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.

Leiomyoma is a benign soft tissue tumor of mesenchymal origin that derives from smooth muscle fibers [1, 2]. In the digestive tract, the anorectal location is uncommon and is usually diagnosed late due to intraluminal growth in over 50% of the cases [2]. We present the case of a 55-year-old woman who presented with a peri anal mass found more than 3 years ago. The 5cmx4cmx3cm mass was located in the left side of the anus, MRI revealed a clear demarcation between the mass and the external anal sphincter. Surgery was performed with a para-anal incision. The external anal sphincter was largely intact. A complete extracapsular dissection was performed.