenterol Rep 2007 Oct;9(5):422-8. doi: 10.1007/s11894-007-0053-9. PMID: 17991345
Use of accurate diagnostic criteria may increase incidence of stercoral perforation of the colon.
Maurer CA, Renzulli P, Mazzucchelli L, Egger B, Seiler CA, Büchler MW
Dis Colon Rectum 2000 Jul;43(7):991-8. doi: 10.1007/BF02237366. PMID: 10910249

Recent clinical studies

Etiology

Intestinal Perforation in Children as an Important Differential Diagnosis of Vascular Ehlers-Danlos Syndrome.
Park KY, Gill KG, Kohler JE
Am J Case Rep 2019 Jul 20;20:1057-1062. doi: 10.12659/AJCR.917245. PMID: 31324749Free PMC Article
Intestinal Perforation in ACTH-Dependent Cushing's Syndrome.
Shahidi M, Phillips RA, Chik CL
Biomed Res Int 2019;2019:9721781. Epub 2019 Mar 13 doi: 10.1155/2019/9721781. PMID: 31001560Free PMC Article
Fecal impaction.
Hussain ZH, Whitehead DA, Lacy BE
Curr Gastroenterol Rep 2014 Sep;16(9):404. doi: 10.1007/s11894-014-0404-2. PMID: 25119877
Rectal stercoral ulcer perforation.
Baltazar G, Sahinoglu S, Betler M, Huynh M, Chendrasekhar A
Am Surg 2012 Dec;78(12):E515-6. PMID: 23265105
Massive hematochezia from a visible vessel within a stercoral ulcer: effective endoscopic therapy.
Knigge KL, Katon RM
Gastrointest Endosc 1997 Oct;46(4):369-70. doi: 10.1016/s0016-5107(97)70130-5. PMID: 9351047

Diagnosis

Dermatomyositis-related intestinal dysmotility.
Loftis C, White R, Dulgheru EC
Mod Rheumatol Case Rep 2022 Jun 24;6(2):189-193. doi: 10.1093/mrcr/rxab043. PMID: 34791372
Gastrointestinal dysfunction in movement disorders.
Sakakibara R
Neurol Sci 2021 Apr;42(4):1355-1365. Epub 2021 Feb 4 doi: 10.1007/s10072-021-05041-4. PMID: 33538914
It Is Not Diverticular Bleeding! A Case of Stercoral Ulcer.
Ahmad AI, Sebastian S, Govindu R, Ammar H
Am J Med 2021 Apr;134(4):e289-e290. Epub 2020 Nov 17 doi: 10.1016/j.amjmed.2020.10.024. PMID: 33217372
Intestinal Perforation in ACTH-Dependent Cushing's Syndrome.
Shahidi M, Phillips RA, Chik CL
Biomed Res Int 2019;2019:9721781. Epub 2019 Mar 13 doi: 10.1155/2019/9721781. PMID: 31001560Free PMC Article
Fecal impaction.
Hussain ZH, Whitehead DA, Lacy BE
Curr Gastroenterol Rep 2014 Sep;16(9):404. doi: 10.1007/s11894-014-0404-2. PMID: 25119877

Therapy

Endoscopic sealing hemostasis with polyglycolic acid sheet and fibrin glue as a novel endoscopic hemostatic technique: a report of three cases.
Korekawa K, Kunimitsu A
Clin J Gastroenterol 2024 Aug;17(4):626-632. Epub 2024 Apr 27 doi: 10.1007/s12328-024-01975-2. PMID: 38678154
Intestinal Perforation in ACTH-Dependent Cushing's Syndrome.
Shahidi M, Phillips RA, Chik CL
Biomed Res Int 2019;2019:9721781. Epub 2019 Mar 13 doi: 10.1155/2019/9721781. PMID: 31001560Free PMC Article
Stercoral colitis complicated with ischemic colitis: a double-edge sword.
Naseer M, Gandhi J, Chams N, Kulairi Z
BMC Gastroenterol 2017 Nov 28;17(1):129. doi: 10.1186/s12876-017-0686-6. PMID: 29179680Free PMC Article

Prognosis

Small Bowel Evisceration Through a Perforated Stercoral Ulcer.
Chopra A, Rothstein A, Mohamed Ahmed A, Pannell S
Am Surg 2023 Jun;89(6):2885-2887. Epub 2022 Feb 5 doi: 10.1177/00031348221075733. PMID: 35128955
Intestinal Perforation in Children as an Important Differential Diagnosis of Vascular Ehlers-Danlos Syndrome.
Park KY, Gill KG, Kohler JE
Am J Case Rep 2019 Jul 20;20:1057-1062. doi: 10.12659/AJCR.917245. PMID: 31324749Free PMC Article
Rectal stercoral ulcer perforation.
Baltazar G, Sahinoglu S, Betler M, Huynh M, Chendrasekhar A
Am Surg 2012 Dec;78(12):E515-6. PMID: 23265105
Massive hematochezia from a visible vessel within a stercoral ulcer: effective endoscopic therapy.
Knigge KL, Katon RM
Gastrointest Endosc 1997 Oct;46(4):369-70. doi: 10.1016/s0016-5107(97)70130-5. PMID: 9351047
Fatal stercoral ulcer perforation: case report.
deJong JL, Cohle SD, Busse F
Am J Forensic Med Pathol 1996 Mar;17(1):58-60. doi: 10.1097/00000433-199603000-00010. PMID: 8838472

Clinical prediction guides

Stercoral ulcer as a cause of lower gastrointestinal (LGI) bleeding in chronic hemodialysis patients.
Saeed F, Kalra A, Kousar N, Pace LA, Holley JL
Clin Nephrol 2012 Jan;77(1):75-8. doi: 10.5414/cn107000. PMID: 22185973

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