{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T16:08:54Z","timestamp":1791648534079,"version":"4.3.4"},"reference-count":40,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2013,8,29]],"date-time":"2013-08-29T00:00:00Z","timestamp":1377734400000},"content-version":"vor","delay-in-days":28,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Stercoral perforation is a rarely suspected life\u2010threatening condition. Early diagnosis is difficult but essential. A comprehensive systematic review was performed to evaluate its presentation, diagnosis and treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A systematic review was carried out of Embase, <jats:styled-content style=\"fixed-case\">MEDLINE<\/jats:styled-content>, PubMed and Cochrane databases for all articles published between 1998 and 2011. Only studies describing stercoral perforation were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010four relevant articles were found including 137 patients (median age = 62\u00a0years) with stercoral perforation, of whom 81% had chronic constipation. Stercoral perforation was diagnosed by CT scan in 90% of 31 patients, with the commonest findings being a combination of faecal impaction (84%) and subphrenic (90%) or extraluminal air (61%). The commonest site of perforation was the sigmoid colon (50%) followed by the rectosigmoid junction (24%). The overall mortality was 34%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Stercoral perforation should be suspected in elderly and chronically constipated patients with unexplained abdominal pain and investigated appropriately with a <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> scan to allow timely and optimal treatment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12123","type":"journal-article","created":{"date-parts":[[2013,1,19]],"date-time":"2013-01-19T09:52:48Z","timestamp":1358589168000},"page":"930-935","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":77,"title":["A systematic review of stercoral perforation"],"prefix":"10.1111","volume":"15","author":[{"given":"S.","family":"Chakravartty","sequence":"first","affiliation":[{"name":"Department of Surgery, King's College Hospital NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Surgery, King's College Hospital NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Nunoo\u2010Mensah","sequence":"additional","affiliation":[{"name":"Department of Surgery, King's College Hospital NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,8,29]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800771204"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02237366"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.1741.1050-a"},{"key":"e_1_2_6_5_1","first-page":"1941e6","article-title":"Stercoraceous ulcers of the colon: relatively neglected medical and surgical problem","volume":"171","author":"Grivalsky HT","year":"1959","journal-title":"JAMA"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.smj.0000215762.71272.8b"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02586438"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02617028"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02587221"},{"key":"e_1_2_6_10_1","first-page":"959e66","article-title":"Anorectal function in elderly patients with fecal impaction","volume":"89","author":"Read NW","year":"1985","journal-title":"Gastroenterology"},{"key":"e_1_2_6_11_1","doi-asserted-by":"crossref","first-page":"500e3","DOI":"10.3748\/wjg.v12.i3.500","article-title":"Management of patient with stercoral perforation of the sigmoid colon: report of five cases","volume":"12","author":"Huang WS","year":"2006","journal-title":"World J Gastroenterol"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s005950050256"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-006-0547-9"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-010-0887-8"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6226"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v17.i3.379"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02236216"},{"key":"e_1_2_6_18_1","first-page":"409","article-title":"Enema\u2010induced intestinal perforation. 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