Annals of Coloproctology

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Technical Note

Benign GI diease,Rare disease & stoma,Surgical technique

Endoscopic Removal of a Fecalith or Fecomucolith in a Rectal Stump or Pouch: Evie Yeap, Ratheesraj Ratinam, Asiri Arachchi, James Lim, Yeng Kwang Tay, Zeev Duieb; Ann Coloproctol. 2021;37(5):346-348. Published online August 25, 2021; DOI: https://doi.org/10.3393/ac.2021.00206.0029

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Fecaliths or fecomucoliths can form in rectal stumps after a Hartmann procedure or in a coloneovaginal conduit. They can cause significant distress to the patient by causing symptoms such as discharge and odor. We describe a novel and effective method of endoscopic obliteration and removal where other techniques such as removal during examination under anesthesia or serial enemas have failed. By using a combination of hydrodissection with a saline injector gun and biopsy forceps and a polypectomy snare to break down the fecomucolith or fecalith, this troublesome problem can be resolved endoscopically. Successful removal of the fecalith/fecomucolith and resolution of the symptoms for the patients were achieved. No complications are reported. We describe an effective and novel method for endoscopic removal of fecaliths and fecomucoliths.

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Beyond the Biliary Tree: A Giant Calcified Rectal Fecalith Treated With Electrohydraulic Lithotripsy
Michael Gianarakis, Ameen Taufiq, Hasan S. Raza, Omar T. Ahmed, Parth Thaker, Jesse Hartpence, Brian Boulay
ACG Case Reports Journal.2025;[Epub] CrossRef

Case Report

Laparoscopic Management of Appendiceal Intussusception Caused by Fecaliths.: Kang, Dong Baek , Kim, Seung Ho , Oh, Jung Taek , Kim, Kang Deuk , Jo, Hyang Jeong , Lee, Jeong Kyun , Park, Won Cheol; J Korean Soc Coloproctol. 2009;25(5):352-355.; DOI: https://doi.org/10.3393/jksc.2009.25.5.352

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Abstract PDF

Appendiceal intussusception is a rare condition of abdominal pain. It develops as a result of various anatomic or pathologic conditions, such as polyps, worms, carcinomas, mucoceles, or fecaliths. Furthermore, an accurate preoperative diagnosis of appendiceal intussusception may be difficult. However, recently developed radiologic modalities, such as multidetector CT and laparoscopy, can considerably aid preoperative diagnosis and provide a means of adopting optimal minimally invasive surgery. Here, the authors describe the case of a 30-yr-old woman with the clinical features of acute appendicitis, who was preoperatively diagnosed as having appendiceal intussusception with fecaliths and who was managed by using a laparoscopic partial cecectomy.

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Appendix Invagination Mimicking Ileocecal Intussusception in a Pediatric Patient: A Case Report
Muhsin Nuh Aybay, Seyit Erol, Hasan Emin Kaya, Ibrahim Guler
The Journal of Emergency Medicine.2016; 51(5): 589. CrossRef

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