Colonic obstruction secondary to impaction of a large calcified fecolith

Nee, J. M.

doi:10.1007/bf02553343

Cited by 5 publications

(4 citation statements)

References 5 publications

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“…74,75 Retrospective analysis revealed a 5-to 6-times increased risk of fecal impaction resulting from chronic constipation. 68,70,71 (6) Bowel perforation and stercoral peritonitis: Extremely impacted feces (fecaloma) can compress the colonic wall, causing an ischemic ulcer 76 and subsequent perforation, 77,78 culminating in stercoral peritonitis 78,79 and sometimes death.…”

mentioning

confidence: 99%

Chronic Constipation: An Evidence-Based Review

Leung¹,

Riutta²,

Kotecha³

et al. 2011

The Journal of the American Board of Family Medicine

272

168

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Background: Chronic constipation is a common condition seen in family practice among the elderly and women. There is no consensus regarding its exact definition, and it may be interpreted differently by physicians and patients. Physicians prescribe various treatments, and patients often adopt different over-the-counter remedies. Chronic constipation is either caused by slow colonic transit or pelvic floor dysfunction, and treatment differs accordingly.Methods: To update our knowledge of chronic constipation and its etiology and best-evidence treatment, information was synthesized from articles published in PubMed, EMBASE, and Cochrane Database of Systematic Reviews. Levels of evidence and recommendations were made according to the Strength of Recommendation taxonomy.Results

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mentioning

confidence: 99%

Chronic Constipation: An Evidence-Based Review

Leung¹,

Riutta²,

Kotecha³

et al. 2011

The Journal of the American Board of Family Medicine

272

168

View full text Add to dashboard Cite

show abstract

“…4 Some cases of fecalith have been reported as being caused by intestinal stasis. [5][6][7] We know that a patient who has been on dialysis for 20 years is likely to develop gastrointestinal amyloidosis. It has been reported that paralytic ileus, gastrointestinal bleeding, and perforation by ischemic colitis are serious clinical symptoms in dialysis patients who have gastrointestinal amyloidosis.…”

Section: Discussionmentioning

confidence: 99%

A huge fecalith associated with dialysis-related gastrointestinal amyloidosis

et al. 2007

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A 60-year-old man who had been receiving dialysis for more than 30 years was admitted for treatment of cellulitis in his right thigh on November 7, 2003. He suffered from an ileus on December 14 and was found to have a huge, 7-cm-diameter, well-circumscribed fecalith, incarcerated at the splenic flexure of the colon. It was proving difficult to pass this naturally and surgical removal was thought to be too risky. Using a colonoscope and a water-jet probe, the fecalith was broken up; the ileus then improved and the patient was able to take oral fluids. Unfortunately, he died of cardiac failure on February 13, 2004. We conducted an autopsy, with his family's consent, and found generalized amyloidosis. Deposits of amyloid were seen in all layers of the colon. Because of this, we hypothesized that peristalsis had been poor and this had led to paralytic ileus due to stasis, which, in turn, had led to the formation of the huge fecalith. In Japan it is not rare for a patient to be on dialysis for more than 25 years and it may be that this is a cause of generalized amyloidosis. There have been no such cases of fecalith associated with gastrointestinal amyloidosis described previously, which is why we decided to report this case here.

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“…A calcified faecolith has a well‐delineated appearance on plain films 2 . A calcified faecolith is present in 10% of inflamed appendices and may also be seen in Meckel’s diverticula 3 . On barium enema examination, faecaloma shows as a bulky intraluminal mass with no attachment to the colonic mucosa.…”

Section: Discussionmentioning

confidence: 99%

“…2 A calcified faecolith is present in 10% of inflamed appendices and may also be seen in Meckel's diverticula. 3 On barium enema examination, faecaloma shows as a bulky intraluminal mass with no attachment to the colonic mucosa. Its large size, mobility and evidence of barium around its margins are some of the signs that differentiate it from a tumour.…”

Section: Discussionmentioning

confidence: 99%

Unusual radiological appearance of a faecaloma

Sood

Rezai

Parker

2007

Australasian Radiology

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Faecaloma is a hardened, relatively immobile, tumour-like mass of accumulated faeces, usually found in the rectosigmoid region. Rarely, a faecaloma may be observed in other locations along the colon. It is a rare condition but has important complications, including ulceration, perforation and obstruction. The diagnosis is important not only to avoid confusion with neoplasm but also to alert the physician to the possibility of complications. Here we present a case of faecaloma, including the clinical and radiological difficulties in the diagnosis.

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Colonic obstruction secondary to impaction of a large calcified fecolith

Abstract: The case of a patient with colonic obstruction secondary to impaction of a large calcified fecolith is presented. Clinical features, radiographic findings and treatment are described and the literature is reviewed.

Cited by 5 publications

References 5 publications

Chronic Constipation: An Evidence-Based Review

Chronic Constipation: An Evidence-Based Review

A huge fecalith associated with dialysis-related gastrointestinal amyloidosis

Unusual radiological appearance of a faecaloma

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