Ileal Fecaloma Presenting with Small Bowel Obstruction
A fecaloma refers to a mass of accumulated feces that is much harder than a mass associated with fecal impaction. Fecalomas are usually found in the rectosigmoid area. A 10-year-old male with chronic constipation was admitted because of increasing abdominal pain. An abdominal computed tomography sca...
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The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
2015
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| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4600704/ |
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pubmed-46007042015-10-15 Ileal Fecaloma Presenting with Small Bowel Obstruction Yoo, Ha Yeong Park, Hye Won Chang, Seong-Hwan Bae, Sun Hwan Case Report A fecaloma refers to a mass of accumulated feces that is much harder than a mass associated with fecal impaction. Fecalomas are usually found in the rectosigmoid area. A 10-year-old male with chronic constipation was admitted because of increasing abdominal pain. An abdominal computed tomography scan and a simple abdominal x-ray revealed rapidly evolving mechanical obstruction in the small intestine. Most of the fecalomas are successfully treated by conservative methods such as laxatives, enemas and rectal evacuation. When conservative treatments have failed, surgical intervention may be needed. In this case, an emergency operation was performed and a 4×3×2.5 cm fecaloma was found in the distal ileum. We thus report a case of ileal fecaloma inducing small bowel obstruction in a patient with chronic constipation, who required surgical intervention. When symptoms of acute small intestinal obstruction develop in a patient with chronic constipation, a fecaloma should be considered in differential diagnosis. The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition 2015-09 2015-09-25 /pmc/articles/PMC4600704/ /pubmed/26473140 http://dx.doi.org/10.5223/pghn.2015.18.3.193 Text en Copyright © 2015 by The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| repository_type |
Open Access Journal |
| institution_category |
Foreign Institution |
| institution |
US National Center for Biotechnology Information |
| building |
NCBI PubMed |
| collection |
Online Access |
| language |
English |
| format |
Online |
| author |
Yoo, Ha Yeong Park, Hye Won Chang, Seong-Hwan Bae, Sun Hwan |
| spellingShingle |
Yoo, Ha Yeong Park, Hye Won Chang, Seong-Hwan Bae, Sun Hwan Ileal Fecaloma Presenting with Small Bowel Obstruction |
| author_facet |
Yoo, Ha Yeong Park, Hye Won Chang, Seong-Hwan Bae, Sun Hwan |
| author_sort |
Yoo, Ha Yeong |
| title |
Ileal Fecaloma Presenting with Small Bowel Obstruction |
| title_short |
Ileal Fecaloma Presenting with Small Bowel Obstruction |
| title_full |
Ileal Fecaloma Presenting with Small Bowel Obstruction |
| title_fullStr |
Ileal Fecaloma Presenting with Small Bowel Obstruction |
| title_full_unstemmed |
Ileal Fecaloma Presenting with Small Bowel Obstruction |
| title_sort |
ileal fecaloma presenting with small bowel obstruction |
| description |
A fecaloma refers to a mass of accumulated feces that is much harder than a mass associated with fecal impaction. Fecalomas are usually found in the rectosigmoid area. A 10-year-old male with chronic constipation was admitted because of increasing abdominal pain. An abdominal computed tomography scan and a simple abdominal x-ray revealed rapidly evolving mechanical obstruction in the small intestine. Most of the fecalomas are successfully treated by conservative methods such as laxatives, enemas and rectal evacuation. When conservative treatments have failed, surgical intervention may be needed. In this case, an emergency operation was performed and a 4×3×2.5 cm fecaloma was found in the distal ileum. We thus report a case of ileal fecaloma inducing small bowel obstruction in a patient with chronic constipation, who required surgical intervention. When symptoms of acute small intestinal obstruction develop in a patient with chronic constipation, a fecaloma should be considered in differential diagnosis. |
| publisher |
The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition |
| publishDate |
2015 |
| url |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4600704/ |
| _version_ |
1613486255836758016 |