Stercoral perforation of the colon with favorable pregnancy outcome.
BACKGROUND
Stercoral perforation of the colon is a rarely reported disease with high mortality rate. Our literature review identified one prior case reported during pregnancy, with mortality in both mother and infant.


METHODS
A nulliparous female presented at 36 weeks of gestation with fever, tachycardia, and severe abdominal pain. She delivered by cesarean when purulent ascites and stercoral perforation of the sigmoid colon were discovered. After a sigmoid resection with end colostomy, she and her infant recovered uneventfully.


CONCLUSIONS
Stercoral perforation of the colon is rare in pregnancy. Prompt surgical treatment is necessary. Surgical exploration may be warranted in the pregnant patient with unexplained abdominal pain.
Sung
Joyce F
JF
From the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Stanford University, Stanford, California; and Departments of Obstetrics and Gynecology and Surgery, Palo Alto Medical Foundation Group, Santa Cruz, California.
Salvay
Howard B
HB
Hansman
Matthew F
MF
Taslimi
M Mark
MM
D002585:Cesarean Section; D003125:Colostomy; D005244:Fecal Impaction / Q000150:complications*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007416:Intestinal Perforation / Q000209:etiology*; D011247:Pregnancy; D011248:Pregnancy Complications; D011263:Pregnancy Trimester, Third; D012810:Sigmoid Diseases / Q000209:etiology*