Management of patients with stercoral perforation of the sigmoid colon: Report of five cases

Table 2 Perioperative data of patients with stercoral perforation of the colon

Patient number	Pathology	Ascites culture1	Colonoscopy2	Stercoral ulcer at proximal colon	Operation procedures	Peritoneal lavage3	Complication
A	Fecal peritonitis	E. coli, Enterococcus faecalis, B. Fragilis	No	Undetectable	Segmental colectomy+diverting enterostomy	Plenty	Nil
B	Purulent ascites	Enterococcus faecalis, B. fragilis	Yes (65, A-colon)	Four shallow stercoral ulceration diffusely	Hartmann’s operation+rectal mucus fistula	Moderate	Mortality (overwhelming sepsis at post-op 21st d)
C	Fecal peritonitis	E. coli	Yes (50, proximal T-colon)	No ulceration	Hartmann’s operation+rectal mucus fistula	Massive	Superficial wound infection
D	Purulent ascites	E. coli, Kleb. pneumonia, B. thetaiotaomicron	Yes (75, A-colon)	No ulceration	Segmental colectomy+diverting enterostomy	Massive	Superficial wound infection
E	Purulent ascites	E. coli, Enterococcus faecium, Bacteroides sp.	Yes (80, A-colon)	No ulceration	Hartmann’s operation+rectal mucus fistula	Massive	Fascial dehiscence

¹Heavy flora cultured as.

²(cm) distance at the most proximal to perforation and location.

³Massive: > 10 000 mL; moderate: < 6 000 mL; plenty: 1 500 mL.