Cecal fecaloma mimicking colonic neoplasm

Cecal Fecaloma Due to Intestinal Tuberculosis: Endoscopic Treatment

“…Fecaloma is found most frequently in the rectum or sigmoid because stools in the left colon become firmer and colon diameter is smaller on the left side than on the right side 6. The cecum is an unusual site, and only 4 cases have been reported in the English literature 2-4…”

“…Diagnosis of fecaloma is usually made radiologically from a characteristic intraluminal mass seen on plain X-rays, barium enema and abdominal CT 2,5. The mass has smooth margins, some mobility within the bowel lumen and no attachment to the mucosal surface.…”

“…It is usually located in the sigmoid colon or rectum, but rarely in the cecum 2-4. Diagnosis is usually made from radiographic findings of a mobile intraluminal mass with a smooth outline and no mucosal attachment 2,5. Most fecalomas are successfully treated by conservative methods such as laxatives, enemas and rectal evacuation 2.…”

“…Diagnosis is usually made from radiographic findings of a mobile intraluminal mass with a smooth outline and no mucosal attachment 2,5. Most fecalomas are successfully treated by conservative methods such as laxatives, enemas and rectal evacuation 2. When conservative treatments have failed, a surgical intervention may be needed 6.…”

Giant Fecaloma With Idiopathic Sigmoid Megacolon

“…Fecalomas are hard, laminated, and calcified fecal masses mimicking a carcinoma. [2][3][4] Distal colon and rectum are the most common sites for fecalomas. The known complications of fecal impaction with stercoral ulceration are rectal bleeding, anemia caused by chronic blood loss, and perforation of the colon [5][6][7] .…”