Obstructive Fecalomas in an Infant Treated with Successful Endoscopic Disimpaction
A fecaloma is a mass of accumulated feces with a consistency much harder than that of a fecal impaction. It is most frequently observed in the rectum and sigmoid area, and associated complications include colonic obstruction, ulceration, bleeding, and perforation. A one-year-old, previously healthy...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2021/8815907 |
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| author | Risa Kanai Kengo Nakaya Koji Fukumoto Masaya Yamoto Hiromu Miyake Akiyoshi Nomura Susumu Yamada Akihiro Makino Hideto Iwafuchi Naoto Urushihara |
| author_facet | Risa Kanai Kengo Nakaya Koji Fukumoto Masaya Yamoto Hiromu Miyake Akiyoshi Nomura Susumu Yamada Akihiro Makino Hideto Iwafuchi Naoto Urushihara |
| author_sort | Risa Kanai |
| collection | DOAJ |
| description | A fecaloma is a mass of accumulated feces with a consistency much harder than that of a fecal impaction. It is most frequently observed in the rectum and sigmoid area, and associated complications include colonic obstruction, ulceration, bleeding, and perforation. A one-year-old, previously healthy boy with no history of chronic constipation was admitted because of vomiting and abdominal distension. An abdominal computed tomography scan showed small and large bowel distension due to multiple obstructive fecalomas in the transverse colon. As the fecalomas could not be resolved by laxatives, enemas, or colonic lavage, endoscopic disimpaction under general anesthesia was attempted. Repeatedly shaving the fecalomas with biopsy forceps finally resulted in gradual fragmentation with subsequent passage. Gastrointestinal food allergy was later suggested as the cause because eosinophilic infiltration was found in a biopsy specimen of the colon wall. Endoscopic disimpaction is an effective treatment approach for addressing fecalomas to avoid more invasive surgical intervention. |
| format | Article |
| id | doaj-art-4b9b7a905c1242daa55445a2aa959773 |
| institution | OA Journals |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-4b9b7a905c1242daa55445a2aa9597732025-08-20T02:38:41ZengWileyCase Reports in Pediatrics2090-68032090-68112021-01-01202110.1155/2021/88159078815907Obstructive Fecalomas in an Infant Treated with Successful Endoscopic DisimpactionRisa Kanai0Kengo Nakaya1Koji Fukumoto2Masaya Yamoto3Hiromu Miyake4Akiyoshi Nomura5Susumu Yamada6Akihiro Makino7Hideto Iwafuchi8Naoto Urushihara9Department of Pediatric Surgery, Shizuoka Children’s Hospital, Address: 860, Urushiyama Aoi-ku Shizuoka-shi, Shizuoka 420-8660, JapanDepartment of Pediatric Surgery, Shizuoka Children’s Hospital, Address: 860, Urushiyama Aoi-ku Shizuoka-shi, Shizuoka 420-8660, JapanDepartment of Pediatric Surgery, Shizuoka Children’s Hospital, Address: 860, Urushiyama Aoi-ku Shizuoka-shi, Shizuoka 420-8660, JapanDepartment of Pediatric Surgery, Shizuoka Children’s Hospital, Address: 860, Urushiyama Aoi-ku Shizuoka-shi, Shizuoka 420-8660, JapanDepartment of Pediatric Surgery, Shizuoka Children’s Hospital, Address: 860, Urushiyama Aoi-ku Shizuoka-shi, Shizuoka 420-8660, JapanDepartment of Pediatric Surgery, Shizuoka Children’s Hospital, Address: 860, Urushiyama Aoi-ku Shizuoka-shi, Shizuoka 420-8660, JapanDepartment of Pediatric Surgery, Shizuoka Children’s Hospital, Address: 860, Urushiyama Aoi-ku Shizuoka-shi, Shizuoka 420-8660, JapanDepartment of Pediatric Surgery, Shizuoka Children’s Hospital, Address: 860, Urushiyama Aoi-ku Shizuoka-shi, Shizuoka 420-8660, JapanDepartment of Pathology, Shizuoka Children’s Hospital, Address: 860, Urushiyama Aoi-ku Shizuoka-shi, Shizuoka 420-8660, JapanDepartment of Pediatric Surgery, Shizuoka Children’s Hospital, Address: 860, Urushiyama Aoi-ku Shizuoka-shi, Shizuoka 420-8660, JapanA fecaloma is a mass of accumulated feces with a consistency much harder than that of a fecal impaction. It is most frequently observed in the rectum and sigmoid area, and associated complications include colonic obstruction, ulceration, bleeding, and perforation. A one-year-old, previously healthy boy with no history of chronic constipation was admitted because of vomiting and abdominal distension. An abdominal computed tomography scan showed small and large bowel distension due to multiple obstructive fecalomas in the transverse colon. As the fecalomas could not be resolved by laxatives, enemas, or colonic lavage, endoscopic disimpaction under general anesthesia was attempted. Repeatedly shaving the fecalomas with biopsy forceps finally resulted in gradual fragmentation with subsequent passage. Gastrointestinal food allergy was later suggested as the cause because eosinophilic infiltration was found in a biopsy specimen of the colon wall. Endoscopic disimpaction is an effective treatment approach for addressing fecalomas to avoid more invasive surgical intervention.http://dx.doi.org/10.1155/2021/8815907 |
| spellingShingle | Risa Kanai Kengo Nakaya Koji Fukumoto Masaya Yamoto Hiromu Miyake Akiyoshi Nomura Susumu Yamada Akihiro Makino Hideto Iwafuchi Naoto Urushihara Obstructive Fecalomas in an Infant Treated with Successful Endoscopic Disimpaction Case Reports in Pediatrics |
| title | Obstructive Fecalomas in an Infant Treated with Successful Endoscopic Disimpaction |
| title_full | Obstructive Fecalomas in an Infant Treated with Successful Endoscopic Disimpaction |
| title_fullStr | Obstructive Fecalomas in an Infant Treated with Successful Endoscopic Disimpaction |
| title_full_unstemmed | Obstructive Fecalomas in an Infant Treated with Successful Endoscopic Disimpaction |
| title_short | Obstructive Fecalomas in an Infant Treated with Successful Endoscopic Disimpaction |
| title_sort | obstructive fecalomas in an infant treated with successful endoscopic disimpaction |
| url | http://dx.doi.org/10.1155/2021/8815907 |
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