Mr Ahmed Showki Arnob*, Dr Sayma Parvin Mitu
SUFFIX Kettering General Hospital, United Kingdom Ex-Delta Medical College, Bangladesh
Posters & Accepted Abstracts: J Univer Surg
Faecaloma is a rare presentation in coprostasis, which can have severe conseuences1. Faecal impaction is common in elderly, limitedmobility patients who may be nursing home residents or housebound1. Efforts shoule be made to prevent the formation of faecaloma as the consequences may well be life-threatening1. Patient may present with chronic constipation, per-rectal bleed1. Diagnosed with CT scan1. Differentials may include tumor, diverticular disease, IBD, arteriovenous malformations etc1. A faecaloma is essentially a mass of faeces, which itself causes diffi culty in peristalsis and upstream malfunction as well2. Treatment may include digital fragmentation of the faecaloma, use of enemas and laxatives2. This requires a laparotomy on very rare occasions2. Endoscopic approach for mechanical fragmentation may also be a viable option2. Another approach towards the management may include introduction of an NG tube via colonoscopy, past the obstruction3. Subsequently liquid paraffi n can be injected proximal to the faecaloma3. Next day, the faecaloma may show signs of fragmentation and softening, subsequently vigorous saline irrigation may be carried out to achieve relief of the obstruction3. Patients may need lifelong regular/as-required laxatives to ensure faecaloma doesn’t happen again. They may need to increase fi bre intake, exercise regularly3. Direct visualisation may be considered to exclude other potential pathology as a precipitating factor for faecaloma formation3.
Mr Ahmed Showki Arnob is a Senior House Offi cer in Kettering General Hospital, Kettering, Northamptonshire, United Kingdom. Dr Sayma Parvin Mitu is an ex-lecturer in Department of Biochemistry in Delta Medical College, Bangladesh