Impaction of feces in a loop of sigmoid colon: A rare cause of incarceration of inguinal hernia in children

Roy, Akhilesh Kumar; Ghildiyal, J. P.

doi:10.1016/j.ijsu.2006.08.005

Cited by 8 publications

(6 citation statements)

References 5 publications

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“…We used a combination of normal saline and glycerin in our patients. During enema administration, the patient should be placed in the left lateral decubitus position (31,36,37). Administration of small volumes (1 -2 L) is more beneficial than a large volume enema.…”

Section: Discussionmentioning

confidence: 99%

Concomitant Clozapine and Opium Usage Induced Constipation Leads to Fecal Impaction: A Case Report

Tabarestani

Salehi

Moghadam

et al. 2018

Iran J Psychiatry Behav Sci

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Introduction: Fecal impaction (FI) is a disorder characterized by the inability to evacuate large mass of compacted faces at any level of lower GI tract. The population with highest risk for FI includes elderly patients with neuropsychiatric disorders such as Alzheimer disease, schizophrenia, Parkinson disease, dementia, and severe stroke. Clozapine is an antipsychotic drug that can cause constipation and in some cases, progress to bowel obstruction and finally FI. Opium is a well-known etiology for constipation and its' concomitant use with clozapine can have an additive effect on this complication. Case Presentation: We present a 63-year-old man who had been treated for schizophrenia with clozapine (100 mg/TDS for 30 years) and who was using opium for about 20 years. This patient was presented with a history of constipation for 4 weeks, characterized by lack of urge to defecate as well as hard stool. We used a combination of normal saline and glycerin in our patient. In this case, successful therapy was focused on keeping the mechanical balance of colon, to clear out FI. Conclusions: We concluded that in patients who take opioids or with a history of psychotic disorders who had been treated with antipsychotic drugs, especially low-potency, first generation antipsychotics and clozapine presenting with abdominal pain and constipation should raise immediate concern.

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Section: Discussionmentioning

confidence: 99%

Concomitant Clozapine and Opium Usage Induced Constipation Leads to Fecal Impaction: A Case Report

Tabarestani

Salehi

Moghadam

et al. 2018

Iran J Psychiatry Behav Sci

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“…4 Sigmoid colon as a content of inguinal hernia in the pediatric population has hitherto been reported in only one patient in literature wherein a loop of sigmoid colon loaded with feces was present as the content of left-sided inguinal hernia in a 1-year-old child. 5 This child had presented in emergency with features of obstruction. However, in pediatric congenital hernias, the sac is transected at the deep ring.…”

Section: Discussionmentioning

confidence: 99%

Sigmoid colon as a content of congenital inguinal hernia: A rare presentation

Pathak

Langer

Rajagopalan

2014

Medical Journal Armed Forces India

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“…Balloon-tipped catheters are not used as they may damage the distal rectum or anal sphincter and generally do not maintain an adequate seal. 1,3,14,17 The pressure and volume of enema administration must be appropriate. Enema pressure is controlled by the height of the solution reservoir.…”

Section: Manual Disimpactionmentioning

confidence: 99%

“…Signs of perforation (tachycardia, fever, tenderness or peritoneal signs) are usually absent. 4,14 Although most impactions occur in the rectal vault, the absence of palpable stool does not rule out a FI. 1,10,15 Laboratory work-up should include a complete blood count with a differential (CBC), basic metabolic panel (BMP).…”

Section: Introductionmentioning

confidence: 99%

Fecal Impaction: A Cause for Concern?

Obokhare

2012

Clinics in Colon and Rectal Surgery

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Fecal impaction (FI) is a common cause of lower gastrointestinal tract obstruction lagging behind stricture for diverticulitis and colon cancer. It is the result of chronic or severe constipation and most commonly found in the elderly population. Early recognition and diagnosis is accomplished by way of an adequate history and physical examination in conjunction with an acute abdominal series. Prompt identification and treatment minimizes the risks of complications such as bowel obstruction leading to aspiration, stercoral ulcers, perforation, and peritonitis. Treatment options include gentle proximal softening in the absence of complete bowel obstruction, distal washout, and manual extraction. Surgical resection of the involved colon or rectum is reserved for cases of FI complicated by ulceration and perforation leading to peritonitis. Recurrence is common, and can be managed by increasing dietary fiber content to 30 gm/day, increased water intake, and discontinuation of medications that can contribute to colonic hypomotility.

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Impaction of feces in a loop of sigmoid colon: A rare cause of incarceration of inguinal hernia in children

Cited by 8 publications

References 5 publications

Concomitant Clozapine and Opium Usage Induced Constipation Leads to Fecal Impaction: A Case Report

Concomitant Clozapine and Opium Usage Induced Constipation Leads to Fecal Impaction: A Case Report

Sigmoid colon as a content of congenital inguinal hernia: A rare presentation

Fecal Impaction: A Cause for Concern?

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