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Area of Science:

  • Gastroenterology
  • Emergency Medicine
  • Internal Medicine

Background:

  • Fecal impaction is a frequent emergency department (ED) presentation.
  • The systemic impact of fecal impaction is often underestimated.

Observation:

  • A previously healthy 19-year-old male presented to the ED with abdominal pain due to severe fecal impaction.
  • Imaging revealed that the impaction affected multiple organ systems.

Findings:

  • Severe fecal impaction can lead to significant physiological derangements in various organ systems.
  • This case highlights the underappreciated systemic consequences of fecal impaction.

Implications:

  • Emergency physicians should consider the potential for widespread organ system involvement in cases of severe fecal impaction.
  • Awareness of these secondary effects is crucial for comprehensive patient evaluation in the ED.