Idiopathic sigmoid megacolon with fecal impaction and giant calcified fecaloma

Physical examination revealed obesity (body mass index 41 kg/m2), abdominal distension, and a large, firm abdominal mass in the right hemiabdomen and suprapubic region. Patients with chronic constipation with megacolon and/or megarectum should be treated medically, surgery being the treatment of cho...

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Bibliographic Details
Published in:The American surgeon 2013-02, Vol.79 (2), p.E96-97
Main Authors: Ribas, Yolanda, Bargalló, Josep, Lamas, Susana, Aguilar, Francesc
Format: Article
Language:English
Subjects:
Abdomen
Calcinosis - complications
Calcinosis - diagnosis
Colon
Constipation
Fatal Outcome
Fecal Impaction - complications
Fecal Impaction - diagnosis
Humans
Laxatives
Male
Medical treatment
Megacolon - complications
Megacolon - diagnosis
Middle Aged
Obesity
Patients
Postoperative period
Rectal Diseases - complications
Rectal Diseases - diagnosis
Sigmoid Diseases - complications
Sigmoid Diseases - diagnosis
Surgery
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Summary:Physical examination revealed obesity (body mass index 41 kg/m2), abdominal distension, and a large, firm abdominal mass in the right hemiabdomen and suprapubic region. Patients with chronic constipation with megacolon and/or megarectum should be treated medically, surgery being the treatment of choice for refractory cases.2-4 Although they are uncommon, complications of fecal impaction such as intestinal obstruction or even colonic perforation may occur and emergent surgical treatment is then required.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481307900219