Clinical Endoscopy  2012;45(2):174-176

doi:10.5946/ce.2012.45.2.174

Cecal Fecaloma Due to Intestinal Tuberculosis: Endoscopic Treatment.

Sun Moon KIM 1 ; Ki Hyun RYU ; Young Suk KIM ; Tae Hee LEE ; Euyi Hyeog IM ; Kyu Chan HUH ; Young Woo CHOI ; Young Woo KANG

Affiliations

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Keywords

Fecaloma; Intestinal tuberculosis; Cecum; Endoscopic treatment

Country

Republic of Korea

Language

English

Abstract

Colorectal fecaloma is a mass of accumulated feces that is much harder in consistency than a fecal impactation. The rectosigmoid area is the common site for fecalomas and the cecum is the most unusual site. Diagnosis is usually made by distinctive radiographic findings of a mobile intraluminal mass with a smooth outline and no mucosal attachment. Most of the fecalomas are successfully treated by conservative methods such as laxatives, enemas and rectal evacuation. When conservative treatments have failed, endoscopic procedures or a surgical intervention may be needed. We report here that a cecal fecaloma caused by intestinal tuberculosis scar was successfully removed by endoscopic procedures.