A fatal fecaloma

BACKGROUND: Fecal impaction may complicate chronic constipation. We report a fatal case of fecal impaction in a patient treated with long-term neuroleptic treatment. CASE PRESENTATION: A 70-year-old man with a history of severe chronic psychosis treated with olanzapine was admitted to the emergency...

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Autores principales: Logre, Elsa, Degravi, Lauriane, Plantefève, Gaëtan, Contou, Damien
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
Materias:
Clinical Image
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7439714/
https://www.ncbi.nlm.nih.gov/pubmed/32819269
http://dx.doi.org/10.1186/s12245-020-00305-w
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author Logre, Elsa
Degravi, Lauriane
Plantefève, Gaëtan
Contou, Damien
author_facet Logre, Elsa
Degravi, Lauriane
Plantefève, Gaëtan
Contou, Damien
author_sort Logre, Elsa
collection PubMed
description BACKGROUND: Fecal impaction may complicate chronic constipation. We report a fatal case of fecal impaction in a patient treated with long-term neuroleptic treatment. CASE PRESENTATION: A 70-year-old man with a history of severe chronic psychosis treated with olanzapine was admitted to the emergency department for acute abdominal pain and increased abdominal perimeter. Abdominal computed tomography revealed a severe fecal impaction with no sign of peritonitis or acute mesenteric ischemia. The patient eventually died from multi-organ failure 2 days after his admission to the intensive care unit. CONCLUSIONS: Chronic constipation with fecal impaction is a well-known complication of long-term neuroleptic treatment. Severe forms may be life-threatening. Prevention with systematic administration of laxatives appears of paramount importance.
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spelling pubmed-74397142020-08-24 A fatal fecaloma Logre, Elsa Degravi, Lauriane Plantefève, Gaëtan Contou, Damien Int J Emerg Med Clinical Image BACKGROUND: Fecal impaction may complicate chronic constipation. We report a fatal case of fecal impaction in a patient treated with long-term neuroleptic treatment. CASE PRESENTATION: A 70-year-old man with a history of severe chronic psychosis treated with olanzapine was admitted to the emergency department for acute abdominal pain and increased abdominal perimeter. Abdominal computed tomography revealed a severe fecal impaction with no sign of peritonitis or acute mesenteric ischemia. The patient eventually died from multi-organ failure 2 days after his admission to the intensive care unit. CONCLUSIONS: Chronic constipation with fecal impaction is a well-known complication of long-term neuroleptic treatment. Severe forms may be life-threatening. Prevention with systematic administration of laxatives appears of paramount importance. Springer Berlin Heidelberg 2020-08-20 /pmc/articles/PMC7439714/ /pubmed/32819269 http://dx.doi.org/10.1186/s12245-020-00305-w Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Clinical Image
Logre, Elsa
Degravi, Lauriane
Plantefève, Gaëtan
Contou, Damien
A fatal fecaloma
title A fatal fecaloma
title_full A fatal fecaloma
title_fullStr A fatal fecaloma
title_full_unstemmed A fatal fecaloma
title_short A fatal fecaloma
title_sort fatal fecaloma
topic Clinical Image
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7439714/
https://www.ncbi.nlm.nih.gov/pubmed/32819269
http://dx.doi.org/10.1186/s12245-020-00305-w
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