{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T04:48:59Z","timestamp":1791607739588,"version":"4.3.4"},"reference-count":23,"publisher":"Japanese Society of Internal Medicine","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intern. Med."],"published-print":{"date-parts":[[2026]]},"DOI":"10.2169\/internalmedicine.8261-26","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T22:11:58Z","timestamp":1791411118000},"source":"Crossref","is-referenced-by-count":0,"title":["Stercoral Ulcer-related Lower Rectal Perforation Associated with Persistent Rectal Fecal Impaction: Three Case Reports and Clinical Implications"],"prefix":"10.2169","author":[{"given":"Hirotada","family":"Nishie","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Nagoya City University Midori Municipal Hospital, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayano","family":"Yamamura","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Nagoya City University Midori Municipal Hospital, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoki","family":"Nakagawa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Nagoya City University Midori Municipal Hospital, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryo","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Nagoya City University Midori Municipal Hospital, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taketo","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Nagoya City University Midori Municipal Hospital, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reo","family":"Yamazaki","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Nagoya City University Midori Municipal Hospital, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seiichi","family":"Nakaya","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Nagoya City University Midori Municipal Hospital, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takehiro","family":"Wakasugi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Nagoya City University Midori Municipal Hospital, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Itaru","family":"Naitoh","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Nagoya City University Midori Municipal Hospital, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"962","reference":[{"key":"1","doi-asserted-by":"crossref","unstructured":"1. Camilleri M, Ford AC, Mawe GM, et al. Chronic constipation. Nat Rev Dis Primers 3: 17095, 2017.","DOI":"10.1038\/nrdp.2017.95"},{"key":"2","doi-asserted-by":"crossref","unstructured":"2. Rao SSC, Bharucha AE, Carrington EV, et al. Anorectal disorders. Gastroenterology 170: 1318-1346, 2026.","DOI":"10.1053\/j.gastro.2026.01.037"},{"key":"3","doi-asserted-by":"crossref","unstructured":"3. Sano Y, Matsumoto M, Akiyama K, et al. Evaluating Accuracy of Rectal Fecal Stool Assessment Using Transgluteal Cleft Approach Ultrasonography. Healthcare (Basel) 12, 2024.","DOI":"10.3390\/healthcare12131251"},{"key":"4","doi-asserted-by":"crossref","unstructured":"4. Matsumoto M, Misawa N, Tsuda M, et al. Expert consensus document: diagnosis for chronic constipation with faecal retention in the rectum using ultrasonography. Diagnostics (Basel) 12, 2022.","DOI":"10.3390\/diagnostics12020300"},{"key":"5","doi-asserted-by":"crossref","unstructured":"5. Maurer CA, Renzulli P, Mazzucchelli L, Egger B, Seiler CA, B\u00fcchler MW. Use of accurate diagnostic criteria may increase incidence of stercoral perforation of the colon. Dis Colon Rectum 43: 991-998, 2000.","DOI":"10.1007\/BF02237366"},{"key":"6","doi-asserted-by":"crossref","unstructured":"6. Chakravartty S, Chang A, Nunoo-Mensah J. A systematic review of stercoral perforation. Colorectal Dis 15: 930-935, 2013.","DOI":"10.1111\/codi.12123"},{"key":"7","doi-asserted-by":"crossref","unstructured":"7. Gupta AK, Vazquez OA, Lopez-Viego M. Pelvic rectal stercoral perforation resulting in diffuse pneumatosis. Cureus 12: e9146, 2020.","DOI":"10.7759\/cureus.9146"},{"key":"8","doi-asserted-by":"crossref","unstructured":"8. Kwag SJ, Choi SK, Park JH, et al. A stercoral perforation of the rectum. Ann Coloproctol 29: 77-79, 2013.","DOI":"10.3393\/ac.2013.29.2.77"},{"key":"9","doi-asserted-by":"crossref","unstructured":"9. Kang SJ, Cho YS, Lee TH, et al. Medical management of constipation in elderly patients: systematic review. J Neurogastroenterol Motil 27: 495-512, 2021.","DOI":"10.5056\/jnm20210"},{"key":"10","doi-asserted-by":"crossref","unstructured":"10. Bharucha AE, Lacy BE. Mechanisms, evaluation, and management of chronic constipation. Gastroenterology 158: 1232-1249.e3, 2020.","DOI":"10.1053\/j.gastro.2019.12.034"},{"key":"11","doi-asserted-by":"crossref","unstructured":"11. Hojo M, Shibuya T, Nagahara A. Management of chronic constipation: a comprehensive review. Intern Med 64: 7-15, 2025.","DOI":"10.2169\/internalmedicine.2867-23"},{"key":"12","doi-asserted-by":"crossref","unstructured":"12. Aziz I, Whitehead WE, Palsson OS, T\u00f6rnblom H, Simr\u00e9n M. An approach to the diagnosis and management of Rome IV functional disorders of chronic constipation. Expert Rev Gastroenterol Hepatol 14: 39-46, 2020.","DOI":"10.1080\/17474124.2020.1708718"},{"key":"13","doi-asserted-by":"crossref","unstructured":"13. Oakenful C, Lambrianides AL. Stercoral perforation of the rectum. Emerg Med Australas 23: 224-227, 2011.","DOI":"10.1111\/j.1742-6723.2011.01404.x"},{"key":"14","doi-asserted-by":"crossref","unstructured":"14. Tokunaga Y, Hata K, Nishitai R, Kaganoi J, Nanbu H, Ohsumi K. Spontaneous perforation of the rectum with possible stercoral etiology: report of a case and review of the literature. Surg Today 28: 937-939, 1998.","DOI":"10.1007\/s005950050256"},{"key":"15","doi-asserted-by":"crossref","unstructured":"15. Maruyama T, Imamura F, Fukue M, Aoyagi H, Nozue M. Stercoral Perforation of the Rectum Forming Recto-vaginal and Recto-cutaneous Fistulae : A Case Report. Nihon Gekakei Rengo Gakkaishi 28: 1040-1043, 2003.","DOI":"10.4030\/jjcs1979.28.6_1040"},{"key":"16","doi-asserted-by":"crossref","unstructured":"16. Koda K, Mimura T, Yamana T, et al. The Japan Society of Coloproctology Practice Guidelines for Fecal Incontinence 2024 (revised second edition). J Anus Rectum Colon 10: 64-134, 2026.","DOI":"10.23922\/jarc.2025-042"},{"key":"17","doi-asserted-by":"crossref","unstructured":"17. Sadeghi A, Akbarpour E, Majidirad F, et al. Dyssynergic defecation: a comprehensive review on diagnosis and management. Turk J Gastroenterol 34: 182-195, 2023.","DOI":"10.5152\/tjg.2023.22148"},{"key":"18","doi-asserted-by":"crossref","unstructured":"18. Wald A. Management and prevention of fecal impaction. Curr Gastroenterol Rep 10: 499-501, 2008.","DOI":"10.1007\/s11894-008-0091-y"},{"key":"19","unstructured":"19. Ihara E, Manabe N, Ohkubo H, et al. Evidence-based clinical guidelines for chronic constipation 2023. Digestion 106: 62-89, 2025."},{"key":"20","doi-asserted-by":"crossref","unstructured":"20. Manabe N, Umeyama M, Ishizaki S, et al. Elobixibat improves rectal sensation in patients with chronic constipation aged \u226560 years: a randomised placebo-controlled study. BMJ Open Gastroenterol 10, 2023.","DOI":"10.1136\/bmjgast-2023-001257"},{"key":"21","doi-asserted-by":"crossref","unstructured":"21. Sugawa C, Culver A, Diebel M, McLeod JS, Lucas CE. Acute hemorrhagic rectal ulcer: experience in 11 patients at an urban acute care center in the USA: a case series. Medicine 99: e19836, 2020.","DOI":"10.1097\/MD.0000000000019836"},{"key":"22","doi-asserted-by":"crossref","unstructured":"22. Tseng CA, Chen LT, Tsai KB, et al. Acute hemorrhagic rectal ulcer syndrome: a new clinical entity? report of 19 cases and review of the literature. Dis Colon Rectum 47: 895-903, discussion 903-905, 2004.","DOI":"10.1007\/s10350-004-0531-1"},{"key":"23","doi-asserted-by":"crossref","unstructured":"23. Oku T, Maeda M, Ihara H, et al. Clinical and endoscopic features of acute hemorrhagic rectal ulcer. J Gastroenterol 41: 962-970, 2006.","DOI":"10.1007\/s00535-006-1886-y"}],"container-title":["Internal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/internalmedicine\/advpub\/0\/advpub_8261-26\/_pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T04:11:37Z","timestamp":1791605497000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/internalmedicine\/advpub\/0\/advpub_8261-26\/_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":23,"URL":"https:\/\/doi.org\/10.2169\/internalmedicine.8261-26","relation":{},"ISSN":["0918-2918","1349-7235"],"issn-type":[{"value":"0918-2918","type":"print"},{"value":"1349-7235","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"8261-26"}}