Open AccessFecaloma presenting as huge abdominal mass
Author(s) -
Khan Mushtaq A,
Dar Hilal A,
Shah Altaf H,
Javid Gul,
Singh Bhagat,
Sheikh Nadeem A,
Ashraf Aadil
Publication year - 2020
Publication title -
jgh open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.546
H-Index - 8
ISSN - 2397-9070
DOI - 10.1002/jgh3.12221
Subject(s) - medicine , sigmoid colon , laparotomy , colostomy , abdomen , fecal impaction , abdominal computed tomography , hydronephrosis , surgery , colonoscopy , bowel obstruction , radiology , general surgery , rectum , constipation , urinary system , colorectal cancer , cancer
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.