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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897

Volume 1, Issue 8, Aug 2014 pp 438-440

Case Report

Stercoral ulcer perforation of large gut in opium addicts in west Rajasthan- a case reports

Ram Ratan¹, Pankaj Saxena², P K Bhatnagar³, Rita Saxena⁴

¹Assistant Professor, Department Of Surgery, Dr SN Medical Collage Jodhpur 342001, Rajasthan, INDIA.

{²Professor, Department of Surgery} {³Associate Professor, ⁴Assistant Professor, Department of OBGY}

Jodhpur Medical Collage and Hospital. Narnadi, Janwar Road Boranada, Jodhpur, Rajasthan, INDIA.

Abstract
Stercoral perforation of the colon is extremely rare with less than 70 cases reported so far. It is associated with relatively high mortality approaching 35 percent for those managed surgically. Three rare cases of opium addicts with constipation directly leading to stercoral perforation are reported.These were successfully treated surgically by exploratory laparotomy ,repair/resection of affected colon ,colostomy with or without hartmans pouch and follow up colostomy closure after three months.