Massive Fecal Impaction with Megarectum Formation: A Case Report

Fecal impaction occurs because of hardened fecal matter retained in the colorectum which cannot be evacuated by peristaltic activity. Fecal impaction commonly occurs among nursing home residents, patients with neurological deficit, psychiatric disease or renal failure. Fecal impaction is usually treated by manual disimpaction, enemas and laxatives. Laparotomy is required only in the presence of complications. We herein report a case of a massive fe-cal impaction with megarectum in a 62-year-old woman who presented with large bowel obstruction. The aim of this report is to give a brief review of this entity and discuss the treatment options for these cases.

Masif Fekal İmpaksiyona Bağlı Gelişen Megarektum: Olgu Sunumu

Fekal impaksiyon, kolon ve rektumda birikip normal peristaltik aktivite ile boşaltılamayan sertleşmiş fekal muhteviyat nedeniyle oluşur. Fekal impaksiyon, huzurevi sakinleri, nörolojik bozukluğu olan hastalar, psikiyatri hastaları veya kronik böbrek yetersizliği olan hastalar arasında sık görülür. Fekal impaksiyon, genellikle parmakla boşaltma, lavman ve müshillerle tedavi edilir. Laparotomi sadece komplikasyonlar ortaya çıkınca gereklidir. Biz burada kalın bağırsak obstrüksiyonu bulgularıyla başvuran 62 yaşında bir kadın hastada megarektuma sebep olan masif fekal impaksiyon olgusunu sunuyoruz. Bu çalışmanın amacı, bu klinik durumu kısaca gözden geçirmek ve bu olguların tedavi seçeneklerini irdelemektir.

Kaynakça

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Kaynak Göster

Southern Clinics of Istanbul Eurasia
  • ISSN: 2587-0998
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2017

835179

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