Gómez Perosanz Raquel, Quiñones Calvo Marta, Canaval Zuleta Héctor Julián, Fernández Font Juan Manuel
Aparato Digestivo , Hospital Universitario Fundación Alcorcón, España.
Aparato Digestivo , Hospital Universitario Fundación Alcorcón.
Rev Esp Enferm Dig. 2023 Nov;115(11):654-655. doi: 10.17235/reed.2023.9531/2023.
Colonic impaction due to a fecaloma is a very frequent complication in patients with chronic constipation. Most cases respond to conservative measures such as digital disimpaction or treatment with oral laxatives and enemas. However, in some cases fecalomas could be refractory to these treatments requiring aggressive measures such as endoscopic or surgical removal. Even more, there are a few cases of death reported as a complication of a fecaloma refractory to usual treatments. We report, for the first time, a case of a patient with a huge fecaloma refractory to oral laxative and enemas resolved conservatively with a single irrigation of a carbonated soft drink through a rectal probe.
粪块瘤导致的结肠梗阻是慢性便秘患者非常常见的并发症。大多数病例对诸如手指抠出粪块或口服泻药及灌肠治疗等保守措施有反应。然而，在某些情况下，粪块瘤对这些治疗可能无效，需要采取如内镜或手术切除等积极措施。甚至有少数病例报告称，因粪块瘤对常规治疗无效而导致死亡。我们首次报告了一例口服泻药和灌肠治疗无效的巨大粪块瘤患者，通过直肠探头单次灌注碳酸软饮料保守治疗后得以缓解。
