Spontaneous perforation of colon is a rare disease with unknown etiologies.  It is classified into stercoral and idiopathic types.  Stercoral perforation is associated with ulcerative lesion, often in the sigmoid colon or rectum, or rarely in the cecum. The Stercoral perforation is a "round" or an "ovoid" hole with necrotic and inflammatory edges. Idiopathic perforation is a linear "tear" with a normal appearance of the colonic wall. The natural history of the 2 types have many similarities. Both entities are infrequently diagnosed preoperatively and are associated with a high mortality rate. A high index of suspicion is required for early diagnosis and treatment. But generally, stercoral perforations of the colon may be preventable. Surgical treatment is standard management and morbidity and mortality rate depends on peritoneal contamination. Here we have presented a case of ascending colon perforation in an elderly patient associated with type-2 diabetes mellitus.

Keywords: Stercoral, perforation.

1. Kim, E.S. and Brandt, M.L. (2013) Spontaneous Intestinal Perforation of the Newborn.
2. Makki, A.M., Hejazi, S.Zaidi, N.H., Johari, A. and Altaf, A. (2014) Spontaneous Perforation of Colon: A Case Report and Review of Literature. Case Reports in Clinical Medicine, 3, 392-397
3. Yang, Bo, and Huai-Kun Ni. “Diagnosis and Treatment of Spontaneous Colonic Perforation: Analysis of 10 Cases.”World Journal of Gastroenterology : WJG 28 (2008): 4569–4572.
4. Kasahara, Y., Matsumoto, H., Umemura, H., Shiraga, S. and Kuyama, T. (1981) Idiopathic Perforation of the Sigmoid Colon in Japan. World Journal of Surgery, 5, 125-130.
5. Hollingworth J, Alexander-Williams J.Non-steroidal anti-inflammatory drugs and stercoral perforation of the colon. Ann R CollSurgEngl  Nov;73(6):337-339, discussion 339-340.
6. Bailey & Love’s Short practice of surgery. 24^th Russel RCG, Wiliams NS, Bulstrod CJK 2004, p.1160.

Noor Elahi Pasha

Post Graduate, Department of Surgery, GMC Kota

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