Mission Disimpaction: Endoscopic Management of Stercoral Colitis in an Adolescent

Authors

Michael J. Thomas, From the Department of Pediatric Gastroenterology & Nutrition, Maria Fareri Children's Hospital/Westchester Medical Center Health Network, New York Medical College, Valhalla, NY, & Boston Children's Health Physician Network, Hawthorne, NY.
Apoorva Nanagiri, From the Department of Pediatric Gastroenterology & Nutrition, Maria Fareri Children's Hospital/Westchester Medical Center Health Network, New York Medical College, Valhalla, NY, & Boston Children's Health Physician Network, Hawthorne, NY.
Svetlana Duvidovich, Department of Pediatrics, Maria Fareri Children's Hospital/Westchester Medical Center Health Network & New York Medical College, Valhalla, NY.
Lior Levy, New York Medical College, Valhalla, NY.
Natasha Bamji, From the Department of Pediatric Gastroenterology & Nutrition, Maria Fareri Children's Hospital/Westchester Medical Center Health Network, New York Medical College, Valhalla, NY, & Boston Children's Health Physician Network, Hawthorne, NY.Follow

Author Type(s)

Resident/Fellow, Faculty

DOI

10.1097/PG9.0000000000000300

Journal Title

JPGN Reports

First Page

e300

Document Type

Article

Publication Date

5-1-2023

Department

Pediatrics

Abstract

Stercoral colitis is a rare entity of inflammatory colitis with high morbidity and mortality attributable to colonic fecaloma impaction, often a result of chronic constipation. Despite demographic imbalance favoring elders, children hold comparative risk factors for chronic constipation. Suspicion for stercoral colitis is warranted in nearly every stage of life. Computerized tomography (CT) is diagnostic for stercoral colitis, where radiological findings correlate to high sensitivity and specificity. Difficulty exists discerning from other acute and chronic intestinal etiologies with overlapping nonspecific symptoms and laboratory markers. Management involves prompt risk assessment for perforation and immediate disimpaction to avoid ischemic injury, with endoscopic directed disimpaction standard of care for nonoperative measures. Our case describes stercoral colitis in an adolescent with contributive risk factors for fecaloma impaction and is one of the first adolescent case reports involving successful endoscopic management.

Recommended Citation

Thomas, M. J., Nanagiri, A., Duvidovich, S., Levy, L., & Bamji, N. (2023). Mission Disimpaction: Endoscopic Management of Stercoral Colitis in an Adolescent. JPGN Reports, 4 (2), e300. https://doi.org/10.1097/PG9.0000000000000300