Donor challenge: Your generous donation will be matched 2-to-1 right now. Your $5 becomes $15! Dear Internet Archive Supporter,. I ask only once a year. stercoral abscess, and fistula, —Abces stercoral, et Fistule stercorale, F.- der Kothabscess, und die Kothfistel, G. StéRILE, adj.,—sterilis, L.,-4) overunfruchtbar, . stercoral abscess, and fistula, —Abcès stercoral, et Fistule stercorale, F., der Kothabscess, und die Kothfistel, G. STERILE, adj.,-sterilis, L., &yoyos, unfruchtbar .

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Intraoperative colonoscopy was performed within 10 min after the colon was cleared of impacted stools. You can move this window by clicking on the headline. There are several reasons why the perforation sites are located in the antimesenteric aspect and in the sigmoid colon: Four patients also had concomitant diseases that might have enhanced the development of chronic constipation such as diabetic enteropathy, hypothyroidism, and hemiparesis sequelae of stroke.

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.

Berry[ 1 ] presented the first case of stercoral perforation of the colon to the Pathological Society of London inand it is a rare event with fewer than 90 cases reported in the literature through [ 2 ]. Four patients were found to have sub-diaphragmatic free air on a standing chest roentgenogram, but only one showed localized extra-luminal air on abdominal CT scanning.

African Journal of Urology Layout: Multiple fecalomas can result in multiple stercoral ulcerations[ 6 ].

Traitement de l’anus contre nature et des fistules stercorales

Awareness was poor as they presented due to infertility in 8 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 stsrcorale. All patients received broad-spectrum intravenous antibiotics and nutritional support for the duration of their hospital stay.


Fisutle 1 Perioperative data on patients with stercoral perforation of the colon. We explored the principles of management to prevent impending mortality in five patients with this condition.

Chronic constipation was the common symptom among these patients. The vaginal mucosal surface of the flap is cauterized and two diagonal sutures are placed across it.

There were two men and three women aged between years. Please review our privacy policy. Pan African Urological Surgeons’ Association Published online Jan The single mortality in this series differed from the other four cases stecorale the reduced amount of peritoneal lavage received due to intraoperative hypothermia.

Management of patients with stercoral perforation of the sigmoid colon: Report of five cases

Long-standing constipation may enhance the formation of stone-hard fecalomas and maintain a persistent pressure over the bowel wall leading to pressure necrosis of the mucosa. There were some advantages doing this procedure stercorals as simple closure of colostomy someday. Top of the page – Article Outline. Principles and Practice of Infectious Diseases.

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Two sutures attached to both ends are passed retropubically to the anterior abdominal wall and tied over the rectus sheath. Treatment of intra-abdominal sepsis was achieved by massive saline irrigation and perforation control fistuule the intention of decreasing the bacterial load in the abdominal cavity and deterring the development of overwhelming sepsis[ 10 ].

Mathieu’s flap remains a viable option in the repair of anterior hypospadias even after circumcision. This paper fitsule the mode of presentation; challenges and outcome of management of adult patients with undescended testis.

Management of patients with stercoral perforation of the sigmoid colon: Report of five cases

Gekas P, Schuster MM. Journal page Archives Contents list. Stercoral perforation of the sigmoid colon: On physical examination, diffuse peritonitis was present in all the patients along with high fever and leukocytosis. Dilatation and rupture of sigmoid flexure short report.


Pan African Urological Surgeons’ Association. The advantage of performing this procedure resides in the possibility of performing a simple closure of the colostomy in the future. In this series of patients perforation was only found in the anti-mesenteric margin of the sigmoid colon and not in other colonic site. Moderate to strong smoothelin staining of the muscles included in TUR specimens and split by the tumor is a sign of MP invasion. If you are a subscriber, please sign in ‘My Account’ at the top right of the screen.

La symptomatologie clinique revelatrice etait dominee par le syndrome irritatif vesical. Access to the text HTML. Use of fistle diagnostic criteria may increase incidence of stercoral perforation of the colon. 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 ].

During fkstule years22 patients with free perforation of the colon were hospitalized at Chang Gung Memorial Hospital in Chiayi. The perforation margins were well circumscribed with no local inflammation or any other chronic process.

Studies of intestinal microflora.

This is a simple method to reinforce vaginal wall flaps. Abstract To our knowledge, stercoral perforation of the colon is rarely seen with fewer than 90 cases reported in the literature till date.