Stercoral perforation of the colon during pregnancy
A 39‐year‐old Japanese woman was referred to our hospital for severe abdominal pain at 22 weeks and 2 days of gestation. Abdominal computed tomography (CT) suggested perforation of the gastrointestinal tract and emergency surgery was conducted. There was a fibrous adhesion between an enlarged uterus...
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| Veröffentlicht in: | The journal of obstetrics and gynaecology research 2011-11, Vol.37 (11), p.1685-1688 |
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| container_title | The journal of obstetrics and gynaecology research |
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| creator | Matsushita, Tomoko Yumoto, Yasuo Fukushima, Kotaro Hojo, Satoshi Ohishi, Yoshihiro Inoue, Shigetaka Wake, Norio |
| description | A 39‐year‐old Japanese woman was referred to our hospital for severe abdominal pain at 22 weeks and 2 days of gestation. Abdominal computed tomography (CT) suggested perforation of the gastrointestinal tract and emergency surgery was conducted. There was a fibrous adhesion between an enlarged uterus and the sigmoid colon. There was a 5.0‐cm perforation near the adhesion in the posterior wall of the sigmoid colon. We performed a partial resection of the sigmoid colon and Hartmann's procedure with copious intraperitoneal lavage. Five hours following the laparotomy, uterine contractions could not be controlled and the patient delivered vaginally. The neonate died almost immediately after delivery. We conclude that although stercoral bowel perforation is rare, poor prognosis after perforation emphasizes the need to carry out a CT scan for patients who present with undiagnosed severe abdominal pain and compatible medical history, even if the patient is pregnant. |
| doi_str_mv | 10.1111/j.1447-0756.2011.01550.x |
| format | Article |
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Abdominal computed tomography (CT) suggested perforation of the gastrointestinal tract and emergency surgery was conducted. There was a fibrous adhesion between an enlarged uterus and the sigmoid colon. There was a 5.0‐cm perforation near the adhesion in the posterior wall of the sigmoid colon. We performed a partial resection of the sigmoid colon and Hartmann's procedure with copious intraperitoneal lavage. Five hours following the laparotomy, uterine contractions could not be controlled and the patient delivered vaginally. The neonate died almost immediately after delivery. We conclude that although stercoral bowel perforation is rare, poor prognosis after perforation emphasizes the need to carry out a CT scan for patients who present with undiagnosed severe abdominal pain and compatible medical history, even if the patient is pregnant.</description><identifier>ISSN: 1341-8076</identifier><identifier>EISSN: 1447-0756</identifier><identifier>DOI: 10.1111/j.1447-0756.2011.01550.x</identifier><identifier>PMID: 21599809</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adult ; Colon, Sigmoid - surgery ; Colostomy ; computed tomography ; constipation ; Female ; Humans ; Intestinal Perforation - diagnosis ; Intestinal Perforation - surgery ; Pregnancy ; Pregnancy Complications - diagnosis ; Pregnancy Complications - surgery ; Pregnancy Trimester, Second ; sigmoid colon ; stercoral perforation</subject><ispartof>The journal of obstetrics and gynaecology research, 2011-11, Vol.37 (11), p.1685-1688</ispartof><rights>2011 The Authors. Journal of Obstetrics and Gynaecology Research © 2011 Japan Society of Obstetrics and Gynecology</rights><rights>2011 The Authors. 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Abdominal computed tomography (CT) suggested perforation of the gastrointestinal tract and emergency surgery was conducted. There was a fibrous adhesion between an enlarged uterus and the sigmoid colon. There was a 5.0‐cm perforation near the adhesion in the posterior wall of the sigmoid colon. We performed a partial resection of the sigmoid colon and Hartmann's procedure with copious intraperitoneal lavage. Five hours following the laparotomy, uterine contractions could not be controlled and the patient delivered vaginally. The neonate died almost immediately after delivery. We conclude that although stercoral bowel perforation is rare, poor prognosis after perforation emphasizes the need to carry out a CT scan for patients who present with undiagnosed severe abdominal pain and compatible medical history, even if the patient is pregnant.</description><subject>Adult</subject><subject>Colon, Sigmoid - surgery</subject><subject>Colostomy</subject><subject>computed tomography</subject><subject>constipation</subject><subject>Female</subject><subject>Humans</subject><subject>Intestinal Perforation - diagnosis</subject><subject>Intestinal Perforation - surgery</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - diagnosis</subject><subject>Pregnancy Complications - surgery</subject><subject>Pregnancy Trimester, Second</subject><subject>sigmoid colon</subject><subject>stercoral perforation</subject><issn>1341-8076</issn><issn>1447-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMtOwzAQRS0EolD4BZQdq4TxI068YIEqKKBKXQBry6-UVGkS7ES0f09CS9fMZu5o7tyRDkIRhgQPdbdOMGNZDFnKEwIYJ4DTFJLtCbo4Lk4HTRmOc8j4BF2GsAbAmcD5OZoQnAqRg7hA9K1z3jReVVHrfDGIrmzqqCmi7tNFpqmGwfa-rFdR692qVrXZXaGzQlXBXR_6FH08Pb7PnuPFcv4ye1jEhgoCMYPUEMu55oJqbmxOc5sVnDhGrGLYYmeVMIQLIzihmliNlWVWO51pIE7QKbrd57a--epd6OSmDMZVlapd0wcpAAPwlNHBme-dxjcheFfI1pcb5XcSgxyJybUcwcgRjByJyV9icjuc3hye9Hrj7PHwD9FguN8bvsvK7f4dLF-X81HRH5NYeZo</recordid><startdate>201111</startdate><enddate>201111</enddate><creator>Matsushita, Tomoko</creator><creator>Yumoto, Yasuo</creator><creator>Fukushima, Kotaro</creator><creator>Hojo, Satoshi</creator><creator>Ohishi, Yoshihiro</creator><creator>Inoue, Shigetaka</creator><creator>Wake, Norio</creator><general>Blackwell Publishing Asia</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201111</creationdate><title>Stercoral perforation of the colon during pregnancy</title><author>Matsushita, Tomoko ; Yumoto, Yasuo ; Fukushima, Kotaro ; Hojo, Satoshi ; Ohishi, Yoshihiro ; Inoue, Shigetaka ; Wake, Norio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3920-405c2d66b693b6cd838d7f62e42da41d1eda9c269c9623b2db1ad4dbeb7b02e93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Colon, Sigmoid - surgery</topic><topic>Colostomy</topic><topic>computed tomography</topic><topic>constipation</topic><topic>Female</topic><topic>Humans</topic><topic>Intestinal Perforation - diagnosis</topic><topic>Intestinal Perforation - surgery</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - diagnosis</topic><topic>Pregnancy Complications - surgery</topic><topic>Pregnancy Trimester, Second</topic><topic>sigmoid colon</topic><topic>stercoral perforation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matsushita, Tomoko</creatorcontrib><creatorcontrib>Yumoto, Yasuo</creatorcontrib><creatorcontrib>Fukushima, Kotaro</creatorcontrib><creatorcontrib>Hojo, Satoshi</creatorcontrib><creatorcontrib>Ohishi, Yoshihiro</creatorcontrib><creatorcontrib>Inoue, Shigetaka</creatorcontrib><creatorcontrib>Wake, Norio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of obstetrics and gynaecology research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matsushita, Tomoko</au><au>Yumoto, Yasuo</au><au>Fukushima, Kotaro</au><au>Hojo, Satoshi</au><au>Ohishi, Yoshihiro</au><au>Inoue, Shigetaka</au><au>Wake, Norio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stercoral perforation of the colon during pregnancy</atitle><jtitle>The journal of obstetrics and gynaecology research</jtitle><addtitle>J Obstet Gynaecol Res</addtitle><date>2011-11</date><risdate>2011</risdate><volume>37</volume><issue>11</issue><spage>1685</spage><epage>1688</epage><pages>1685-1688</pages><issn>1341-8076</issn><eissn>1447-0756</eissn><abstract>A 39‐year‐old Japanese woman was referred to our hospital for severe abdominal pain at 22 weeks and 2 days of gestation. Abdominal computed tomography (CT) suggested perforation of the gastrointestinal tract and emergency surgery was conducted. There was a fibrous adhesion between an enlarged uterus and the sigmoid colon. There was a 5.0‐cm perforation near the adhesion in the posterior wall of the sigmoid colon. We performed a partial resection of the sigmoid colon and Hartmann's procedure with copious intraperitoneal lavage. Five hours following the laparotomy, uterine contractions could not be controlled and the patient delivered vaginally. The neonate died almost immediately after delivery. We conclude that although stercoral bowel perforation is rare, poor prognosis after perforation emphasizes the need to carry out a CT scan for patients who present with undiagnosed severe abdominal pain and compatible medical history, even if the patient is pregnant.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>21599809</pmid><doi>10.1111/j.1447-0756.2011.01550.x</doi><tpages>4</tpages></addata></record> |
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| identifier | ISSN: 1341-8076 |
| ispartof | The journal of obstetrics and gynaecology research, 2011-11, Vol.37 (11), p.1685-1688 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Colon, Sigmoid - surgery Colostomy computed tomography constipation Female Humans Intestinal Perforation - diagnosis Intestinal Perforation - surgery Pregnancy Pregnancy Complications - diagnosis Pregnancy Complications - surgery Pregnancy Trimester, Second sigmoid colon stercoral perforation |
| title | Stercoral perforation of the colon during pregnancy |
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