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에스상 결장의 숙변성 천공 1예

A Case of Stercoral Perforation of the Sigmoid Colon

대한대장항문학회지 2006년 22권 3호 p.197 ~ 199
박찬섭 ( Park Chan-Sup ) - 성균관대학교 의과대학 강북삼성병원 외과학교실

조동호 ( Cho Dong-Ho ) - 성균관대학교 의과대학 강북삼성병원 외과학교실
김흥대 ( Kim Heung-Dae ) - 성균관대학교 의과대학 강북삼성병원 외과학교실
한원곤 ( Han Won-Kon ) - 성균관대학교 의과대학 강북삼성병원 외과학교실

Abstract


A stercoral perforation of the colon is a rare phenomenon and is caused by severe prolonged constipation. Since the first reported case in 1894, approximately 80 additional cases have been reported. However, this rare condition seems to have been underestimated because of not only obscure diagnostic standards but also ignorance and failure to notice by surgeons. Due to its high mortality rate of about 35∼40%, a stercoral ulcer perforation should be considered in any patient with chronic constipation who presents with peritonitis. We report a case of a 75-year-old female who was diagnosed as having a stercoral perforation of the sigmoid colon and review the clinical features, the diagnosis, and the treatment. J Korean Soc Coloproctol 2006;22:197-199

키워드

숙변성 천공;결장;만성변비
Stercoral perforation;Colon;Chronic constipation
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