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Saksonov M.,Rabin Medical Center | Bachar G.N.,Rabin Medical Center | Bachar G.N.,Tel Aviv University | Morgenstern S.,Rabin Medical Center | And 7 more authors.
Journal of Computer Assisted Tomography | Year: 2014

Objective: The aim of this study was to describe the radiographic findings in stercoral colitis.Methods: The computed tomographic scans and abdominal radiographs of 13 patients with surgically and pathologically confirmed stercoral colitis from 4 affiliated hospitals were reviewed by a board-certified abdominal radiologist blinded to the official imaging, surgical, and pathologic findings.Results: The median age was 66 years. The patients presented mainly with constipation (100%) and an acute inflammatory process (85%); 5 patients (38%) had frank septic shock. Mortality was 46%. Imaging scans showed that the colon dilated proximally to the impaction site in 6 patients (50%). Other findings included fat stranding (100%), mucosal sloughing (58%), mesenteric hyperemia (58%), and extraluminal gas (17%).Conclusions: Computed tomography is an important diagnostic modality for stercoral colitis. The presence of a large fecaloma with distention of the affected colon and wall thickening and pericolonic fat stranding should alert radiologists and surgeons to the presence of this potentially fatal condition. Copyright © 2014 by Lippincott Williams & Wilkins.

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