Journal List > Korean J Gastroenterol > v.66(1) > 1007461

Lee and Kim: Successful Removal of Hard Sigmoid Fecaloma Using Endoscopic Cola Injection

Abstract

Colorectal fecaloma is hardening of feces into lumps of varying size that is much harder in consistency than a fecal impaction. Complications of colorectal fecaloma include ulceration, bleeding, perforation and obstruction of the colon. Most fecalomas are successfully removed by conservative treatment with laxatives, enemas and rectal evacuation to relieve fecal impaction. When conservative treatments have failed, a surgical intervention may be needed. Herein, we report a case of 4.7 cm sized sigmoid fecaloma showing no response to conservative treatments that was successfully removed by endoscopic fragmentation with Coca-Cola injection instead of surgery.

References

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Fig. 1.
Erect simple abdomen (A) and supine simple abdomen (B) demonstrate accumulation of bowel gas in the sigmoid colon (arrows).
kjg-66-46f1.tif
Fig. 2.
Colonoscopy shows a huge hard round-shaped fecaloma in the sigmoid colon.
kjg-66-46f2.tif
Fig. 3.
Abdominopelvic CT reveals a 4.7 cm sized fecaloma in the distal sigmoid colon (arrows).
kjg-66-46f3.tif
Fig. 4.
Endoscopic findings. (A) Coca-Cola is injected to the fecaloma using injector. (B) Fecaloma is broken into smaller pieces using a snare.(C) The fecaloma is finally fragmented.
kjg-66-46f4.tif
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