Stercoral perforation of the sigmoid colon

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Abstract
Stercoral perforation of the sigmoid colon is probably more common than is generally appreciated. The condition should be considered in patients who present with peritonitis, localizing signs in the left iliac fossa, and a history of chronic constipation. Operation after a period of resuscitation offers the only hope of survival and resection of the affected of sigmoid colon with exteriorization appears to be indicated. Two additional examples of this condition are described and the salient features are reviewed.