Abstract
Fecalomas that need surgical management are uncommon. We report a rare case of giant fecaloma in a 22 years old female, with a history of constipation since childhood and an abdominal mass. Abdomen CT scan revealed a giant fecaloma filling sigmoid lumen without signs of ischemia or either complications. Laparotomy and fecaloma extraction trough colotomy was undertaken after failure of conservative measures and endoscopic removal attempt. Hirschsprung disease having been ruled out, sigmoidectomy was performed for idiopathic megacolon. Post operative course was uneventful with good functional outcomes.
Highlights
Fecaloma is an accumulation of hardened fecal concretions usually located in the colon or rectum
We report a rare case of giant fecaloma in a 22 years old female, with a history of constipation since childhood and an abdominal mass
Conservative management has been exceptionally unsuccessful in some cases of giant fecalomas presenting as an abdominal mass [2]
Summary
Fecaloma is an accumulation of hardened fecal concretions usually located in the colon or rectum. It is a common problem among the elderly and neuropsychiatric patient which can lead to serious complications such as obstruction and perforation [1]. As they are related to transit constipation or difficulty in rectal emptying, fecalomas can be managed with conservative measures including dietetic care, laxatives, digital or endoscopic extraction. Conservative management has been exceptionally unsuccessful in some cases of giant fecalomas presenting as an abdominal mass [2]. We report a rare case of giant fecaloma in a young female, requiring investigations and a two stage surgical management
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
