Stercoral perforation of the colon (SPC) is defined as a perforation of the bowel that occurs when accumulated fecal material creates an increased pressure on the parietal wall, leading to decreased vascular perfusion leading to necrosis, ulceration and subsequent perforation. It is a rare entity often diagnosed during surgery. Frequent sites include the sigmoid colon, the recto sigmoid junction, the splenic flexure, and the ileocecal region, and. If not managed promptly, this condition can lead to high morbidity and mortality rates. We are presenting the case of a 50 years old African female with generalized fecal peritonitis of 08 days managed by laparotomy in our setting. The diagnosis of spontaneous perforation was made during surgery.
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