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      Giant fecaloma in a 12-year-old-boy: a case report

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          Abstract

          Background

          Fecaloma is a mass of feces accumulated that is much harder in consistency than a fecal impactation. The aim of this report is to give a brief review of this entity and discuss the treatment options for these cases.

          Case presentation

          We present the case of a 12-year-old boy who developed a fecaloma associated with chronic constipation. This is a rare case on a child which was treated by a sigmoid colectomy after failure of conservative measures of evacuation.

          Conclusion

          Fecaloma should be considered in the differential diagnosis of patients with history of chronic constipation and abdominal mass.

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          Giant fecaloma with idiopathic sigmoid megacolon: report of a case and review of the literature.

          Joseph Martin, A Rajagopal (2002)
          Fecal impaction is a common condition, and " fecaloma" is an extreme variety of impaction. This is a report of a giant, solitary, and stubborn fecaloma not responding to nonoperative management. A surgical intervention for uncomplicated fecal impaction is rarely needed and reported in the literature. A 39-year-old male patient with constipation presented with a firm, mobile, abdominal mass of six-months duration. Investigations revealed an isolated, giant fecaloma in a redundant sigmoid megacolon. After all the conservative measures were unsuccessful in evacuating the stubborn impaction, he was treated by sigmoid colectomy and primary anastomosis. A timely surgical intervention in recalcitrant fecal impactions may prevent possible stercoral ulcer perforation with a high mortality.
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            Rectal Fecaloma: Successful Treatment Using Endoscopic Removal

            Eiji Sakai, Yasuhiro Inokuchi, Masahiko Inamori … (2007)
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              Large fecalomas.

              M E Abella, A T Fernández (2016)
              Article 0 comments Cited 6 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Cases J
                Title: Cases Journal
                Publisher: BioMed Central
                ISSN (Electronic): 1757-1626
                Publication date Collection: 2009
                Publication date (Electronic): 5 February 2009
                Volume: 2
                Page: 127
                Affiliations
                [1 ]Department of Surgery, Regional Hospital of Changuinola, Bocas Del Toro, Apartado 801912090, El Dorado, Republic of Panama
                [2 ]Pediatrics, Regional Hospital of Changuinola, Bocas Del Toro, Apartado 801912090, El Dorado, Republic of Panama
                [3 ]Pathology, Regional Hospital of Changuinola, Bocas Del Toro, Apartado 801912090, El Dorado, Republic of Panama
                Article
                Publisher ID: 1757-1626-2-127
                DOI: 10.1186/1757-1626-2-127
                PMC ID: 2642792
                PubMed ID: 19196473
                SO-VID: 069108b7-7286-4d48-ba2a-47502584fc76
                Copyright © Copyright ©2009 Garisto et al; licensee BioMed Central Ltd.
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 3 December 2008
                Date accepted : 5 February 2009
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Medicine
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                ScienceOpen disciplines: Medicine

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