Stercoral Perforation of the Colon during Pregnancy: A Case Report and Review of the Literature

AJP Rep. 2015 Apr;5(1):e25-9. doi: 10.1055/s-0034-1544105. Epub 2015 Mar 4.


Stercoral perforation of the colon, though rare, is associated with high mortality. Review of the literature identified only three prior cases reported during pregnancy. We report a case on a multiparous female presenting at 31 weeks of gestation with acute abdominal pain. Computed tomography suggested a sigmoid colon perforation. An urgent exploratory laparotomy was performed where feculent peritonitis and a stercoral perforation of the sigmoid colon was confirmed. A cesarean delivery and sigmoid colectomy with descending end colostomy was performed. While the newborn had an uncomplicated course, the mother developed an intra-abdominal abscess requiring operative management.

Keywords: colonic perforation; pregnancy; stercoral perforation.

Publication types

  • Case Reports