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Fecal Impaction and Stercoral Ulceration
Atif Zaheer, MD; Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Synonyms

              • Fecaloma, fecalith
            • Definitions

              • Hardened and impacted mass of feces that cannot be passed and obstructs lumen of bowel
              • Stercoral ulceration: Pressure necrosis of bowel lumen by fecal mass

            IMAGING

            • General Features

              • Imaging Recommendations

                • CT Findings

                  • Fluoroscopic Findings

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Treatment

                                Selected References

                                1. Gupta AK et al: Pelvic rectal stercoral perforation resulting in diffuse pneumatosis. Cureus. 12(7):e9146, 2020
                                2. Singh HK et al: Cannabis use in the young and stercoral perforation. Br J Hosp Med (Lond). 80(5):i, 2019
                                3. Proulx E et al: Constipation-associated stercoral colitis. Pediatr Emerg Care. 34(9):e159-60, 2018
                                4. Kothari K et al: Nontraumatic large bowel perforation: spectrum of etiologies and CT findings. Abdom Radiol (NY). 42(11):2597-608, 2017
                                5. √únal E et al: Stercoral colitis: diagnostic value of CT findings. Diagn Interv Radiol. 23(1):5-9, 2017
                                6. Baltazar G et al: Rectal stercoral ulcer perforation. Am Surg. 78(12):E515-6, 2012
                                7. Falidas E et al: Stercoral perforation of the sigmoid colon. A case report and brief review of the literature. G Chir. 32(8-9):368-71, 2011
                                8. Sood BP et al: Unusual radiological appearance of a faecaloma. Australas Radiol. 51 Spec No, 2007
                                9. Heffernan C et al: Stercoral colitis leading to fatal peritonitis: CT findings. AJR Am J Roentgenol. 184(4):1189-93, 2005
                                10. Rozenblit AM et al: Case reports. Stercoral perforation of the sigmoid colon: computed tomography findings. Clin Radiol. 55(9):727-9, 2000
                                11. Fagelman D et al: CT diagnosis of fecaloma. J Comput Assist Tomogr. 8(3):559-61, 1984
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Top Differential Diagnoses

                                      • Pathology

                                        • Clinical Issues

                                          TERMINOLOGY

                                          • Synonyms

                                            • Fecaloma, fecalith
                                          • Definitions

                                            • Hardened and impacted mass of feces that cannot be passed and obstructs lumen of bowel
                                            • Stercoral ulceration: Pressure necrosis of bowel lumen by fecal mass

                                          IMAGING

                                          • General Features

                                            • Imaging Recommendations

                                              • CT Findings

                                                • Fluoroscopic Findings

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • General Features

                                                      • Gross Pathologic & Surgical Features

                                                        CLINICAL ISSUES

                                                        • Presentation

                                                          • Demographics

                                                            • Treatment

                                                              Selected References

                                                              1. Gupta AK et al: Pelvic rectal stercoral perforation resulting in diffuse pneumatosis. Cureus. 12(7):e9146, 2020
                                                              2. Singh HK et al: Cannabis use in the young and stercoral perforation. Br J Hosp Med (Lond). 80(5):i, 2019
                                                              3. Proulx E et al: Constipation-associated stercoral colitis. Pediatr Emerg Care. 34(9):e159-60, 2018
                                                              4. Kothari K et al: Nontraumatic large bowel perforation: spectrum of etiologies and CT findings. Abdom Radiol (NY). 42(11):2597-608, 2017
                                                              5. √únal E et al: Stercoral colitis: diagnostic value of CT findings. Diagn Interv Radiol. 23(1):5-9, 2017
                                                              6. Baltazar G et al: Rectal stercoral ulcer perforation. Am Surg. 78(12):E515-6, 2012
                                                              7. Falidas E et al: Stercoral perforation of the sigmoid colon. A case report and brief review of the literature. G Chir. 32(8-9):368-71, 2011
                                                              8. Sood BP et al: Unusual radiological appearance of a faecaloma. Australas Radiol. 51 Spec No, 2007
                                                              9. Heffernan C et al: Stercoral colitis leading to fatal peritonitis: CT findings. AJR Am J Roentgenol. 184(4):1189-93, 2005
                                                              10. Rozenblit AM et al: Case reports. Stercoral perforation of the sigmoid colon: computed tomography findings. Clin Radiol. 55(9):727-9, 2000
                                                              11. Fagelman D et al: CT diagnosis of fecaloma. J Comput Assist Tomogr. 8(3):559-61, 1984