Successful Removal of Hard Sigmoid Fecaloma Using Endoscopic Cola Injection.

Author: Jong Jin LEE ¹ ; Jeong Wook KIM
Author Information

1. Department of Internal Medicine, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea. ekg001@cau.ac.kr
Publication Type:Case Reports ; English Abstract
Keywords: Fecal impaction; Sigmoid colon; Cola; Endoscopy
MeSH: Adult; Cola/*chemistry; Colon, Sigmoid; Colonoscopy; Fecal Impaction/*drug therapy; Female; Humans; Laxatives/*therapeutic use; Radiography, Abdominal; Tomography, X-Ray Computed
From:The Korean Journal of Gastroenterology 2015;66(1):46-49
CountryRepublic of Korea
Language:Korean
Abstract: Colorectal fecaloma is hardening of feces into lumps of varying size that is much harder in consistency than a fecal impaction. Complications of colorectal fecaloma include ulceration, bleeding, perforation and obstruction of the colon. Most fecalomas are successfully removed by conservative treatment with laxatives, enemas and rectal evacuation to relieve fecal impaction. When conservative treatments have failed, a surgical intervention may be needed. Herein, we report a case of 4.7 cm sized sigmoid fecaloma showing no response to conservative treatments that was successfully removed by endoscopic fragmentation with Coca-Cola injection instead of surgery.