FECALITH IN THE ILEUM CAUSING INTESTINAL OBSTRUCTION

Authors

  • Qurrat -ul- Ain Department of Surgery, Civil Hospital, Karachi
  • Syeda Anam Azhar Dow University of Health Sciences, Civil Hospital Karachi
  • Sumera Baloch Department of Surgery, Civil Hospital, Karachi
  • Sohaib Ahmed Khan Department of Surgery, Civil Hospital, Karachi
  • Areeba Salim Department of Surgery, Civil Hospital, Karachi

Abstract

Small bowel obstruction is one of the common conditions presenting in surgical wards, however fecalith is one of the rare causes of bowel obstruction. We present here a case of 65 years old lady, who presented with sub-acute intestinal obstruction. In spite of the initial diagnosis being sigmoid volvulus, exploratory laparotomy revealed a focolith in ileum which was retrieved through an enterotomy and primary closure was done. The patient recovered uneventfully. Thus emphasizing the need of through history and workup which steer us to the correct diagnosis.

References

Memarsadeghi M. Pokieser P, Bischof G, Rödler S, Stacher G. Gross segmental dilatation of sigmoid colon containing coprolith . Emerg Radiol 2000;7(2):108–10.

Colapinto MN, Vowinckel EA, Colapinto ND. Complete Currarino syndrome in an adult, presenting as a fecalith obstruction: report of a case. Can J Surg 2003;46(4):303–6.

Webster PJ, Hyland A , Bilkhu A, Hanavadi S, Sharma N. Perforated Jejunal Diverticula Secondary to a Large Faecolith: A Rare Cause of the Acute Abdomen. Case Rep Surg 2014;103943.

Wong CK, Noblett HR, Aslam A. Coecal fecolith, an unusual presentation of cecal septum. J Pediatr Surg 1996;31(10):1433–4.

Rajput MJ, Memon AS, Rani S. Diverticulosis of the jejunum as a cause of intestinal obstruction. JLUMHS 2007;6(3):130–1.

Kumar BR, SandoNS. Jejunal diverticulosis with enterolith presenting as acute intestinal obstruction. Indian J Surg 2005;67(4):219–21.

Nyberg SL, Sutherland DE. Fecalith Impaction of the Terminal Ileum in a Diabetic transplant recipient. Am J Gastroenterol 2000;95(11):3286–7.

Foster NM, McGory ML, Zingmond DS, Ko CY. Small bowel obstruction: a population-based appraisal. J Am Coll Surg 2006;203(2):170–6.

Klaus Bielefeldt, Anthony J. Bauer. Approach to the patient with ileus and obstruction. In: Tadataka Yamada (eds.) Principles of Clinical Gastroenterology. (Kindle Edition): John Wiley & Sons; 2011

Chowdhury G, Kumar A, Rahman A, Das B. Uncommon cause (fecolith or enterolith) of small intestinal obstruction in the adult. Pulse 2009;3(1):35–7.

Araghizadeh F. Fecal impaction. Clin Colon Rectal Surg 2005;18(2):116–9.

Hussain ZH, Whitehead DA, Lacy BE. Fecal Impaction. Curr Gastroenterol Rep 2014;16(9):404.

Springer JE, Bailey JG, Davis PJ, Johnson PM. Management and outcomes of small bowel obstruction in older adult patients: a prospective cohort study. Can J Surg 2014;57(6):379–84.

Zhao W, Ke M. Report of an Unusual Case with Severe Fecal Impaction Responding to Medication Therapy. J Neurogastroenterol Motil 2010;16(2):199–202.

Sarsu SB, Belen B, Karakus SC, Koku N. Fecalith Causing Intestinal Obstruction in a Patient with Seckel Syndrome. APSP J Case Rep 2014;5(2):22.

Published

2016-03-10