Fecaloma with stercoral colitis

Case contributed by Fakhry Mahmoud Ebouda
Diagnosis certain

Presentation

Elderly female patient presented with severe abdominal pain and distension.

Patient Data

Age: 70 years
Gender: Female

Markedly dilated rectum and sigmoid colon showing mild mural thickening, of maximum dilatation about 11.5 cm, seen with impacted fecal matter. An extra looping of sigmoid colon is also noted. However no evidence of mechanical obstruction or extraluminal gas seen so no stercoral perforation.

Case Discussion

CT shows large fecaloma in the rectum with associated stercoral colitis.

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