The Korean Journal of Gastroenterology  2015;66(1):46-49

doi:10.4166/kjg.2015.66.1.46

Successful Removal of Hard Sigmoid Fecaloma Using Endoscopic Cola Injection.

Jong Jin LEE 1 ; Jeong Wook KIM

Affiliations

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Keywords

Fecal impaction; Sigmoid colon; Cola; Endoscopy

Country

Republic 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.