Megacolon for a giant faecaloma with unlucky outcome Case report and review of the literature
Paolo Caiazzo 1, Ciro De Martino 1, Giovanni Del Vecchio 1, Pierpaolo Di Lascio 1, Massimiliano Marasco 1, Fabia Laviani 2, Pio Rocco Tramutoli 1
Affiliations
Article Info
1 U.O.C. di Chirurgia d’Urgenza, A.O.R. “S. Carlo”, Potenza, Italy
2 U.O. di Radiologia d’Urgenza, A.O.R. “S. Carlo”, Potenza, Italy
Abstract
We herein report a case of megacolon with fecaloma in an 83-year-old man who presented with constipation, no intestinal occlusion, and a left hydroureteronephrosis, with A.S.A. 4. The patient asymptomatic, was treated Primariely with laxatives. During the conservative therapy the patient presented an abrupt abdominal distension with a bowel obstruction and abdominal compartment syndrome. After the laparotopy and a Hartmann left colon resection the patient died for cardiovascular and metabolic complications. The aim of this report is to give a brief review of this entity and discuss the treatment options for these cases.
Keywords
- Bowel obstruction
- Fecaloma
- Megacolon