Fecaloma

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and keywords: a tumor made of feces; fecalith; coprolith; stones made of feces

Overview

A fecaloma is a hardening of feces into stones of varying size inside the colon,

Pathophysiology

A fecaloma occurs whenever chronic obstruction of transit of feces occurs.

Cuases

• Chagas disease
• Hirschsprung's disease
• Megacolon and chronic constipation
• Destruction of the autonomic nervous system inside the colon's mucosa (Auerbach's plexus)

Natural History, Complications and Prognosis

Fecal impaction may have severe and even lethal effects, such as the rupture of the colon's walls by acute angles of the fecalomas (stercoral perforation), followed by septicemia. A fecolith is also usually the cause of acute appendicitis.

See also

• Fecal impaction

References

Creason N, Sparks D. Fecal impaction: a review. Nurs Diagn. 2000 Jan-Mar;11(1):15-23. Review. PMID 10847055 it:Fecaloma