Fecaloma

Case contributed by Dr Pir Abdul Ahad Aziz Qureshi

Presentation

Abdominal pain and constipation.

Patient Data

Age: 10 years
Gender: Male
CT

Massive amount of fecal impaction in the rectum and redundant sigmoid colon causing massive distention of the rectum and sigmoid colon. It is causing compression and superolateral displacement of the urinary bladder. No mass is seen. There is no fat stranding or pneumoperitoneum. 

Case Discussion

A fecaloma is a fecal mass, most frequently seen in the rectum and sigmoid colon.
A fecaloma can cause stercoral colitis via pressure on the colonic/rectal wall. This can ultimately lead to rupture due to ischemia, necrosis and ulceration.

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Case information

rID: 80881
Published: 8th Aug 2020
Last edited: 23rd Apr 2021
Inclusion in quiz mode: Included

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