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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
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Feces Formation and Defecation01:26

Feces Formation and Defecation

After spending 3 to 10 hours in the large intestine, chyme loses a lot of water and becomes feces, the final product of digestion. Feces consist of undigested dietary fiber such as cellulose, mucus, sloughed-off epithelial cells, and microbes. The descending and sigmoid colon stores feces and uses haustral contractions to dry it out but retains enough water to give it a semi-solid texture.
The mass peristalsis then pushes the feces into the rectum, which stretches the rectal walls to activate...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Large Intestine01:09

Large Intestine

The large intestine is divided into three main regions: the cecum, colon, and rectum. Extending from the ileocecal valve to the anus, it frames the small intestine on three sides.
The ileocecal sphincter, a mucous membrane fold, guards the opening from the ileum to the large intestine. This valve permits material from the small intestine to pass into the large intestine. Attached to the ileocecal valve is the cecum. This small pouch, approximately 6 cm long, has a twisted, coiled tube known as...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Microbiota of the Large Intestine01:27

Microbiota of the Large Intestine

The large intestine hosts the most densely populated microbial ecosystem in the human body. This complex community primarily consists of anaerobic bacteria, with Bacillota (formerly Firmicutes) and Bacteroidota (formerly Bacteroidetes) as the predominant groups. The distribution of these microbes varies along different sections of the large intestine, influenced by local environmental factors such as oxygen availability and nutrient composition.The cecum, located at the beginning of the large...

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Fecal Microbiota Transplantation via Colonoscopy for Recurrent C. difficile Infection
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Faecaloma in ano.

O Jalil1, H Jones, B M Stephenson

  • 1Royal Gwent Hospital, Newport, UK.

Annals of the Royal College of Surgeons of England
|March 7, 2012
PubMed
Summary
This summary is machine-generated.

A rare case of faecaloma in ano, a fecal impaction in the anal canal, was identified in a patient with chronic constipation and a long-standing anal fissure. This condition, suspected to arise from the fissure, highlights a novel complication of anal fissures.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Faecalomas (fecal impactions) are typically found in the colon or rectum, often linked to colorectal transit disorders.
  • A 67-year-old woman with chronic constipation and anal discomfort presented with a painless perianal lump.

Observation:

  • Physical examination and endoscopic evaluations revealed no internal abnormalities or connections to the perianal lump.
  • The mass, located separately from the anal canal and sphincters, was surgically removed.

Findings:

  • Histological examination confirmed the mass to be inspissated fecal material with calcification.
  • The clinical presentation and findings suggest a 'faecaloma in ano' secondary to a chronic anal fissure.

Implications:

  • This case suggests that chronic anal fissures, though typically associated with sepsis or fistula formation, can rarely lead to the development of a 'faecaloma in ano'.
  • The term 'faecaloma in ano' accurately describes this unusual clinical presentation, expanding the spectrum of anal fissure complications.