Rajagopal Ambil, Martin Joseph
Department of Surgery, PSG Institute of Medical Sciences and Research, Coimbatore, India.
Dis Colon Rectum. 2002 Jun;45(6):833-5. doi: 10.1007/s10350-004-6306-x.
Fecal impaction is a common condition, and " fecaloma" is an extreme variety of impaction. This is a report of a giant, solitary, and stubborn fecaloma not responding to nonoperative management. A surgical intervention for uncomplicated fecal impaction is rarely needed and reported in the literature.
A 39-year-old male patient with constipation presented with a firm, mobile, abdominal mass of six-months duration. Investigations revealed an isolated, giant fecaloma in a redundant sigmoid megacolon. After all the conservative measures were unsuccessful in evacuating the stubborn impaction, he was treated by sigmoid colectomy and primary anastomosis.
A timely surgical intervention in recalcitrant fecal impactions may prevent possible stercoral ulcer perforation with a high mortality.
粪嵌塞是一种常见病症，“粪瘤”是嵌塞的一种极端形式。本文报告一例巨大、孤立且顽固的粪瘤，非手术治疗无效。文献中很少报道对单纯性粪嵌塞进行手术干预。
一名39岁便秘男性患者，腹部有一个质地坚硬、可活动的肿块，已持续六个月。检查发现，在冗长的乙状结肠巨结肠中有一个孤立的巨大粪瘤。在所有保守措施都无法排出顽固的嵌塞物后，对其进行了乙状结肠切除术和一期吻合术。
对顽固性粪嵌塞及时进行手术干预，可预防可能发生的死亡率很高的粪性溃疡穿孔。
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