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Fecal impaction; Plain abdominal X-ray showing a large fecal impaction extending from the pelvis upwards to the left subphrenic space and from the left towards the right flank, measuring over 40 cm in length and 33 cm in width. Specialty: Gastroenterology
It is a hardening of feces into lumps of varying size and may occur anywhere in the intestinal tract but is typically found in the colon. It is also called appendicolith when it occurs in the appendix and is sometimes concurrent with appendicitis. [1] They can also obstruct diverticula. It can form secondary to fecal impaction.
A small bowel obstruction as seen on CT Average inner diameters and ranges of different sections of the large intestine. [15] The main diagnostic tools are blood tests, X-rays of the abdomen, CT scanning, and ultrasound. If a mass is identified, biopsy may determine the nature of the mass. [citation needed]
Abdominal X-rays are generally only performed if bowel obstruction is suspected, may reveal extensive impacted fecal matter in the colon, and may confirm or rule out other causes of similar symptoms. [26] [17] Colonoscopy may be performed if an abnormality in the colon like a tumor is suspected. [15]
Bowel cancer is the fourth most common type of cancer in the UK
The medical history is helpful in that most cases of inflammatory bowel disease are well known to both patient and doctor. Other rare syndromes, including Ogilvie's syndrome, chronic constipation and impaction may cause a pseudo obstruction. [17] Abdominal x-ray – tire-like shadow arising from right iliac fossa and passing to left; Upper GI ...
Symptoms like diarrhea and abdominal pain can be normal and fleeting. Experts said such symptoms lasting more than a week without any known cause warrant a call to the doctor.
Additionally, fecalomas may be seen as masses in the colon. In the case of ulceration, the part of the colon adjacent to the fecaloma will be thickened. This thickening of the bowel will help differentiate from stercoral colitis and stercoral ulcer from fecal impaction as the colon is typically not thickened in cases of fecal impaction. [2]