{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T21:43:27Z","timestamp":1773092607044,"version":"3.50.1"},"reference-count":19,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,6,20]]},"abstract":"<jats:p>A 27-year-old female heroin addict presented with a peritonitic and distended abdomen. Her medical history included depression and a 3-year history of heroin abuse with attendant constipation. CT scan showed free intraperitoneal gas, massive faecal distension of the rectum and sigmoid colon and likely bowel necrosis. She underwent an emergency Hartmann's procedure for perforation of the sigmoid colon. Pathology identified two areas of stercoral ulceration, one of them being the area of perforation. Postoperatively, the patient developed a deep vein thrombosis and is now on anticoagulant therapy. She was discharged 4 weeks after admission. The patient has been reviewed at follow-up clinic by the surgical team and specialist stoma nurses. She is coping well with good stoma function. We will perform a colonoscopy to identify any further areas of stercoral ulceration but there are no plans for further surgery at present.<\/jats:p>","DOI":"10.1136\/bcr-2016-218875","type":"journal-article","created":{"date-parts":[[2017,8,1]],"date-time":"2017-08-01T03:36:44Z","timestamp":1501558604000},"page":"bcr-2016-218875","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Stercoral perforation of the colon in a heroin addict"],"prefix":"10.1136","volume":"2017","author":[{"given":"Cameron Douglas","family":"Brown","sequence":"first","affiliation":[{"name":"Department of General Surgery, Queen Elizabeth University Hospital, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fraser","family":"Maxwell","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Queen Elizabeth University Hospital, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"French","sequence":"additional","affiliation":[{"name":"Department of Pathology, Queen Elizabeth University Hospital, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary","family":"Nicholson","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Queen Elizabeth University Hospital, Glasgow, UK"},{"name":"University of Glasgow, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,8,1]]},"reference":[{"key":"2025082800315936000_2017.jul31_1.bcr-2016-218875.1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.1728.301"},{"key":"2025082800315936000_2017.jul31_1.bcr-2016-218875.2","doi-asserted-by":"crossref","first-page":"1383","DOI":"10.1007\/s00384-015-2488-z","article-title":"Letter to the editor: stercoral perforation of the sigmoid colon possibly associated with anticholinergic drugs or opiates: a case series","volume":"31","author":"Linder","year":"2016","journal-title":"Int J Colorectal Dis"},{"key":"2025082800315936000_2017.jul31_1.bcr-2016-218875.3","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-002-0417-4"},{"key":"2025082800315936000_2017.jul31_1.bcr-2016-218875.4","doi-asserted-by":"publisher","DOI":"10.1007\/BF02237366"},{"key":"2025082800315936000_2017.jul31_1.bcr-2016-218875.5","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1002\/bjs.1800771204","article-title":"Stercoral perforation of the colon","volume":"77","author":"Serpell","year":"1990","journal-title":"Br J Surg"},{"key":"2025082800315936000_2017.jul31_1.bcr-2016-218875.6","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.crad.2010.08.002","article-title":"Imaging manifestations of faecal impaction and stercoral perforation","volume":"66","author":"Kumar","year":"2011","journal-title":"Clin Radiol"},{"key":"2025082800315936000_2017.jul31_1.bcr-2016-218875.7","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1002\/bjs.18005022014","article-title":"Spontaneous rupture of the bowel","volume":"50","author":"Noussias","year":"1962","journal-title":"Br J Surg"},{"key":"2025082800315936000_2017.jul31_1.bcr-2016-218875.8","doi-asserted-by":"crossref","unstructured":"O\u2019Connell R , Madoff RD , Solomon M . Operative surgery of the Colon, rectum and anus. 6th edn. Florida: Taylor and Frances group, 2015.","DOI":"10.1201\/b18337"},{"key":"2025082800315936000_2017.jul31_1.bcr-2016-218875.9","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1111\/j.1445-2197.2005.03337.x","article-title":"Stercoral perforation of the sigmoid colon","volume":"75","author":"Haddad","year":"2005","journal-title":"ANZ J Surg"},{"key":"2025082800315936000_2017.jul31_1.bcr-2016-218875.10","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1959.03010320031008"},{"key":"2025082800315936000_2017.jul31_1.bcr-2016-218875.11","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1007\/s11894-014-0404-2","article-title":"Fecal impaction","volume":"16","author":"Hussain","year":"2014","journal-title":"Curr Gastroenterol Rep"},{"key":"2025082800315936000_2017.jul31_1.bcr-2016-218875.12","doi-asserted-by":"publisher","DOI":"10.1053\/crad.1999.0173"},{"key":"2025082800315936000_2017.jul31_1.bcr-2016-218875.13","first-page":"1","article-title":"Stercoral Perforation Requiring Subtotal Colectomy in a Patient on Methadone Maintenance Therapy","volume":"2012","author":"Sakharpe","year":"2012","journal-title":"Case Rep Surg"},{"key":"2025082800315936000_2017.jul31_1.bcr-2016-218875.14","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800600117"},{"key":"2025082800315936000_2017.jul31_1.bcr-2016-218875.15","doi-asserted-by":"crossref","first-page":"249","DOI":"10.11604\/pamj.2015.22.249.8114","article-title":"[Stercoral the perforation of the colon: report of a case and review of literature]","volume":"22","author":"Mahmoudi","year":"2015","journal-title":"Pan Afr Med J"},{"key":"2025082800315936000_2017.jul31_1.bcr-2016-218875.16","doi-asserted-by":"crossref","first-page":"500","DOI":"10.3748\/wjg.v12.i3.500","article-title":"Management of patients with stercoral perforation of the sigmoid colon: report of five cases","volume":"12","author":"Huang","year":"2006","journal-title":"World J Gastroenterol"},{"key":"2025082800315936000_2017.jul31_1.bcr-2016-218875.17","first-page":"146","article-title":"[Stercoral perforation of the colon]","volume":"101","author":"Vilallonga","year":"2009","journal-title":"Rev Esp Enferm Dig"},{"key":"2025082800315936000_2017.jul31_1.bcr-2016-218875.18","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1016\/S0740-5472(98)00025-7","article-title":"Stercoral perforation of the colon. A complication of methadone maintenance","volume":"15","author":"Haley","year":"1998","journal-title":"J Subst Abuse Treat"},{"key":"2025082800315936000_2017.jul31_1.bcr-2016-218875.19","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1016\/j.jpainsymman.2015.02.019","article-title":"Stercoral Perforation of the Colon: A Potentially Fatal Complication of\u00a0Opioid-Induced Constipation","volume":"50","author":"Davies","year":"2015","journal-title":"J Pain Symptom Manage"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-218875","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:32:11Z","timestamp":1756366331000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-218875"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8,1]]},"references-count":19,"alternative-id":["10.1136\/bcr-2016-218875"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-218875","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,8,1]]}}}