Faecaloma with stercoral colitis

Case contributed by Dr Son Do

Presentation

Severe abdominal pain.

Patient Data

Age: 75
Gender: Female

Large faecaloma in the rectum measuring 128mm in the AP dimension.

Associated mild rectal mural thickening suggestive of stercoral proctitis.

Faecaloma extends into distal sigmoid. No proximal large bowel obstruction.

Case Discussion

This patient with a history of previous large stroke, bed bound and nonverbal, presented with non-specific pain which localized to the lower abdomen. CT showed large faecaloma with stercoral proctitis. She underwent manual disimpaction and enema with good effect. An uncommon but serious complication of faecaloma includes stercoral perforation and potential fecal peritonitis. 

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Case information

rID: 60270
Published: 15th May 2018
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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