Stercoral perforation in a 17-year old.

Hdl Handle:
http://hdl.handle.net/10147/127615
Title:
Stercoral perforation in a 17-year old.
Authors:
McHugh, S; Todkari, N; Moloney, T; Leahy, A
Affiliation:
Department of General and Vascular Surgery, Beaumont Hospital, Dublin 9, Ireland, seamusmarkmchugh@yahoo.com.
Citation:
Stercoral perforation in a 17-year old. 2009: Ir J Med Sci
Journal:
Irish journal of medical science
Issue Date:
2-Apr-2009
URI:
http://hdl.handle.net/10147/127615
DOI:
10.1007/s11845-009-0329-1
PubMed ID:
19340517
Abstract:
INTRODUCTION: Stercoral perforation is a rare cause of perforation. This is the first reported case where a partial eating disorder (ED) is the primary causative differential. CASE PRESENTATION: We present the case of a 17-year-old girl who presented to her local Emergency Department with a 24-h history of left-sided abdominal pain. She subsequently deteriorated and a computed tomography scan of her abdomen showed gross distension of the large bowel with a sigmoid perforation. She underwent total colectomy with end ileostomy. Histology reported stercoral perforation but normal bowel ganglia. While an inpatient she was reviewed by the Psychiatric team who were concerned she was suffering from a partial ED. CONCLUSION: This case highlights the importance of a multidisciplinary approach in optimally treating patients such as these. Aggressive medical management with involvement of a psychiatric team and dietetics addresses any underlying causative psychiatric issues and helps prevent recurrence.
Item Type:
Article In Press
ISSN:
1863-4362

Full metadata record

DC FieldValue Language
dc.contributor.authorMcHugh, Sen
dc.contributor.authorTodkari, Nen
dc.contributor.authorMoloney, Ten
dc.contributor.authorLeahy, Aen
dc.date.accessioned2011-04-07T08:32:47Z-
dc.date.available2011-04-07T08:32:47Z-
dc.date.issued2009-04-02-
dc.identifier.citationStercoral perforation in a 17-year old. 2009: Ir J Med Scien
dc.identifier.issn1863-4362-
dc.identifier.pmid19340517-
dc.identifier.doi10.1007/s11845-009-0329-1-
dc.identifier.urihttp://hdl.handle.net/10147/127615-
dc.description.abstractINTRODUCTION: Stercoral perforation is a rare cause of perforation. This is the first reported case where a partial eating disorder (ED) is the primary causative differential. CASE PRESENTATION: We present the case of a 17-year-old girl who presented to her local Emergency Department with a 24-h history of left-sided abdominal pain. She subsequently deteriorated and a computed tomography scan of her abdomen showed gross distension of the large bowel with a sigmoid perforation. She underwent total colectomy with end ileostomy. Histology reported stercoral perforation but normal bowel ganglia. While an inpatient she was reviewed by the Psychiatric team who were concerned she was suffering from a partial ED. CONCLUSION: This case highlights the importance of a multidisciplinary approach in optimally treating patients such as these. Aggressive medical management with involvement of a psychiatric team and dietetics addresses any underlying causative psychiatric issues and helps prevent recurrence.-
dc.languageENG-
dc.titleStercoral perforation in a 17-year old.en
dc.typeArticle In Pressen
dc.contributor.departmentDepartment of General and Vascular Surgery, Beaumont Hospital, Dublin 9, Ireland, seamusmarkmchugh@yahoo.com.en
dc.identifier.journalIrish journal of medical scienceen
dc.description.provinceLeinster-

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.