Fecaloma/impacted fecal matter

Case contributed by Ali Abougazia , 27 Oct 2014
Diagnosis almost certain
Changed by Travis Fahrenhorst-Jones, 9 Jul 2022
Disclosures - updated 19 Jun 2022: Nothing to disclose

Updates to Case Attributes

Age changed from 52 to 50 years.

Updates to Study Attributes

Findings was changed:

The rectum and distal sigmoid colon are distended by the injected Bariumbarium with a proximal sigmoid colon (mostly intraluminal) mass with a rounded edge obstructing obstructing the flow of Bariumbarium to descending colon. The mass wasn't dislodged by changing the patient'sto a decubitus position or after rotating the patient patient.

Updates to Study Attributes

Findings was changed:

The sigmoid mass observed on the Bariumbarium study is seen in the CT study to be an intraluminal globular mass with a finely corregated surface and internal low density (fat) foci. The proximal bowel is collapsed with no evidence of intestinal obstruction.

Updates to Study Attributes

Findings was changed:

The previously seen intraluminal sigmoid mass mass is still seen in today's study with the barium reaching the proximal sigmoid colon, confirming the non-obstructing nature of the lesion.

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