Necrotic stercoral colitis: Importance of computed tomography findings

Table 1 Clinical data of study patients with necrotizing stercoral colitis

No.	Age (yr)/sex	sBP	BT	Hx	Cor	PS	WBC	TI	Fe	Pe	Operation findings	Pathology	Outcome
1	76/M	183	38.4	+	DM, HTN	-	22.2k/89	5’30’’	RS	No	Ischemic change from sigmoid to rectum with necrotic mucosa	Ischemia necrosis with mucosal sloughing	Alive
					Arrhythmia
2	86/M	130	34.4	+	CAD	-	45.6k/72	2’30”	S	S	Necrosis of descending and sigmoid colon with a 2-cm perforation	Perforating ulcer with transmural necrosis	Dead, 1 d after CT
					RF
3	79/F	147	36.1	+	DM	-	15.3k/76	7 d	D	D	Necrosis of nearly entire colon, with a 1.7-cm perforation	Mucosal ulcer with perforation	Dead, 19 d after CT
4	87/M	158	35.6	+	HTN	+	14.4k/90	4’40”	RS	S	A 2-cm perforator 2 cm proximal to the recto-sigmoid colon cancer	Transmural necrosis with a 2.1 cm perforator	Alive
5	80/F	120	33.6	+	HTN	-	3.6k/67	24’30”	S	S	Nearly entire colon necrosis with a 5-cm × 3-cm perforator at sigmoid colon	Ulcerative hole with transmural necrosis at sigmoid colon	Dead, 5 d after CT
6	70/F	145	36.4	+	DM	-	13.3k/80	15’40”	RS	No	Necrosis of distal ileum and entire colon	Transmural necrosis of bowel wall	Dead, 47 d after CT
7	88/F	81	35.0	+	-	-	4k/38	3’	RS	S	2 small perforators at proximal sigmoid colon	Gangrenous change with transmural necrosis of sigmoid colon	Dead, 8 d after CT
8	39/M	64	38.0	NA	ESRD	+	9.9k/79	26’	RS	No	Ischemic patches over sigmoid colon with impending perforation	Ischemic and gangrenous change of the sigmoid coon	Dead, 3 d after CT
9	83/M	158	37.0	NA	ARDS, HF HTN, COPD	-	17k/93	11’	RS	No	Ischemic change of small bowel and sigmoid colon	Transmural necrosis of sigmoid colon and mucosal necrosis of small bowel	Dead, 11 d after CT
10	83/M	64	35.3	+	CAD, HTN	-	46k/83	10’	RS	No	Patch necrosis of the T and D colon	Gangrenous change of the T and D colon	Alive

sBP: Systemic blood pressure (mmHg); BT: Body temperature (°C); Hx: History of constipation; Cor: Comorbidity; PS: Peritoneal signs at initial admission physical examination; WBC: White blood cell (number/percentage of segment) at admission; CT: Computed tomography; TI: Time interval between CT and surgery; Fe: Stool obstructive site; Pe: Perforator site; CAD: Coronary arterial disease; RF: Renal failure; HTN: Hypertension; HF: Heart failure; NA: Not applicable; -: Absent; +: Present; 5’30”: 5 h and 30 min, etc.; RS: Recto-sigmoid colon; S: Sigmoid colon; T: Transverse colon; D: Descending colon; DM: Diabetes mellitus; ESRD: End-stage renal disease; ARDS: Acute respiratory distress syndrome; COPD: Chronic obstructive pulmonary disease.