JPGN Reports · 5 authors, 3 centres
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This case report describes an 18-year-old female adolescent with chronic constipation who presented with stercoral colitis and was successfully treated with endoscopic disimpaction. The report highlights the diagnostic utility of CT imaging and supports endoscopy as a standard nonoperative management approach.
The paper presents a case report of an 18-year-old female with a history of anorectal malformation and chronic constipation who developed stercoral colitis. Laboratory tests showed leukocytosis, elevated CRP, and lactate. After initial conservative measures failed, she underwent successful endoscopic disimpaction, which revealed mucosal erythema and superficial ulcerations. Her symptoms resolved, and laboratory markers normalized by discharge. The discussion contextualizes this as one of the first adolescent case reports of stercoral colitis managed endoscopically, notes the rarity of pediatric cases, and emphasizes the importance of early suspicion and CT for diagnosis.
