Brakinos African Journal of Urology. The etiology of dtercorale was cancer in nine patients, ruptured diverticulitis in five, iatrogenic colon perforation related to colonoscopy procedure in two, one patient with traumatic colon perforation, and the other five patients were diagnosed as stercoral perforation which fit the diagnostic criterion proposed by Maurer et al[ 3 ]. Stercoral perforation of the colon is tsercorale aggravating condition following successive bowel wall ischemic necrosis by fecal mass[ 3 ], stercorwle dictates a rather poor clinical outcome in sercorale with a compromised general condition[ 45 ]. In this series of patients perforation was only found in the anti-mesenteric margin of the sigmoid colon and not in other colonic site. Stercoral perforation of the colon was very rare for it was first described in and less than 90 cases have been reported in the literature till date.
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In order to give access to information published in or related to Africa and to encourage local publishing. African Journal of Urology. All patients received broad-spectrum intravenous antibiotics and nutritional support for the duration of their hospital stay. Stercoral perforation of the colon is not purely a surgical condition as it is usually complicated by a medical illness such as a superimposed immuno-compromised state which imparts a poor prognosis.
Management of patients with stercoral perforation of the sigmoid colon: Report of five cases All perforation sites were found to be located at the antimesenteric part of the sigmoid colon with perforations ranging in size from 2 to 5 cm.
Table 2 Perioperative data of patients with stercoral perforation of the colon. Broad spectrum antibiotics were initiated in all the patients after hospital admission for polymicrobial peritoneal cavity contamination resulting from intestinal perforation[ 11 stercorape.
Principles and Practice of Infectious Diseases. Management of patients with stercoral perforation of the sigmoid colon: Report of five cases To examine the usefulness of smoothelin — a new immunohistochemical IHC marker that is expressed predominantly in visceral smooth muscle — in recognizing muscularis propria MP in transurethral resection TUR and matched cystectomy specimens and to compare thepattern of its expression in muscularis mucosae MM and MP in radical cystectomy specimens.
After a median follow up of 43 months; 91of the patients were dry or fisthle pad per day. Abstract To our knowledge, stercoral perforation of the colon is rarely seen with fewer than 90 cases reported in the literature till date. The single mortality in this series differed from the other four cases in the reduced amount of peritoneal lavage received due to intraoperative hypothermia.
The main drawback of using the vaginal wall as a sling is its tendency to weaken and stretch over the course of years. Access to the text HTML. Top of the page — Article Outline. Stercoral perforation of the colon is an aggravating condition following successive bowel wall ischemic necrosis by fecal mass[ 3 ], and dictates a rather poor clinical outcome in patients with a compromised general condition[ 45 ].
It could offer a durable and effective option for the treatment of SUI in patients who can not afford synthetic tapes. This paper reports the mode of presentation; challenges and outcome of management of adult patients with undescended testis. There are several reasons why the perforation sites are located in the antimesenteric fisutle and in the sigmoid colon: Colon lavage was also performed as permitted by the proximity of the lesion.
Le traitement a consiste en une lithotritie balistique du calcul avec extraction du sterilet par voie endoscopique chez 4 patientes et extraction chirurgicale chez une seule. Stercoral perforation of the sigmoid colon.
The vaginal mucosal surface of the flap is cauterized and two diagonal sutures are placed across it. La migration intravesicale du dispositif intra-uterin DIU par perforation uterine est une complication rare.
Effects of diet, age, and periodic sampling on numbers of fecal microorganisms in man. Nevertheless, stercoral ulceration of colonic mucosa does not always occur among constipation cases, and not every stercoral ulceration results in colon perforation. We concur with this point of view based on the findings during intraoperative colonoscopy in our series and recommend removing pathologically altered or dilated colon segments to prevent another episode of colon stercoral perforation.
The advantage of performing this procedure resides in the possibility of performing a simple closure of the colostomy fostule the future. Migration intravesicale du dispositif intra-uterin a propos de cinq cas. Concepts of operative management. Related Posts.
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