Fecaloma

Massa di feci consistenti e più o meno dure, ritenuta generalmente in ampolla rettale ma anche possibile nel sigma (come in qualsiasi distretto colico inclusa, ad esempio, in un’ansa stomale), che può causare difficoltà all’evacuazione, tenesmo, dolore pelvico, incontinenza fecale (incontinenza paradossa con pseudodiarrea o diarrea paradossa), fino a occlusione intestinale, compressione su vasi e organi endopelvici, trombosi, lesioni ulcerative della mucosa anorettale, rettorragie o perforazioni.

  1. Claffey KB, Patton ML, Haith LR Jr, Germain TJ, Kerstein MD. Barium and fecal impaction: an unusual case of bilateral hydronephrosis. Am Surg 1995;61(8):709-13;
  2. Lanitis G, Luthi F. Colonic perforation due to fecaloma. Apropos of 3 case reports. Rev Med Suisse Romande 1997;117(4):343-8;
  3. García-Olmo D, Sanchez PC. Patterns of colonic motility as recorded by a sham fecaloma reveal differences among patients with idiopathic chronic constipation. Dis Colon Rectum 1998;41(4):480-9;
  4. Rajagopal A, Martin J. Giant fecaloma with idiopathic sigmoid megacolon: report of a case and review of the literature. Dis Colon Rectum 2002;45(6):833-5;
  5. Matsuo S, Eguchi S, Azuma T, Kanetaka K, Itoh S, Yamaguchi S, Obata S,Kanematsu T. An unusual perforation of the colon: report of two cases. Surg Today 2002;32(9):836-9;
  6. Alvarez C, Hernández MA, Quintano A. Clinical challenges and images in GI: Image 2: Deep venous thrombosis due to idiopathic megarectum and giant fecaloma. Gastroenterology 2006;131(3):702-3, 983;
  7. Ouaïssi M, Sielezneff I, Benoist S, Pirró N, Cretel E, Chaix JB, Peschaud F, Consentino B, Malafosse R, Penna C, Sastre B, Nordlinger B. Lethal fecaloma. J Am Geriatr Soc 2007;55(6):965-7;
  8. Nakajima A. Rectal fecaloma: successful treatment using endoscopic removal. Digestion 2007;75(4):198;
  9. Altomare DF, Rinaldi M, Sallustio PL, Armenise N. Giant fecaloma in an adult with severe anal stricture caused by anal imperforation treated by proctocolectomy and ileostomy: report of a case. Dis Colon Rectum 2009;52(3):534-7.
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