Stercoral perforation of the colon during pregnancy.

Tomoko Matsushita, Yasuo Yumoto, Kotaro Fukushima, Satoshi Hojo, Yoshihiro Ohishi, Shigetaka Inoue, Norio Wake

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Abstract

A 39-year-old Japanese woman was referred to our hospital for severe abdominal pain at 22 weeks and 2 days of gestation. Abdominal computed tomography (CT) suggested perforation of the gastrointestinal tract and emergency surgery was conducted. There was a fibrous adhesion between an enlarged uterus and the sigmoid colon. There was a 5.0-cm perforation near the adhesion in the posterior wall of the sigmoid colon. We performed a partial resection of the sigmoid colon and Hartmann's procedure with copious intraperitoneal lavage. Five hours following the laparotomy, uterine contractions could not be controlled and the patient delivered vaginally. The neonate died almost immediately after delivery. We conclude that although stercoral bowel perforation is rare, poor prognosis after perforation emphasizes the need to carry out a CT scan for patients who present with undiagnosed severe abdominal pain and compatible medical history, even if the patient is pregnant.

Original languageEnglish
Pages (from-to)1685-1688
Number of pages4
JournalThe journal of obstetrics and gynaecology research
Volume37
Issue number11
Publication statusPublished - Nov 2011

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All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology

Cite this

Matsushita, T., Yumoto, Y., Fukushima, K., Hojo, S., Ohishi, Y., Inoue, S., & Wake, N. (2011). Stercoral perforation of the colon during pregnancy. The journal of obstetrics and gynaecology research, 37(11), 1685-1688.