Stercoral perforation is the perforation or rupture of the intestine's walls by its internal contents, such as foreign objects (СЮДА МОЖНО РЫБЬЮ КОСТЬ ВЛЕПИТЬ!!!, or, more commonly, by hardened feces (fecalomas) which may form in long constipations or other diseases which cause obstruction of transit, such as Chagas disease, Hirschprung's disease, toxic colitis and megacolon.
Axial CT cine clip showing loculated fluid, free intraperitoneal fluid, extraluminal gas, and focal discontinuity of the wall of the sigmoid colon with stool in the defect consistent with stercoral perforation. The patient was a heavy Vicodin user
Stercoral perforation is a very dangerous, life-threatening situation, as well as a surgical emergency, because the spillage of contaminated intestinal contents into the abdominal cavity leads to peritonitis, a rapid bacteremia (bacterial infection of the blood), with many complications.
Кстати, об опасности перфорации толстой кишки... Всё зависит о диаметра перфорации... Не всегла следует спешить с операцией...
Например, как вы лечите перфорацию толстокишечного дивертикула???
В большинстве случаев консервативно, так?
А ведь там перфорция - о-йо-йой... С игольной не сравнить
Мораль: здравый смысл и чуство меры должны быть во всём...
