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Vol. 37. Issue 5.
Pages 260-262 (January 2002)
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Vol. 37. Issue 5.
Pages 260-262 (January 2002)
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Perforación estercorácea de colon de presentación atípica en un paciente anciano
Stercoral perforation of the colon with atypical presentation in an elderly patient
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L. Castilla Guerra*,*, M.C. Fernández Moreno**, J. Castilla Guerra****, J. Martín Guerrero***, J.M. López Chozas*
* Servicio de Medicina Interna. Hospital de la Merced. Osuna. Sevilla
** Unidad de Geriatría. Hospital de la Merced. Osuna. Sevilla
*** Unidad de Aparato Digestivo. Hospital de la Merced. Osuna. Sevilla
**** Servicio de Radiodiagnóstico. Hospital Virgen del Rocío. Sevilla
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Resumen

La perforación estercorácea de colon (PEC) es una entidad rara de la que apenas se encuentran 81 casos descritos en la literatura médica. Puede ocurrir en personas mayores con historia de estreñimiento crónico. Presentamos un caso atípico de PEC en un varón de 84 años que cursó sin signos de peritonitis.

Un mayor conocimiento de esta enfermedad es fundamental, dado que la intervención quirúrgica temprana es el factor clave de su pronóstico, y además, porque posiblemente, dado el progresivo envejecimiento poblacional, la PEC constituirá una enfermedad más prevalente e importante en un futuro no muy lejano.

Palabras clave:
Perforación estercorácea
Anciano
Presentación atípica
Summary

Stercoral perforation of the colon (SPC) is a rarely reported illness for which hardly 81 cases have been described in the world medical literature. SPC can occur in elderly patients with a previous history of chronic constipation. We report an unusual case of SPC in an 84 years old male who presented without signs of peritonitis. Increased awareness of this condition is essential as rapid surgical intervention is the key factor in improving the prognosis. In addition, due to the progressive increase in the elderly population, it is possible that the importance and prevalence of SPC will rise in the near future.

Key words:
Stercoral perforation
Elderly
Atypical presentation
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Biblografía
[1.]
K.M. Robson, D.K. Kiley, T. Lembo.
Development of constipation in nursing home residents.
Dis Colon Rectum, 43 (2000), pp. 940-943
[2.]
J.C. Brocklehurst.
The large bowel.
Textbook of geriatric medicine and gerontology, 4, pp. 69-91
[3.]
C.A. Maurer, P. Renzulli, L. Mazzucchelli, B. Egger, C.A. Seiler, M.W. Büchler.
Use of accurate diagnostic criteria may increase incidence of stercoral perforation of the colon.
Dis Colon Rectum, 43 (2000), pp. 991-998
[4.]
I. Dubinsky.
Stercoral perforation of the colon: case report and review of the literature.
J Emerg Med, 14 (1996), pp. 323-325
[5.]
J.W. Serpell, R.J. Nicholls.
Stercoral perforation of the colon.
Br J Surg, 77 (1990), pp. 1325-1329
[6.]
K.R. Emmertt.
Nonspecific and atypical presentation of disease in the older patient.
Geriatrics, 53 (1998), pp. 50-60
[7.]
J.D. Fulton, S.E. Peebles, G.D. Smith, J.W. Davie.
Unrecognised viscus perforation in the elderly.
Age Aging, 18 (1989), pp. 403-406
[8.]
G.G. Ghahremani.
Radiologic evaluation of suspected gastrointestinal perforations.
Radiol Clin North Am, 31 (1993), pp. 1219-1234
[9.]
A.M. Rozenblit, D. Cohen-Schwartz, E.L. Wolf, M.J. Foxx, S. Brenner.
Stercoral perforation of the sigmoid colon: computed tomography findings.
Clin Radiol, 55 (2000), pp. 727-729
[10.]
D.P. Guyton, D. Evans, H. Scheiber.
Stercoral perforation of the colon. Concepts of operative management.
Am Surg, 51 (1985), pp. 520-522
Copyright © 2002. Sociedad Española de Geriatría y Gerontología
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