Endoscopic Removal of a Fecalith or Fecomucolith in a Rectal Stump or Pouch
10.3393/ac.2021.00206.0029
- Author:
Evie YEAP
1
;
Ratheesraj RATINAM
;
Asiri ARACHCHI
;
James LIM
;
Yeng Kwang TAY
;
Zeev DUIEB
Author Information
1. Department of Colorectal Surgery, Monash Health, Dandenong Hospital, Dandenong, VIC, Australia
- Publication Type:Technical Note
- From:Annals of Coloproctology
2021;37(5):346-348
- CountryRepublic of Korea
- Language:English
-
Abstract:
Fecaliths or fecomucoliths can form in rectal stumps after a Hartmann procedure or in a coloneovaginal conduit. They can cause significant distress to the patient by causing symptoms such as discharge and odor. We describe a novel and effective method of endoscopic obliteration and removal where other techniques such as removal during examination under anesthesia or serial enemas have failed. By using a combination of hydrodissection with a saline injector gun and biopsy forceps and a polypectomy snare to break down the fecomucolith or fecalith, this troublesome problem can be resolved endoscopically. Successful removal of the fecalith/fecomucolith and resolution of the symptoms for the patients were achieved. No complications are reported. We describe an effective and novel method for endoscopic removal of fecaliths and fecomucoliths.
