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Inicio Revista Española de Geriatría y Gerontología Perforación estercorácea de colon de presentación atípica en un paciente anc...
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Vol. 37. Issue 5.
Pages 260-262 (January 2002)
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Vol. 37. Issue 5.
Pages 260-262 (January 2002)
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Perforación estercorácea de colon de presentación atípica en un paciente anciano
Stercoral perforation of the colon with atypical presentation in an elderly patient
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L. Castilla Guerra*,*, M.C. Fernández Moreno**, J. Castilla Guerra****, J. Martín Guerrero***, J.M. López Chozas*
* Servicio de Medicina Interna. Hospital de la Merced. Osuna. Sevilla
** Unidad de Geriatría. Hospital de la Merced. Osuna. Sevilla
*** Unidad de Aparato Digestivo. Hospital de la Merced. Osuna. Sevilla
**** Servicio de Radiodiagnóstico. Hospital Virgen del Rocío. Sevilla
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Resumen

La perforación estercorácea de colon (PEC) es una entidad rara de la que apenas se encuentran 81 casos descritos en la literatura médica. Puede ocurrir en personas mayores con historia de estreñimiento crónico. Presentamos un caso atípico de PEC en un varón de 84 años que cursó sin signos de peritonitis.

Un mayor conocimiento de esta enfermedad es fundamental, dado que la intervención quirúrgica temprana es el factor clave de su pronóstico, y además, porque posiblemente, dado el progresivo envejecimiento poblacional, la PEC constituirá una enfermedad más prevalente e importante en un futuro no muy lejano.

Palabras clave:
Perforación estercorácea
Anciano
Presentación atípica
Summary

Stercoral perforation of the colon (SPC) is a rarely reported illness for which hardly 81 cases have been described in the world medical literature. SPC can occur in elderly patients with a previous history of chronic constipation. We report an unusual case of SPC in an 84 years old male who presented without signs of peritonitis. Increased awareness of this condition is essential as rapid surgical intervention is the key factor in improving the prognosis. In addition, due to the progressive increase in the elderly population, it is possible that the importance and prevalence of SPC will rise in the near future.

Key words:
Stercoral perforation
Elderly
Atypical presentation
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Copyright © 2002. Sociedad Española de Geriatría y Gerontología
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