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Fecaloma

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Constipation, abdominal pain.

Patient Data

Age: 85 years
Gender: Male

CT abdomen

ct

The rectum is ballooned by impacted fecal matter, reaching 11 cm in caliber, in keeping with a fecaloma. No related masses.

Case Discussion

Fecaloma is hardened accumulated feces at the rectum or sigmoid colon. The diagnosis is important not only to avoid confusion with neoplasm but also to alert the physician to the possibility of complications such as perforation, obstruction, ulceration, or stercoral colitis.

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