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Michelle Cheng, Shahnaz Ghahremani, Antoinette Roth, Soni C Chawla
Background. Fecalomas are hard dense masses separate from surrounding fecal material or bowel contents. This case report intends to provide a brief review of the literature and differential diagnosis for a pelvic mass in a pediatric patient. Case Presentation. The patient is a 5-year-old male presenting with worsening constipation and stool leakage over several months, found to have a rare calcified pelvic mass on abdominal X-ray consistent with a fecaloma. Conclusion. Fecalomas should be considered on the differential diagnosis of pediatric patients who present with chronic constipation and a calcified pelvic mass...
2016: Global Pediatric Health
Fatma Rabah, Ibtisam Elnour, Eiman Abdalla, Reem Abdwani
No abstract text is available yet for this article.
August 2016: Minerva Pediatrica
Michael Osseis, Chetana Lim, Eylon Lahat, Alexandre Doussot, Chady Salloum, Daniel Azoulay
In Clozapine users constipation is among the reported side effects including agranulocytosis and myocarditis with prevalence rates ranging from 14% to 60%. In extreme cases this may lead to bowel obstruction and paralytic ileus which, if not detected and treated early, may lead to mortality up to 30%. We report the first case of hepatic outflow block secondary to compression of the liver by a distended colon upstream an impacted fecaloma in a 47-year old schizophrenic man treated by clozapine. Emergency sub-total colectomy was performed for pan-colonic ischemia...
December 2015: Drug Discoveries & Therapeutics
So Hyun Nam, Min Jeong Cho, Dae Yeon Kim
INTRODUCTION: Children with late-presenting Hirschsprung's disease (HD) are classically treated by a staged operation with enterostomy. An alternative may be one-stage laparoscopy-assisted endorectal pull-through, which has cosmetic advantages. This case-series report describes the outcomes of children with late-presenting HD who underwent this procedure. PRESENTATION OF CASES: Eight older (>3 years) children (five males, three females) underwent one-stage laparoscopy-assisted endorectal pull-through in 2010-2012...
2015: International Journal of Surgery Case Reports
Ha Yeong Yoo, Hye Won Park, Seong-Hwan Chang, Sun Hwan Bae
A fecaloma refers to a mass of accumulated feces that is much harder than a mass associated with fecal impaction. Fecalomas are usually found in the rectosigmoid area. A 10-year-old male with chronic constipation was admitted because of increasing abdominal pain. An abdominal computed tomography scan and a simple abdominal x-ray revealed rapidly evolving mechanical obstruction in the small intestine. Most of the fecalomas are successfully treated by conservative methods such as laxatives, enemas and rectal evacuation...
September 2015: Pediatric Gastroenterology, Hepatology & Nutrition
Jong Jin Lee, Jeong Wook Kim
Colorectal fecaloma is hardening of feces into lumps of varying size that is much harder in consistency than a fecal impaction. Complications of colorectal fecaloma include ulceration, bleeding, perforation and obstruction of the colon. Most fecalomas are successfully removed by conservative treatment with laxatives, enemas and rectal evacuation to relieve fecal impaction. When conservative treatments have failed, a surgical intervention may be needed. Herein, we report a case of 4.7 cm sized sigmoid fecaloma showing no response to conservative treatments that was successfully removed by endoscopic fragmentation with Coca-Cola injection instead of surgery...
July 2015: Korean Journal of Gastroenterology, Taehan Sohwagi Hakhoe Chi
Goro Ueno, Tamaki Maeda, Ryoichi Arima, Hiroshi Oka, Seiichi Hirota
A 72-year-old Japanese male with acute abdomen underwent emergency surgery for a preoperative diagnosis of stercoral colonic perforation of the sigmoid colon. A pathological examination revealed a proliferating spindle cell lesion that surrounded the perforation and replaced the muscularis propria without any mass formation. The spindle cells were positive for KIT and CD34 by immunohistochemistry, and somatic mutation of the c-kit gene was found using genomic DNA extracted from the lesion. We diagnosed the spindle cell lesion as a planar gastrointestinal stromal tumor (GIST)...
August 2014: Clinical Journal of Gastroenterology
José Francisco Camacho Aguilera, Rosa Edith Arenas Lugo, Ariadne Waldo Luna
INTRODUCTION: Colon perforation has several causes, including stercoral perforation of the colon, which was first described in 1894. Currently, reported cases are fewer than 100. CASE REPORT: Male patient of 67 years old, treated at Huichapan General Hospital, Hidalgo, Mexico, with abdominal pain, bloating and no bowel movements. He referred being constipated for the last ten years. Imaging revealed an extremely dilated sigmoid colon with fecal matter as well as free gas in the peritoneal cavity...
2015: Medwave
K Zurabishvili, A Rekhviashvili, M Sakhamberidze, K Tsiklauri
Chronic constipation is a very common complaint at outpatient clinics. It can progress to fecal impaction, and rarely to fecalomas if not managed promptly. Fecaloma is characterized by a hardened large mass of feces frequently localized in sigmoid colon and rectum and is difficult to discharge. Fecaliths, stagnating and hardening by time, may cause intestinal obstruction,ulcer development and colonic wall perforation. We present the case of a 24-year-old woman who admitted to our hospital with complaints of severe constipation with 1 bowel movement every third-fifth day with passage of hard stools only with using laxatives and meteorism...
March 2015: Georgian Medical News
Ji Hyuk Kang, Yun Jeong Lim
No abstract text is available yet for this article.
October 2014: Intestinal Research
Ri Spataru
INTRODUCTION: Hirschsprung's disease, or congenital megacolon,is a malformation characterised by the absence of ganglion cells in the distal bowel. Most often, the aganglionic segment includes the rectosigmoid, but it may extend proximally to variable length. In late years, significant improvements regarding the surgical treatment of Hirschsprung's disease were made, by the introduction of both one-stage transanalendorectal pull-through a laparoscopically assisted or not - and mechanical suture devices...
March 2014: Chirurgia
Senthil Kumar Aiyappan, Upasana Ranga, Anita Samraj, Seena C Rajan, Saveetha Veeraiyan
Fecalomas represent firm organized form of impacted feces. They are commonly seen in sigmoid colon. We report a case of large fecaloma in young adult female with chronic constipation, which was managed conservatively.
August 2013: Indian Journal of Surgery
Federico Coccolini, Fausto Catena, Roberto Manfredi, Luca Ansaloni
A 22 years-old woman presenting with intestinal occlusion by a giant fecaloma. Fecal impaction is often misdiagnosed, especially in non collaborating patients. This demonstrates the necessity of particular attention to avoid unnecessary surgical intervention.
August 2013: Indian Journal of Surgery
Leonardo Maciel da Fonseca, Daniel Adonai Machado Caldeira
It is believed that sigmoid volvulus (SV) in Brazil is a frequent complication of megacolon caused by Chagas' disease (CD), differing in some characteristics from volvulus found in other countries. Bowel obstruction in patients with CD, principally when the cause is SV, may be sometimes difficult to diagnosis exclusively with plain abdominal radiograph. Fecaloma impacted in retossigmoidal area is one of the differential diagnoses. In addition, the huge amount of gas and feces, and distension of the colon normally increase the difficulty to make the correct diagnostic...
April 2013: Indian Journal of Surgery
Ji Sook Park, Tae-Jin Park, Jung Seok Hwa, Ji-Hyun Seo, Chan-Hoo Park, Hee-Shang Youn
We present a case of a 47-month-old female suffering from acute urinary bladder neck obstruction and bilateral hydronephrosis secondary to a fecaloma. Fecaloma is defined as an accumulation of inspissated feces in the colon or rectum giving the appearance of an abdominal mass. A fecaloma can be developed by diverse causes and the causes of the fecaloma in this case were septum reformation after the Duhamel procedure and long-term constipation. Chronic constipation is very common at outpatient clinic. However, acute urinary retention and voiding difficulty caused by fecaloma in the giant Duhamel pouch has never been reported in Korea...
September 2013: Pediatric Gastroenterology, Hepatology & Nutrition
Paolo Caiazzo, Ciro De Martino, Giovanni Del Vecchio, Pierpaolo Di Lascio, Massimiliano Marasco, Fabia Laviani, Pio Rocco Tramutoli
We herein report a case of megacolon with fecaloma in an 83-year-old man who presented with constipation, no intestinal occlusion, and a left hydroureteronephrosis, with A.S.A. 4. The patient asymptomatic, was treated Primariely with laxatives. During the conservative therapy the patient presented an abrupt abdominal distension with a bowel obstruction and abdominal compartment syndrome. After the laparotopy and a Hartmann left colon resection the patient died for cardiovascular and metabolic complications...
May 2013: Annali Italiani di Chirurgia
Seung-Jin Kwag, Sang-Kyung Choi, Ji-Ho Park, Eun-Jung Jung, Chi-Young Jung, Sang-Ho Jung, Young-Tae Ju
A stercoral perforation of the rectum due to a fecaloma is a rare disease with a high mortality rate. Although multiple case reports of colonic perforations have been published, the data regarding rectal perforations are limited. This case report will highlight one such case of a stercoral rectal perforation that was successfully treated with a laparoscopic operation.
April 2013: Annals of Coloproctology
Yolanda Ribas, Josep Bargalló, Susana Lamas, Francesc Aguilar
No abstract text is available yet for this article.
February 2013: American Surgeon
Amit Narang, Sachin Mittal, Pradeep Garg, Sourabh Aggarwal, Jaspreet Singh, Kaviraj Kaushik, Surender Verma
No abstract text is available yet for this article.
November 2013: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
Ana Figueiredo, Isabel Martins, Fátima Palma, Maria José Alves, Carlos de Barros
INTRODUCTION: We report a very rare case of isolated hypoganglionosis first diagnosed during early pregnancy, which should be discussed from an obstetric and a gastroenterological point of view. CASE PRESENTATION: A pregnant 18-year-old Caucasian woman presented at twelve weeks of gestation with lower abdominal pain, mild constipation and a large abdominal mass. Abdominal and pelvic magnetic resonance imaging demonstrated a megarectum and megasigmoid, and our patient was managed with medical therapy during her pregnancy, which occurred without major incidents...
2012: Journal of Medical Case Reports
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