CT Diagnosis of Fecaloma

Fagelman, Donald; Warhit, Jeffrey M.; Reiter, Joel D.; Geiss, Alan C.

doi:10.1097/00004728-198406000-00040

Cited by 10 publications

(8 citation statements)

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“…It shows an entirely intraluminal mass within the colon with a 'soap bubble' appearance to its matrix, suggesting stool. 4 In our case, the first abdominal radiograph did not show any calcification or mass, so the possibility of the diagnosis of carcinoma became more after barium study showed an immobile rectosigmoid lesion apparently adherent to the rectal wall. Five days after the barium study, CT scan of the abdomen showed barium residue The CT scan that was carried out 5 days after the barium study showed barium residue within the substance of the lesion.…”

Section: Discussionmentioning

confidence: 42%

“…On barium enema examination, faecaloma shows as a bulky intraluminal mass with no attachment to the colonic mucosa. Its large size, mobility and evidence of barium around its margins are some of the signs that differentiate it from a tumour 4 . Computed tomography scan is a valuable tool for diagnosis of a faecaloma.…”

Section: Discussionmentioning

confidence: 99%

“…Computed tomography scan is a valuable tool for diagnosis of a faecaloma. It shows an entirely intraluminal mass within the colon with a ‘soap bubble’ appearance to its matrix, suggesting stool 4 …”

Section: Discussionmentioning

confidence: 99%

“…Its large size, mobility and evidence of barium around its margins are some of the signs that differentiate it from a tumour. 4 Computed tomography scan is a valuable tool for diagnosis of a faecaloma. It shows an entirely intraluminal mass within the colon with a 'soap bubble' appearance to its matrix, suggesting stool.…”

Section: Discussionmentioning

confidence: 99%

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Unusual radiological appearance of a faecaloma

Sood

Rezai

Parker

2007

Australasian Radiology

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Faecaloma is a hardened, relatively immobile, tumour-like mass of accumulated faeces, usually found in the rectosigmoid region. Rarely, a faecaloma may be observed in other locations along the colon. It is a rare condition but has important complications, including ulceration, perforation and obstruction. The diagnosis is important not only to avoid confusion with neoplasm but also to alert the physician to the possibility of complications. Here we present a case of faecaloma, including the clinical and radiological difficulties in the diagnosis.

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Section: Discussionmentioning

confidence: 42%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Unusual radiological appearance of a faecaloma

Sood

Rezai

Parker

2007

Australasian Radiology

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“…9,10 Despite all these investigations, fecalomas have been confused with colonic malignancy. Most of the fecal impactions are successfully evacuated by conservative methods such as enemas, laxatives, and PEG and assisted at times by digital evacuation.…”

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confidence: 99%

Giant Fecaloma With Idiopathic Sigmoid Megacolon

Rajagopal

Martin

2002

Diseases of the Colon &Amp; Rectum

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Fecal Impaction

Hussain

Whitehead

Lacy

2014

Curr Gastroenterol Rep

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Fecal impaction (FI) is a common and potentially serious medical condition that occurs in all age groups. Children, incapacitated patients, and the institutionalized elderly are considered the highest at-risk populations. FI usually occurs in the setting of chronic or severe constipation, anatomic anorectal abnormalities, and neurogenic or functional gastrointestinal disorders. Generally, FI is a preventable disorder, and early recognition is important, as it is associated with increased morbidity, mortality, and high health care costs. Evaluation with a careful history and physical examination, in conjunction with radiologic imaging, such as an acute abdominal series or computed tomography (CT), is imperative. Prompt identification and treatment minimize the risk of complications attributable to FI, which may include bowel obstruction leading to stercoral ulcer, perforation, peritonitis, or cardiopulmonary collapse with hemodynamic instability. Treatment options include manual fragmentation and extraction of the fecal mass, distal colonic cleansing using enemas and rectal lavage with the aid of a sigmoidoscope, and/or using water-soluble contrast media such as Gastrografin to both identify the extent of the impaction and aid in cleansing and removal. Surgical resection of the involved colon or rectum is reserved for peritonitis resulting from bowel perforation. Since recurrence is common, implementing preventive measures such as increasing daily water and fiber intake, limiting medications that decrease colonic motility, using secretagogues or prokinetic agents, and treating underlying anatomic defects are highly important.

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CT Diagnosis of Fecaloma

Cited by 10 publications

References 0 publications

Unusual radiological appearance of a faecaloma

Unusual radiological appearance of a faecaloma

Giant Fecaloma With Idiopathic Sigmoid Megacolon

Fecal Impaction

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