How is stercoral colitis diagnosed?
CT scan is the most helpful imaging modality for the diagnosis of stercoral colitis. CT findings that should prompt the radiologist to consider this diagnosis include colonic dilatation containing impacted feces, mural thickening, and pericolic fat stranding.
What is stercoral ulceration?
Stercoral ulceration is the loss of bowel integrity from the pressure effects of inspissated feces. The lesion usually occurs in constipated, bedridden patients and presents as an isolated lesion in the rectosigmoid area.
Is stercoral colitis serious?
Stercoral colitis is a rare yet serious inflammatory condition that carries a high morbidity and mortality, especially if complicated with intestinal perforation and ischemic colitis.
What does stercoral mean?
(of an ulcer) formed in the colon by the retention and pressure of faeces.
Is stercoral colitis an inflammatory bowel disease?
Introduction: Stercoral colitis is a rare inflammatory colitis which results from fecal impaction causing increased colonic intraluminal pressure, which may progress to ischemic necrosis, ulcer formation, and colonic perforation.
What causes a Stercoral ulcer?
Stercoral ulcer is an ulcer of the colon due to pressure and irritation resulting from severe, prolonged constipation due to a large bowel obstruction, damage to the autonomic nervous system, or stercoral colitis. It is most commonly located in the sigmoid colon and rectum.
How are Stercoral ulcers treated?
Bleeding from stercoral ulcers has been successfully treated with endoscopic hemostasis, including endoscopic multipolar electrocoagulation and injection therapy. Surgical intervention is indicated if stercoral perforation or failure to control bleeding is encountered.
What causes stercoral colitis?
Stercoral colitis (SC) is an inflammatory colitis caused by increased intraluminal pressure from impacted fecal material in the colonic segments (1). SC may present with a spectrum ranging between impacted fecaloma associated with inflammation to colonic perforation.
What an abdominal CT scan Cannot detect?
Examples of conditions that we would not diagnose on CT scan or ultrasound include viral infections (‘the stomach flu’), inflammation or ulcers in the stomach lining, inflammatory bowel disease (such as Crohn’s Disease or Ulcerative Colitis), irritable bowel syndrome or maldigestion, pelvic floor dysfunction, strains …
Is Stercoral colitis an inflammatory bowel disease?
Stercoral colitis is a rare inflammatory colitis that occurs when impacted fecal material leads to distention of the colon and eventually fecaloma formation.
Do stomach ulcers show up on CT scan?
CT scans can help diagnose a peptic ulcer that has created a hole in the wall of your stomach or small intestine.
Can CT scan miss anything?
While virtually any organ can torse, the ones that will be missed by CT are ovaries and testicles.
Can a CT scan see inside the stomach?
A CT scan uses x-rays to make detailed, cross-sectional images of the soft tissues in the body. CT scans can show the stomach fairly clearly and often can confirm the location of a cancer. CT scans can also show other parts of the body to which stomach cancer might have spread, such as the liver and nearby lymph nodes.
Can abdominal CT scan detect ulcer?
What will an abdominal CT scan reveal?
Computed tomography (CT) of the abdomen and pelvis is a diagnostic imaging test. Doctors use it to help detect diseases of the small bowel, colon, and other internal organs. It is often used to determine the cause of unexplained pain. CT scanning is fast, painless, noninvasive and accurate.
What does a CT scan on stomach show?
Can CT scan detect H pylori?
In five of the 19 abnormal cases (26%), the diagnosis with CT was gastritis. The two major patterns of severe H pylori infection identified were (a) circumferential antral wall thickening and (b) thickening of the posterior gastric wall along the greater curvature, with or without evidence of ulceration.
Can CT scan detect stomach ulcer?
What can a abdominal CT scan miss?
How are Stercoral ulcers diagnosed and treated?
These ulcers may be seen on imaging, such as a CT scan but are more commonly identified using endoscopy, usually a colonoscopy. Treatment modalities can include both surgical and non-surgical techniques. Stercoral ulcers can form a possible complication to stercoral colitis.
What is the most common location for Stercoral ulcer?
The three most common locations for stercoral ulceration are the anterior rectum just proximal to the peritoneal reflection, the antimesenteric border of the rectosigmoid junction, and the apex of the sigmoid colon [10]. Most cases are described as occurring on the antimesenteric side of the bowel wall.
What CT findings are characteristic of stercoral colitis?
Stercoral Colitis Leading to Fatal Peritonitis: CT Findings. First, in uncomplicated fecal impaction, the colon is distended and the wall is thin. We have noted that in cases of stercoral ulceration, focal thickening of the colonic wall may be present. This likely represents edema from the ischemia and ulceration.
Which histologic findings are characteristic of stercoral ulceration?
Intraoperative findings and histology confirm the diagnosis of stercoral ulceration [ 4 ]. Intraoperative findings include generalized peritonitis, colonic dilatation, edema of adjacent bowel wall, and ulcerations on the antimesenteric border usually measuring 1-10 cm, which are occasionally multiple.