Dealing with the Unexpected: Stercoral Perforation – A Surgical Conundrum Stercoral colon perforation is a rare surgical emergency primarily linked to chronic constipation and advanced age. Diagnosis is challenging and requires established criteria and imaging. Urgent surgery is the modality of choice, typically involving Hartmann's procedure. Mortality rates can be as high as 60%, emphasising the need for early diagnosis and intervention. We presented a case of a 71-year-old bedridden female with a history of stroke, diabetes, and hypertension presenting with abdominal pain, fever and diarrhoea. Initial evaluation indicated dehydration, sepsis, and abdominal tenderness. An urgent imaging revealed a suspected rectal perforation, prompting emergency surgery. Intraoperatively, stercoral perforation due to impacted hard faeces was identified. Despite prompt and intensive treatment, the patient's condition deteriorated, ultimately resulting in her demise. Stercoral colon perforation is a critical condition requiring rapid diagnosis. Symptoms include abdominal distension, tenderness, cramps, fever, and anorectal pain. Healthcare providers should consider the possibility of stercoral perforation in individuals exhibiting these symptoms alongside a background of persistent constipation. Treatment involves peritoneal lavage and surgery. Early recognition is vital for proper management and improved outcomes.

Successful Expectant Management of Multiple Spoons Ingestion in a Psychiatric Patient. An Unusual Case Report The management of foreign body ingestion is a clinical dilemma that is often encountered, and 80% of these cases do not require intervention as they will pass out spontaneously. We presented a case of multiple spoon ingestion in a 32-year-old psychiatric patient who had previous abdominal surgery for a similar problem. This case report attempted to elucidate the option and considerations in managing foreign body ingestion.