Review for 10.1186/s12876-017-0686-6 (2017)

Reviewer ’s report  
Title: Stercoral colitis complicated with Ischemic colitis: A double -edge sword  
 
Version: 0 Date: 19 Feb 2017  
 
Reviewer: Daisuke Masuda  
 
Reviewer's report:  
Authors described a case report of 'Ischemic colitis concomitant with stercoral colitis'.  Ischemic 
colitis with stercoral colitis is rare and serious inflammatory co ndition, if left undiagnosed or if 
not treated aggressively, focal ulceration can arise, leading to perforation, peritonitis, and septic shock
 eventually causing death.  That is why early diagnosis and aggressive treatment with bowel cleansing 
and fecal disimpaction is essential to avoid the fatal consequence of such a condition. This case report 
is interesting, but clinically above points are common and not so attractive. Authors should show 
similar cases review and discuss similar points and different points compared with other reports and 
explain several points..  
 
Major comments  
1. Authors described 'ischemic colitis with stercoral colitis is rare and serious inflammatory 
condition, if left undiagnosed or if not treated aggressively, focal ulceration can arise, leading 
to perforation, peritonitis, and septic shock eventually causi ng death' in this paper.  Authors 
should review similar cases and discuss similar points and different points compared with 
other reports.  
 
2. How does author think definition of 'ischemic colitis' and 'colonic ischemia'?  Both are same 
meaning or differe nt?  
 
3. What do authors think the pathophysiological mechanism of this case although author 
described about this respect in 'Discussion'?  This present case had ischemic colitis in 
advance before occurring stercoral colitis or stercoral colitis resulted i n colonic ischemia? 
Author should discuss about points.  
4. Author insist on necessity of aggressive treatment of stercoral colitis with ischemic colitis, 
but aggressive treatment can be performed safely for stercoral colitis and ischemic colitis 
with imp acted stools in co -mobid elderly patients?  Fortunately perforation was recognized in 
present case, but how does author consider risk of perforation by performing aggressive 
treatment?  
 
Minor comments  
1. Colonoscopy image is edema, erythema and ulceration,  where is extend of these findings?  
2. If this case had ischemic colitis, authors should show more common colonoscopic image of 
ischemic colitis.   
3. Author should use correct literal medical English for paper publishment.   
 
Are the methods appropriate and well described?  
If not, please specify what is required in your comments to the authors.  
No 
Does the work include the necessary controls?  
If not, please specify which controls are required in your comments to the authors.  
Yes 
Are the conclusions drawn adequa tely supported by the data shown?  
If not, please explain in your comments to the authors.  
No 
Are you able to assess any statistics in the manuscript or would you recommend an  
additional statistical review?  
If an additional statistical review is recommende d, please specify what aspects require further  
assessment in your comments to the editors.  
Not relevant to this manuscrip t 
Quality of written English  
Please indicate the quality of language in the manuscript:  
Needs some language corrections before being published  
Declaration of competing interest s 
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