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Giant Fecaloma With Idiopathic Sigmoid Megacolon

Report of a Case and Review of the Literature

  • Case Report
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Diseases of the Colon & Rectum


PURPOSE: Fecal impaction is a common condition, and “fecaloma” is an extreme variety of impaction. This is a report of a giant, solitary, and stubborn fecaloma not responding to nonoperative management. A surgical intervention for uncomplicated fecal impaction is rarely needed and reported in the literature. METHOD: A 39-year-old male patient with constipation presented with a firm, mobile, abdominal mass of six-months duration. Investigations revealed an isolated, giant fecaloma in a redundant sigmoid megacolon. After all the conservative measures were unsuccessful in evacuating the stubborn impaction, he was treated by sigmoid colectomy and primary anastomosis. CONCLUSION: A timely surgical intervention in recalcitrant fecal impactions may prevent possible stercoral ulcer perforation with a high mortality.

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Rajagopal, A., Martin, J. Giant Fecaloma With Idiopathic Sigmoid Megacolon. Dis Colon Rectum 45, 833–835 (2002).

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