Stercoral ulceration and perforation of the sclerodermatous colon

Abstract

The pathologic changes which attend sclerodermatous involvement of the colon suggest that stercoral ulceration associated with spontaneous perforation may be a common accompaniment. However, this is a triad rarely encountered. The authors describe two such cases and discuss the diagnosis, pathologic anatomy and management of patients with stercoral ulceration and bowel perforation, particularly when associated with scleroderma.