Presentation
Constipation, abdominal pain.
Patient Data
Age: 85 years
Gender: Male
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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.