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Fecaloma is a mass of hardened feces impacted mostly in left colon and rectum. Several causes of fecalomas have been described in literature, of which chronic constipation. It is a common pathology in elderly patients. The non-specific clinical signs, harmless, sometimes misleading, are at the origin of long evolutions which can lead to real life-threatening situations [1]. We herein report the case of a 61-year-old patient who presents a giant fecaloma located in the sigmoid colon and rectum, associated to urinary retention.

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