Staged Surgery for Giant Fecaloma Complicating Idiopathic Megacolon  

作　　者：Boyodi Tchangai Fousseni Alassani Mazamesso Tchaou Komla Attipou Boyodi Tchangai;Fousseni Alassani;Mazamesso Tchaou;Komla Attipou(Department of Surgery, Sylvanus Olympio Teaching Hospital, Lome, Togo;Department of Radiology, Sylvanus Olympio Teaching Hospital, Lome, Togo)

机构地区：[1]Department of Surgery, Sylvanus Olympio Teaching Hospital, Lome, Togo [2]Department of Radiology, Sylvanus Olympio Teaching Hospital, Lome, Togo

出　　处：《Open Journal of Gastroenterology》2016年第12期418-422,共5页肠胃病学期刊（英文）

摘　　要：Fecalomas that need surgical management are uncommon. We report a rare case of giant fecaloma in a 22 years old female, with a history of constipation since childhood and an abdominal mass. Abdomen CT scan revealed a giant fecaloma filling sigmoid lumen without signs of ischemia or either complications. Laparotomy and fecaloma extraction trough colotomy was undertaken after failure of conservative measures and endoscopic removal attempt. Hirschsprung disease having been ruled out, sigmoidectomy was performed for idiopathic megacolon. Post operative course was uneventful with good functional outcomes.Fecalomas that need surgical management are uncommon. We report a rare case of giant fecaloma in a 22 years old female, with a history of constipation since childhood and an abdominal mass. Abdomen CT scan revealed a giant fecaloma filling sigmoid lumen without signs of ischemia or either complications. Laparotomy and fecaloma extraction trough colotomy was undertaken after failure of conservative measures and endoscopic removal attempt. Hirschsprung disease having been ruled out, sigmoidectomy was performed for idiopathic megacolon. Post operative course was uneventful with good functional outcomes.

关 键 词：Giant Fecaloma Idiopathic Megacolon SIGMOIDECTOMY CT Scan 

分 类 号：R72[医药卫生—儿科]