Fecaloma Causing Colonic Obstruction and Multiple Stercoral Ulcers

Ju Yup Lee; Kyung Sik Park

doi:10.4166/kjg.2016.68.2.119

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Lee and Park: Fecaloma Causing Colonic Obstruction and Multiple Stercoral Ulcers

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Korean J Gastroenterol 2016;68(2):119-122.

Published online: 4 October 2016

DOI: https://doi.org/10.4166/kjg.2016.68.2.119

Fecaloma Causing Colonic Obstruction and Multiple Stercoral Ulcers

Ju Yup Lee, Kyung Sik Park

Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea

Correspondence to: Kyung Sik Park, Department of Internal Medicine, Keimyung University Dongsan Medical Center, 56 Dalseong-rho, Jung-gu, Daegu 41931, Korea. Tel: +82-53-250-7088, Fax: +82-53-250-7442, E-mail: seenae99@dsmc.or.kr

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.

References

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Fig. 1.

Supine (A) and erect (B) simple abdomen. A fecaloma with calcification is found in the descending colon (arrows), and marked accumulation of bowel gas is present in the transverse and ascending colons.

Fig. 2.

Abdominal CT findings. (A-C) A 4.2 cm sized air-containing fecaloma with calcification is seen in the descending colon (arrows). (D) A large amount of fecal material is noted in the dilated bowel loop of the proximal colon.

Fig. 3.

Colonoscopy findings. (A) A large fecaloma is noted at the descending colon. (B, C) Fragmentation of fecaloma with lithotripsy basket and polypectomy snare. (D) After fragmentation, several stercoral ulcers are noted.

Fig. 4.

Simple abdomen one day after procedure. Neither fecaloma or abnormal bowel are observed. The problems appear completely resolved.

Fig. 5.

Colonoscopy findings three days after procedure. Several stercoral ulcers are noted in the ascending and transverse colon.

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