Bulletin of Emergency And Trauma

Giant Fecaloma Causing Small Bowel Obstruction: Case Report and Review of the Literature

Document Type : Case Report

Authors

Mosin Mushtaq 1
Mubashir A Shah 2
Aijaz A Malik 2
Khurshid A Wani 2
Natasha Thakur 2
Fazl Q Parray 2

1 Department of General and Minimal Access Surgery,Sheri Kashmir Institute of Medical Sciences,Srinagar,Kashmir,India

2 Department of General and Minimal Access Surgery,Sheri Kashmir Institute of Medical Sciences,Srinagar,Kashmir,India.

Abstract
Fecaloma is a mass of hardened feces being impacted mostly in rectum and sigmoid. The most common sites of the fecaloma is the sigmoid colon and the rectum. There are several causes of fecaloma and have been described in association with Hirschsprung’s disease, psychiatric patients, Chagas disease, both inflammatory and neoplastic, and in patients suffering with chronic constipation. Up to now several cases of giant fecaloma has been reported in the literature most of them presenting with megacolon or urinary retention. We herein report a case of giant fecaloma leading to bowel obstruction who was successfully treated by surgery. A 30-yrar-old man presented with sign and symptoms of acute bowel obstruction. He underwent exploratory laparotomy and enterotomy. He was found to have a giant fecaloma causing bowel obstruction in the jejunum. He was discharged after the operation with good condition. Jejunal fecaloma is extremely rare condition.

Keywords

Fecaloma
Bowel obstruction
Jejunum
Enterotomy
Bulletin of Emergency And Trauma
Volume 3, Issue 2 - Serial Number 2
13
Spring 2015
Pages 70-72

  • Receive Date 11 March 2015
  • Accept Date 09 March 2019

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