Presentation
Long history of constipation and a new onset abdominal pain.
Patient Data
Age: 80 years
Gender: Female
From the case:
Fecal impaction
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Abdominopelvic CT scan with IV and oral contrast demonstrates the large volume of fecal material throughout the rectum and sigmoid colon. Severe distension of the rectum and sigmoid colon is seen. No pneumatosis coli, portal venous gas or pneumoperitoneum.
The rectal tube and Foley catheter are in situ.
Other findings include left lung calcified nodule, cholelithiasis, calcification of the gallbladder walls, bilateral extrarenal pelvises and left renal simple cyst.
Case Discussion
Chronic constipation is a major risk factor for fecal impaction.
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