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Fecal impaction causing megarectum-producing colorectal catastrophes. A report of two cases

J Lohlun1, M Margolis, P Gorecki

  • 1Department of Surgery, New York Methodist Hospital, Brooklyn, NY 11215, USA.

Digestive Surgery
|April 27, 2000
PubMed
Abstract

Insights

Massive fecal impaction can cause severe rectal and colon complications, including ischemia and perforation. Prompt intervention is crucial to prevent surgical emergencies and save lives.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Massive fecal impaction is a rare but serious condition.
  • It can lead to life-threatening surgical complications.

Observation:

  • Two cases of massive fecal impaction are presented.
  • One patient developed abdominal compartment syndrome and rectal necrosis.
  • The other patient experienced colonic obstruction and ischemia.

Findings:

  • Neglected fecal impaction can result in a megarectum.
  • This can lead to abdominal compartment syndrome and colorectal emergencies.
  • Surgical intervention was life-saving in both reported cases.

Implications:

  • Physicians must be aware of the potential for severe outcomes from fecal impaction.
  • Preventive measures and prompt manual disimpaction are essential.
  • Timely surgical treatment can be life-saving for patients with complications.

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