Klin Onkol 1999; 12(Suppl 1999): 30-33.
Summary: Stercoral peritonitis (fecal peritonitis) as the gravest contamination of the abdominal cavity remains still very severe event followed by high morbidity and mortality rate. The most common origin of perforation is diverticular disease and colorectal tumor, other origins are accidental. The treatment consists of surgery and intensive medical care. Successful1 can be only resectional surgery, when a septic source is taken away, contamination is stopped and a belly is cleared. The problem is a low ability of critically ill patient to undergo an operation. The usage of peritonitis severity and general condition classifications can help with decision about surgical procedure and can influence a treatment strategy.
The issue gives a review about some aspects of a stercoral peritonitis. Authors work-place experience based on the treatment of 13 patients with stercoral peritonitis during aperiod of 15 years is shortly presented.
