Fecaloma presenting as huge abdominal mass

Fecal impaction is common in elderly, bed ridden, schizoaffective patients on antipsychotics. Intestinal obstruction due to distal colonic fecaliths is rare as it is amenable to digital manual evacuation and enemas. Our patient presented with abdominal distention, with last bowel evacuation reported...

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Detalles Bibliográficos
Autores principales: Khan, Mushtaq A, Dar, Hilal A, Shah, Altaf H, Javid, Gul, Singh, Bhagat, Sheikh, Nadeem A, Ashraf, Aadil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wiley Publishing Asia Pty Ltd 2019
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144756/
https://www.ncbi.nlm.nih.gov/pubmed/32280783
http://dx.doi.org/10.1002/jgh3.12221
Descripción
Sumario:Fecal impaction is common in elderly, bed ridden, schizoaffective patients on antipsychotics. Intestinal obstruction due to distal colonic fecaliths is rare as it is amenable to digital manual evacuation and enemas. Our patient presented with abdominal distention, with last bowel evacuation reported 3 months ago. Computed tomography (CT) abdomen demonstrated a huge sigmoid fecalith causing bilateral hydronephrosis. He was managed through laparotomy with sigmoid colon resection and end colostomy.

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