Colonic faecoliths and stercoral ulceration

Case contributed by Dr Chris O'Donnell

Presentation

Bowels not opened for 7 days. PH of constipation. Now severe LIF pain with raised inflammatory markers

Patient Data

Age: 60
Gender: Female

Subtle increased density in the mid descending colon with moderate faecal material in the proximal colon

CT

CT scan is contemporary to the abdominal radiograph

Unusual laminatted, hyperdense faecoliths/omas in the descending colon with inflammation/thickening in the colonic wall extending into the adjacent fat without signs of diverticular disease.

Case Discussion

Inspissated faecal materal can calcify (usually in diverticula or the appendix) and form large solid masses in the colonic lumen that can rarely lead to mural infammation and even perforation due to pressure/ischaemic effects

PlayAdd to Share

Case information

rID: 41950
Case created: 29th Dec 2015
Last edited: 29th Dec 2015
Inclusion in quiz mode: Excluded

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.