BackgroundFecaloma is a mass of feces accumulated that is much harder in consistency than a fecal impactation. The aim of this report is to give a brief review of this entity and discuss the treatment options for these cases.Case presentationWe present the case of a 12-year-old boy who developed a fecaloma associated with chronic constipation. This is a rare case on a child which was treated by a sigmoid colectomy after failure of conservative measures of evacuation.ConclusionFecaloma should be considered in the differential diagnosis of patients with history of chronic constipation and abdominal mass.