Peer-reviewedCC BY-NC-NDInternal Medicine
Stercoral Ulcer-related Lower Rectal Perforation Associated with Persistent Rectal Fecal Impaction: Three Case Reports and Clinical Implications
Abstract
Stercoral ulcer-related lower rectal perforation is an uncommon but potentially under-recognized condition. We report three cases of elderly women with localized lower rectal perforation associated with persistent rectal fecal impaction. All patients presented with hematochezia without generalized peritonitis despite the continued passage of loose or muddy stools. Serial computed tomography revealed persistent fecal impaction in the lower rectum during the clinical course. Continued bowel movement does not necessarily indicate effective rectal evacuation. Recognition of persistent rectal fecal impaction may facilitate an earlier diagnosis and appropriate management.
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BibTeX
@article{nishie2026stercoral,
title = {{Stercoral Ulcer-related Lower Rectal Perforation Associated with Persistent Rectal Fecal Impaction: Three Case Reports and Clinical Implications}},
author = {Hirotada Nishie and Ayano Yamamura and Naoki Nakagawa and Ryo Sato and Taketo Suzuki and Reo Yamazaki and Seiichi Nakaya and Takehiro Wakasugi and Itaru Naitoh},
journal = {Internal Medicine},
year = {2026},
month = oct,
doi = {10.2169/internalmedicine.8261-26},
url = {https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_8261-26/_article},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Stercoral Ulcer-related Lower Rectal Perforation Associated with Persistent Rectal Fecal Impaction: Three Case Reports and Clinical Implications
AU - Hirotada Nishie
AU - Ayano Yamamura
AU - Naoki Nakagawa
AU - Ryo Sato
AU - Taketo Suzuki
AU - Reo Yamazaki
AU - Seiichi Nakaya
AU - Takehiro Wakasugi
AU - Itaru Naitoh
PY - 2026
DA - 2026/10/08
JO - Internal Medicine
DO - 10.2169/internalmedicine.8261-26
UR - https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_8261-26/_article
AB - Stercoral ulcer-related lower rectal perforation is an uncommon but potentially under-recognized condition. We report three cases of elderly women with localized lower rectal perforation associated with persistent rectal fecal impaction. All patients presented with hematochezia without generalized peritonitis despite the continued passage of loose or muddy stools. Serial computed tomography revealed persistent fecal impaction in the lower rectum during the clinical course. Continued bowel movement does not necessarily indicate effective rectal evacuation. Recognition of persistent rectal fecal impaction may facilitate an earlier diagnosis and appropriate management.
SN - 1349-7235
SN - 0918-2918
ER -