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4 "Fecal impaction"
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Case Report
Benign bowel disease
A case report of impacted fecalith within mucosal pouch: an unusual cause of colocolic intussusception
Douglas Greer, Adrian Fernandez
Ann Coloproctol. 2024;40(Suppl 1):S15-S17.   Published online November 18, 2021
DOI: https://doi.org/10.3393/ac.2021.00724.0103
  • 5,222 View
  • 99 Download
AbstractAbstract PDF
Intussusception involving the colon is unusual in adults and when present is managed with resection due to the risk of malignancy. We present an unusual case where the intussusceptum was impacted stool in a mucosal pouch in the transverse colon. The patient presented with bleeding per rectum and abdominal pain and was found to have a colocolic intussusception on computed tomography. Colonoscopy showed an ulcerated mass in the transverse colon. A laparoscopic right hemicolectomy was performed. Histopathology demonstrated known chronic lymphocytic leukemia, but not solid malignancy. A large fecalith impacted within a mucosal pouch had acted as the lead point. This represents a highly unusual but benign cause of intussusception.
Original Article
Anorectal physiology & pelvic floor disorder
Efficacy and safety of anal encirclement combining the Leeds-Keio artificial ligament with injection sclerotherapy using aluminum potassium sulfate and tannic acid in the management of rectal prolapse: a single-center observational study
Tatsuya Abe, Masao Kunimoto, Yoshikazu Hachiro, Kei Ohara, Mitsuhiro Inagaki
Ann Coloproctol. 2023;39(3):210-215.   Published online November 12, 2021
DOI: https://doi.org/10.3393/ac.2021.00731.0104
  • 4,181 View
  • 138 Download
  • 2 Web of Science
  • 3 Citations
AbstractAbstract PDF
Purpose
Perineal procedures are an important surgical option for frail and high-risk patients with rectal prolapse. This study aimed to evaluate the efficacy and safety of combined therapy using injection sclerotherapy, with aluminum potassium sulfate and tannic acid (ALTA), and the Thiersch procedure, using the Leeds-Keio ligament (ALTA-Thiersch).
Methods
This study included 106 consecutive patients (mean age, 81.2 years) who underwent ALTA-Thiersch for rectal prolapse. The procedure was performed under caudal epidural anesthesia. ALTA was injected into the submucosa from the tip of the prolapsed rectum down to the dentate line, circumferentially, at 20 to 40 locations. The ligament tape was placed outside the external sphincter muscle and at an approximate depth of 2 cm into the middle anal canal.
Results
Of 106 patients, rectal prolapse was cured shortly after surgery in 105 patients. An additional tape was inserted in 1 patient who had persistent prolapse. Postoperative complications were observed in 27 patients (25.5%). Fecal impaction occurred in 12 patients; however, since it was temporary, no tape removal was required. Of the 12 cases in which the tape was infected or exposed, 11 required tape removal. There were 18 cases of recurrence at a mean follow-up of 22.1 months. Cumulative recurrence rates at 3 and 5 years were 21.3% and 38.6%, respectively.
Conclusion
ALTA-Thiersch is a simple and safe procedure for rectal prolapse, having reasonable outcomes. The use of the Leeds-Keio ligament for anal encircling can help compensate for the disadvantages of the Thiersch operation.

Citations

Citations to this article as recorded by  
  • Tissue engineering and regenerative medicine approaches in colorectal surgery
    Bigyan B. Mainali, James J. Yoo, Mitchell R. Ladd
    Annals of Coloproctology.2024; 40(4): 336.     CrossRef
  • Efficacy and Safety of a New Technique Combining Injection Sclerotherapy and External Hemorrhoidectomy for Prolapsed Hemorrhoids: A Single-center Observational Study
    Tatsuya Abe, Masao Kunimoto, Yoshikazu Hachiro, Akane Ito, Kenji Watanabe, Shigenori Ota, Kei Ohara, Mitsuhiro Inagaki, Yusuke Saitoh, Masanori Murakami
    Journal of the Anus, Rectum and Colon.2024; 8(4): 331.     CrossRef
  • Simple Anal Reinforcement with Anal Encirclement Using an Artificial Ligament in Patients with fecal Incontinence: A Single-center Observational Study
    Tatsuya Abe, Masao Kunimoto, Yoshikazu Hachiro, Shigenori Ota, Kei Ohara, Mitsuhiro Inagaki
    Journal of the Anus, Rectum and Colon.2022; 6(3): 174.     CrossRef
Case Reports
Benign bowel disease
A fecalith mimicking a bladder calculus secondary to an appendicovesical fistula: a case report
Mauricio Gonzalez-Urquijo, Andrea Romero-Davila, MaryCarmen Mendoza-Silva, Antonio Nassim Halun Treviño, Mario Rodarte-Shade, Gerardo Gil-Galindo
Ann Coloproctol. 2023;39(4):362-365.   Published online July 21, 2021
DOI: https://doi.org/10.3393/ac.2020.00311.0044
  • 4,718 View
  • 43 Download
AbstractAbstract PDF
An appendicovesical fistula is defined as an abnormal communication between the appendix and the urinary bladder, with only a few cases reported in the literature. It is very challenging to make an early diagnosis, due to the inability of conventional imaging modalities to detect this unique pathology. The symptoms are often mild, and there are not any specific signs or symptoms that might suggest this type of anomalous communication. We report a case of a 27-year-old male patient who presented difficulty for initiating urination, dysuria, and persistent urinary tract infections. An abdominal x-ray showed a large calculus inside the bladder. A cystoscopy was performed, where the tip of the appendix was seen protruding inside the bladder with a large fecalith adhered to the bladder wall. An appendectomy and partial cystectomy with primary repair were auspiciously achieved. A review of the literature is also presented.
A Stercoral Perforation of the Rectum
Seung-Jin Kwag, Sang-Kyung Choi, Ji-Ho Park, Eun-Jung Jung, Chi-Young Jung, Sang-Ho Jung, Young-Tae Ju
Ann Coloproctol. 2013;29(2):77-79.   Published online April 30, 2013
DOI: https://doi.org/10.3393/ac.2013.29.2.77
  • 4,399 View
  • 34 Download
  • 10 Citations
AbstractAbstract PDF

A stercoral perforation of the rectum due to a fecaloma is a rare disease with a high mortality rate. Although multiple case reports of colonic perforations have been published, the data regarding rectal perforations are limited. This case report will highlight one such case of a stercoral rectal perforation that was successfully treated with a laparoscopic operation.

Citations

Citations to this article as recorded by  
  • Rectal stercoral perforation: an uncommon anatomical localization of a rare surgical emergency
    Tom Vandaele, Lisa Dekoninck, Pauline Vanhove, Bart Devos, Mathieu Vandeputte, Marc Philippe, Johan Vlasselaers
    Journal of Surgical Case Reports.2024;[Epub]     CrossRef
  • The Extremes of Constipation: A Case of Stercoral Perforation From Fecal Impaction in a Teenager
    Felicia Lee, Jasmin Cao, Evan Lin, Maho Kurashima, Raymond I Okeke, Christian Saliba, Shin Miyata
    Cureus.2023;[Epub]     CrossRef
  • Stercoral re-perforation after colostomy takedown: a case report
    Seunghwan Lee, Chang Woo Kim
    BMC Surgery.2021;[Epub]     CrossRef
  • Rare but relevant: a systematic review of stercoral perforation
    Sherwin Fernando, Diwakar R Sarma
    British Journal of Hospital Medicine.2021; 82(4): 1.     CrossRef
  • Pelvic Rectal Stercoral Perforation Resulting in Diffuse Pneumatosis
    Anupam K Gupta, Oscar A Vazquez, Miguel Lopez-Viego
    Cureus.2020;[Epub]     CrossRef
  • Spontaneous colonic perforation in adults: Evaluation of a pooled case series
    Ren Chongxi, Ji Jinggang, Shi Yan, Wang Hongqiao, Liu Yan, Yang Fengshuo
    Science Progress.2020;[Epub]     CrossRef
  • Acute Spontaneous Perforation of Rectosigmoid Junction in a Patient with Quadriplegia following Spinal Cord Injury
    Oshan Basnayake, Chiran Rathnaweera, Umesh Jayarajah, Gishanthan Shanthamoorthy, Heshan Dayantha Siriwardena, Asela Jayathilaka, Paola De Nardi
    Case Reports in Surgery.2020; 2020: 1.     CrossRef
  • Stercoral perforation: A rare entity
    Nisarg Mehta, Ahan Bhatt, Cici Zhang
    World Journal of Colorectal Surgery.2019; 8(4): 114.     CrossRef
  • Stercoral Perforation of the Colon: A Potentially Fatal Complication of Opioid-Induced Constipation
    Andrew Davies, Katherine Webber
    Journal of Pain and Symptom Management.2015; 50(2): 260.     CrossRef
  • Stercoral Colitis
    Maxim Saksonov, Gil N. Bachar, Sara Morgenstern, Abdel-Rauf Zeina, Margarita Vasserman, Orith Protnoy, Ofer Benjaminov
    Journal of Computer Assisted Tomography.2014; 38(5): 721.     CrossRef
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