Author(s)

Boyodi Tchangai^1*, Fousseni Alassani¹, Mazamesso Tchaou², Komla Attipou¹

¹Department of Surgery, Sylvanus Olympio Teaching Hospital, Lome, Togo.
²Department of Radiology, Sylvanus Olympio Teaching Hospital, Lome, Togo.

Fecalomas that need surgical management are uncommon. We report a rare case of giant fecaloma in a 22 years old female, with a history of constipation since childhood and an abdominal mass. Abdomen CT scan revealed a giant fecaloma filling sigmoid lumen without signs of ischemia or either complications. Laparotomy and fecaloma extraction trough colotomy was undertaken after failure of conservative measures and endoscopic removal attempt. Hirschsprung disease having been ruled out, sigmoidectomy was performed for idiopathic megacolon. Post operative course was uneventful with good functional outcomes.

Giant Fecaloma, Idiopathic Megacolon, Sigmoidectomy, CT Scan

Tchangai, B. , Alassani, F. , Tchaou, M. and Attipou, K. (2016) Staged Surgery for Giant Fecaloma Complicating Idiopathic Megacolon. Open Journal of Gastroenterology, 6, 418-422. doi: 10.4236/ojgas.2016.612044.