Clinical Fellow, Division of Pulmonary and Critical Care Medicine, Rutgers New Jersey Medical School.
Assistant Professor of Medicine, Clinician Educator, Division of Hospital Medicine, Warren Alpert Medical School of Brown University.
R I Med J (2013). 2021 Dec 1;104(10):7-9.
Chronic constipation and fecal impaction are common in older individuals but can also be found in younger patients with cognitive and psychiatric illnesses. The diagnosis of fecal impaction and, the assessment of severity are best performed clinically. Here, we present a case of a 30-year-old autistic individual where limited history was obtainable and further imaging helped to urgently diagnose a 47 x 15.6 x 12 cm stool ball, causing significant mass effect of surrounding intra-abdominal structures. Fecal disimpaction and aggressive bowel regimen prevented the pathological effects of severe fecal retention.
慢性便秘和粪便嵌塞在老年人中很常见，但也可见于认知和精神疾病的年轻患者。粪便嵌塞的诊断和严重程度的评估最好通过临床进行。在这里，我们介绍了一个 30 岁自闭症患者的病例，该患者病史有限，进一步的影像学检查有助于紧急诊断出一个 47 x 15.6 x 12 cm 的粪球，导致周围腹腔结构的严重肿块效应。粪便松解和积极的肠道治疗方案防止了严重粪便潴留的病理影响。
