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Hepatic encephalopathy precipitated by fecal impaction
Archives of Internal Medicine
|June 1, 1979
Abstract:
Two episodes of hepatic encephalopathy developed in a 64-year-old man with cirrhosis during the course of hospitalization. The first event was precipitated by spontaneous bacterial peritonitis; the second occurred four weeks later and was associated with a massive fecal impaction, an unreported precipitant. No other potential causes were demonstrated. Symptoms promptly resolved following disimpaction.
Insights
Fecal impaction can precipitate hepatic encephalopathy (HE) in cirrhosis patients. Prompt treatment of fecal impaction led to symptom resolution in a case study.
Area of Science:
- Gastroenterology
- Hepatology
- Neurology
Background:
- Hepatic encephalopathy (HE) is a serious complication in patients with cirrhosis.
- Precipitating factors for HE are well-documented, but novel triggers continue to emerge.
- Fecal impaction is a common issue in elderly and chronically ill patients.