Year 2023 / Volume 115 / Number 11
Letter
Huge fecaloma in a rectum ampulla resolved with conservative treatment using a carbonated soft drink

654-655

DOI: 10.17235/reed.2023.9531/2023

Raquel Gómez Perosanz, Marta Quiñones Calvo, Héctor Julián Canaval Zuleta, Juan Manuel Fernández Font,

Abstract
Colonic impaction due to a fecaloma is a very frequent complication in patients with chronic constipation. Most cases respond to conservative measures such as digital disimpaction or treatment with oral laxatives and enemas. However, in some cases fecalomas could be refractory to these treatments requiring aggressive measures such as endoscopic or surgical removal. Even more, there are a few cases of death reported as a complication of a fecaloma refractory to usual treatments. We report, for the first time, a case of a patient with a huge fecaloma refractory to oral laxative and enemas resolved conservatively with a single irrigation of a carbonated soft drink through a rectal probe.
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References
1.Ontanilla Clavijo G, León Montañés R, Sánchez Torrijos Y, López Ruiz T, Bozada García JM. Colonic obstruction secondary to sigmoid fecaloma endoscopically resolved with Coca-Cola®. Rev Esp Enferm Dig. 2017 Apr;109(4):306-308. doi: 10.17235/reed.2017.4209/2016. PMID: 28215096.
2.Lee JJ, Kim JW. [Successful Removal of Hard Sigmoid Fecaloma Using Endoscopic Cola Injection]. Korean J Gastroenterol. 2015 Jul;66(1):46-9. Korean. doi: 10.4166/kjg.2015.66.1.46. PMID: 26194129.
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Citation tools
Gómez Perosanz R, Quiñones Calvo M, Canaval Zuleta H, Fernández Font J. Huge fecaloma in a rectum ampulla resolved with conservative treatment using a carbonated soft drink. 9531/2023


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Publication history

Received: 15/02/2023

Accepted: 24/02/2023

Online First: 17/03/2023

Published: 13/11/2023

Article Online First time: 30 days

Article editing time: 271 days


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