Stercoral perforation in a 17-year old.

Hdl Handle:
http://hdl.handle.net/10147/207275
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:
Ir J Med Sci. 2011 Jun;180(2):581-2. Epub 2009 Apr 2.
Journal:
Irish journal of medical science
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207275
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.
Language:
eng
MeSH:
Adolescent; Anorexia Nervosa/*complications/psychology; Chronic Disease; Colectomy; Constipation/*complications; Female; Humans; Intestinal Perforation/*etiology/surgery; Sigmoid Diseases/*etiology/pathology/surgery
ISSN:
1863-4362 (Electronic); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorMcHugh, Sen_GB
dc.contributor.authorTodkari, Nen_GB
dc.contributor.authorMoloney, Ten_GB
dc.contributor.authorLeahy, Aen_GB
dc.date.accessioned2012-02-01T10:03:47Z-
dc.date.available2012-02-01T10:03:47Z-
dc.date.issued2012-02-01T10:03:47Z-
dc.identifier.citationIr J Med Sci. 2011 Jun;180(2):581-2. Epub 2009 Apr 2.en_GB
dc.identifier.issn1863-4362 (Electronic)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid19340517en_GB
dc.identifier.doi10.1007/s11845-009-0329-1en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207275-
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.en_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAnorexia Nervosa/*complications/psychologyen_GB
dc.subject.meshChronic Diseaseen_GB
dc.subject.meshColectomyen_GB
dc.subject.meshConstipation/*complicationsen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIntestinal Perforation/*etiology/surgeryen_GB
dc.subject.meshSigmoid Diseases/*etiology/pathology/surgeryen_GB
dc.titleStercoral perforation in a 17-year old.en_GB
dc.contributor.departmentDepartment of General and Vascular Surgery, Beaumont Hospital, Dublin 9, Ireland., seamusmarkmchugh@yahoo.comen_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceLeinster-

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