Faecaloma/impacted faecal matter

Case contributed by Dr Ali Abougazia

Presentation

Three months of constipation. Sense of lower abdominal/rectal fullness with passage of small amounts of hard stool.

Patient Data

Age: 52
Barium

The rectum and distal sigmoid colon are distended by the injected Barium with a proximal sigmoid colon (mostly intraluminal) mass with a rounded edge obstructing the flow of Barium to descending colon. The mass wasn't dislodged by changing the patient's decubitus or after rotating the patient.

CT

Complimentary CT

The sigmoid mass observed on the Barium study is seen in the CT study to be an intraluminal globular mass with a finely corregated surface and internal low density (fat) foci. The proximal bowel is collapsed with no evidence of intestinal obstruction.

Barium

Follow-up Barium study after 1 week of laxatives.

The previously seen intraluminal sigmoid mass is still seen in today's study with the barium reaching the proximal sigmoid colon, confirming the non-obstructing nature of the lesion.

Case Discussion

Taking into consideration the patient's complaint of prolonged constipation and absence of psychiatric illness, this mass is mostly a faecaloma/impacted faecal matter causing constipation.

PlayAdd to Share

Case information

rID: 31768
Case created: 27th Oct 2014
Last edited: 5th Oct 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.