Rare case of fecaloma requiring endoscopic intervention in a 24-year-old female

Author:

Hooda Zamaan1,Higgins Sabrina Clare1,Pastore Dakota1,Crisafulli Gregory1,Canoles Haley1,Alkomos Mina1,Talishinskiy Toghrul1,Amer Kamal1,El-Sedfy Abraham1

Affiliation:

1. Department of Surgery, St. Joseph’s University Medical Center , 703 Main Street, Paterson, NJ 07503, United States

Abstract

Abstract Fecalomas are a rare potential etiology for constipation experienced in children and the elderly. Large bowel obstructions due to fecalomas are preferably treated conservatively with laxatives and bowel rest. However, in the setting of severe corporostasis, more invasive procedures are required to prevent bowel ischemia and perforation. This case report describes a patient who presented to the emergency department with symptoms of large bowel obstruction and constipation, and she was found to have a fecaloma. Conservative interventions, including bowel rest and the administration of laxatives failed, prompting the need for more invasive therapies. During her admission, multiple flexible sigmoidoscopies were required to alleviate the obstruction. Ultimately, this case demonstrates an encounter of a patient with a sigmoid fecaloma from an unlikely demographic with few risk factors that required endoscopic intervention for treatment.

Publisher

Oxford University Press (OUP)

Reference15 articles.

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