Colonic fecoliths 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 fecal material in the proximal colon

CT

CT scan is contemporary to the abdominal radiograph

Unusual laminatted, hyperdense fecoliths/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 fecal 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/ischemic effects

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Case information

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

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