Introduction: Stercoliths, formed in patients with chronic constipation, may persist and rarely cause colonic perforation. The usual sites are the rectum and sigmoid colon. Perforation results in severe fecal peritonitis, which carries high mortality. We report a rare case of stercoral perforation of the descending colon in an elderly woman, followed by a brief review of literature.
Case Report: A 70-year-old female, admitted in the Orthopedic ward for metastatic bone disease of the left femur, developed sudden-onset abdominal pain, vomiting, progressive distension, and fever. She had a long-standing history of habitual constipation and had not passed stools for over a week. On examination, she was febrile (38.5°C), tachycardic (pulse 112/min), and hypotensive (BP 112/70 mmHg). The abdomen was distended with an irreducible umbilical hernia and generalized rigidity with rebound…
