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Case Rep Gastroenterol. 2017 Feb 28;11(1):59-63. doi: 10.1159/000455186. eCollection 2017 Jan-Apr.

Giant Fecalith Causing Near Intestinal Obstruction and Rectal Ischemia.

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aDepartment of Internal Medicine, The Brooklyn Hospital Center, Brooklyn, New York, USA.
bDepartment of Internal Medicine, SBH Health System, Bronx, New York, USA.


Fecal impaction if left untreated can lead to the hardening of stools and the formation of fecalith. Fecaliths rarely cause serious complications and are usually managed conservatively. We present this rare case of a giant fecalith causing near obstruction in an institutionalized paraplegic patient at high risk for chronic constipation and fecal impaction. This case was also unusual for causing ischemic pressure necrosis in the rectum, thereby highlighting the possible serious complications of fecalith.


Complications of fecalith; Constipation; Fecal impaction; Fecalith; Intestinal obstruction; Rectal ischemia; Rectal ulcer

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