Ver el código de «Stercoral colitis»

==Background==
[[File:Diameters of the large intestine.png|thumb|Normal inner diameters of colon sections.]]
*Inflammatory [[colitis]] related to increased intraluminal pressure from [[fecal impaction|impacted fecal material]] in the colon
**Pressure may cause ulceration and ultimately perforation
*Rare condition
*Primarily in elderly, nursing home or young patients with neurological impairment, chronic opioid use

==Clinical Features==
*History of chronic [[constipation]]
*May be asymptomatic or have only mild [[abdominal pain]] at initial stages
*Abdominal pain/tenderness, distension, [[vomiting]] are most common symptoms <ref> Tsai TC, Chao CM. Stercoral colitis. Resuscitation & Intensive Care Med 2017;4:231-232 http://www.tsccm.org.tw/Magazine/Folder/a02_4/N20183712037_14-%BCv%B9%B3-10502-%BD%B2%A9v%A7%D3-231-232.pdf </ref>
*Mortality rate between 32-59% if associated with perforation<ref>Morano C, Sharman T. Stercoral Colitis. [Updated 2022 Jul 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560608/</ref>

==Differential Diagnosis==
{{Constipation DDX}}

==Evaluation==
*CT findings with focal thickening of colonic wall, stranding of pericolonic fat in segment showing fecal impaction, and presence of extraluminal bubbles of gas or abscess <ref> Heffernan C. et al.  Stercoral Colitis Leading to Fatal Peritonitis: CT findings.  American Journal of Roentgenology, 2005. 184(4); 1189-1193. </ref>

==Management==
*Surgical consult 
*May ultimately be treated nonsurgically (e.g. manual disimpaction, enemas) if no evidence of bowel perforation or ischemia

==Disposition==
*Admit

==See Also==
*[[Fecal impaction]]

==External Links==


==References==
<references/>
[[Category:GI]] [[Category:Surgery]]