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'Ball valve' small bowel obstruction caused by a large caecal faecolith
S Sharma1, T Majeed1, J Solomon1
1Department of General Surgery, Wirral University Teaching Hospital, Upton, Wirral, UK.
Annals of the Royal College of Surgeons of England
|November 13, 2020
Summary
Intestinal faecoliths, though rare causes of small bowel obstruction, require prompt surgical intervention. This case demonstrates a large faecolith causing acute obstruction, necessitating laparoscopic removal.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Small bowel obstruction is a frequent surgical emergency.
- Intestinal faecoliths are an uncommon etiology for bowel obstruction.
Purpose of the Study:
- To report a rare case of small bowel obstruction caused by a large faecolith.
- To emphasize the clinical significance of symptomatic intestinal faecoliths.
Main Methods:
- A case study of a 75-year-old female patient presenting with symptoms of small bowel obstruction.
- Surgical intervention involving laparoscopy-assisted removal of the faecolith.
Main Results:
- A large faecolith was identified as the cause of obstruction, lodged in the caecum.
- Successful removal of the faecolith was achieved via laparoscopy-assisted surgery.
Conclusions:
- Symptomatic intestinal faecoliths are a rare but significant cause of acute small bowel obstruction.
- Prompt surgical management is crucial as faecoliths are unlikely to resolve spontaneously.
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