Cover Image

Fecal impaction with stercoral perforation of the cecum in pregnancy - ( case report of a rare entity)

Meenalosani B


Abstract : Stercoral perforation of colon is a rare entity occurring mainly in the left colon in elderly population with underlying chronic constipation. About 100 cases of stercoral perforation are reported and most of them are in the sigmoid and recto sigmoid. Mortality is more than 30 and most patients are managed by resection with diversion of colon. Stercoral perforation of colon in pregnancy is very rare and there are only 4 cases reported in English literature. Fetal loss is common. We report a case of contained cecal perforation in second trimester of pregnancy in a woman with fecal impaction and over distended cecum. She presented with constipation and was found to develop peritonism during treatment of fecal impaction. She was managed with resection and primary anastomosis with favorable outcome of pregnancy without fetal loss. Stercoral perforation of cecum is not conservative reported in pregnancy and this is possibly the first report of favorable obstetric outcome managed by primary resection anastomosis as the perforation was contained and detected early.


Keyword :Stercoral perforation, pregnancy, cecum

Full Text:



Atkinson AL, Pepe A. Stercoral Perforation of the Colon

in the Pregnancy. JSCR. 2010 2:5

Maure C, Renzulli P, Mazzucchelli L, Egger B, Seiler C,

Büchler M. Use of Accurate Diagnostic Criteria May

Increase Incidence of Stercoral Perforation of the Colon.

Diseases of the Colon and Rectum Journal, 2000;43


Serpell JW, Nicholls RJ. Stercoral Perforation of the

Colon. British Journal of Surgery,1990;77(12):1325-

S Joyce F. Sung, MD, Howard B. Salvay, MD, Matthew

F. Hansman, MD, M. Mark Taslimi, MD. Stercoral

perforation of the colon with favorable pregnancy outcome. Obstet Gynecol 2009 feb;113:491–2

Matsushita T, Yumoto Y, Fukushima K, Hojo S, Ohishi

Y, Inoue S, Wake N. Stercoral perforation of the colon

during pregnancy J Obstet Gynaecol Res. 2011 Nov;37



  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An Initiative of The Tamil Nadu Dr MGR Medical University