Presentation
Severe LIF pain with raised inflammatory markers. Bowels not opened for 7 days. Past history of constipation.
Patient Data
Age: 60 years
Gender: Female
From the case:
Colonic faecoliths and stercoral ulceration
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Subtle increased density in the mid descending colon with moderate faecal material in the proximal colon
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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