Altered Mental Status as the Primary Presentation of Stercoral Colitis
Himax Patel, MD, Anna Madia, BS and Idris F Ali Amghaiab, MS
Article Type: Case Report | First Published: December 01, 2021
Constipation is prevalent in the elderly. Rarely, severe constipation leads to stercoral colitis, a condition which results from fecal impaction in the colon causing increased intraluminal pressure, ulcer formation, and perforation of the colonic tissue. This condition can be fatal if it is not recognized early and promptly treated. Early detection is often difficult as this disease primarily affects elderly patients with history of dementia, stroke, or other neurologic disorders, and can cause ...
It’s Not Always What it Says on the Tin: A Rare Case of Adenocarcinoma of the Ileocaecal Valve
Neasa Mc Gettigan, MB BCh BAO, MRCPi, MSc, Edric Leung, MB BCh BAO, MRCPi and Subhasish Sengupta, MBBS, MD, MRCP(UK), FRCPI
Article Type: Clinical Image | First Published: November 29, 2021
A 57-year-old male presented with a four week history of shortness of breath on exertion, fatigue and melaena with no underlying medical or family history. Recent blood tests with his primary care physician demonstrated an iron deficiency anaemia with a haemoglobin of 7 g/dL and MCV of 68 fl. Oesophagogastroduodenoscopy (OGD) was performed in the first instance which did not show any evidence of recent bleeding or cause of the melaena. Of note, a CEA level was normal at 1.2 ng/ml. A colonoscopy ...