Megabowel and Giant Fecaloma: a Surgical Condition?

A new medical device applied in a case of acute fecal impaction with overflow diarrhea: a case report

“…However, manual disimpaction may cause damage to the anal sphincter and contaminate the environment, while other methods, such as enema, suppositories, and polyethylene glycol solution, can lead to side effects and high risks of falls and cardiovascular accidents in elderly patients [ 16 ]. In severe cases, endoscopy and surgery may be necessary, but successful removal of impaction may also be accompanied by serious complications, including bleeding and perforation [ 8 – 10 ]. It is important to carefully consider the best treatment approach on the basis of the individual patient’s needs and condition.…”

“…In mild cases, enema and osmotic laxatives, such as polyethylene glycol, are effective treatments; however, in severe or treatment-resistant cases, more invasive alternatives may be required [ 1 , 8 – 10 ]. For elderly patients, surgery may cause further damage.…”

Giant faecaloma as a complication of neuroleptic treatment – case report.

“…The above can lead to serious complications such as obstructive nephropathy and pyelonephritis [11]. A faecal impaction may lead to colon obstruction which requires a surgical treatment because of the risk of severe conse-quences [12]. Fecaloma can often be treated conservatively with laxatives, enemas, and manual stool removal.…”

Postrenal acute kidney injury

“…Fecal impaction should be considered in the differential diagnosis of an AON, especially in elderly people with CC, history of cerebrovascular accidents, or spinal cord injury, use of agents that decrease bowel movements such as analgesics, and conditions such as Hirschsprung's disease and Chagas' disease 4,5 . Despite clinical treatment, CC‐induced GF may need a surgical procedure to treat complications such as intestinal obstruction, volvulus, colonic ulceration, stercoral perforation, AON, and rupture of the colon or bladder 6,7 . Our patient required Hartmann's procedure, but due to multiple complications, he died 6 days after surgery.…”