ArticleJournal of surgical case reports2026
A giant 4 kg fecaloma leading to intestinal obstruction in an adult survivor of anorectal malformation: a case report.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Intestinal obstruction due to a giant fecaloma is a rare clinical condition, characterized by a markedly hardened fecal mass that is more severe than a simple fecal impaction. We report a case of a 24-year-old female with a history of repaired anorectal malformation (ARM) during infancy who presented with the complaint of abdominal rigidity, progressive abdominal distention, and chronic constipation. The contrast-enhanced computed tomography of the abdomen showed a grossly dilated rectosigmoid region. During laparotomy, a giant fecaloma (4 kg) was found obstructing the descending colon. The distal sigmoid stump was closed, and a diversion transverse colostomy was created to allow the passage of stool. The postoperative period was uneventful, and she was discharged with a well-functioning stoma. This case highlights that exploratory laparotomy with enterotomy and fecaloma extraction with the creation of a diversion transverse colostomy can be an effective and safe treatment approach, leading to excellent postoperative recovery and symptom relief.
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