Abstract
Fecalomas are usually found in the colon or the rectum. In adult ages, jejunal giant fecaloma is a very rare condition. It has been thought that there should be any kind of chronic diseases leading to the occurrence of such fecalomas at the unexpected localizations. In this case, it was aimed to present a 50-year-old male patient with small bowel obstruction caused by jejunal giant fecalomas. There was previous gastrojejunostomy with vagotomy as the peptic ulcer surgery 25 years ago. Jejunal resection was performed due to the presence of small necrotic areas on the affected segment caused by impacted jejunal fecaloma. Fecalomas may be considered as a differential diagnosis of small intestinal obstruction in a patient with previous peptic ulcer surgery.
Keywords
References
- 1. Giant Fecaloma Causing Small Bowel Obstruction: Case Report and Review of the Literature. Bull Emerg Trauma. 2015 Apr; 3(2): 70–72.
- 2. Ileal Fecaloma Presenting with Small Bowel Obstruction. Pediatr Gastroenterol Hepatol Nutr. 2015 Sep;18(3):193-6. doi: 10.5223/pghn.2015.18.3.193. Epub 2015 Sep 25.
- 3. Obstruction by bezoar after vagotomy and pyloroplasty. Lancet. 1973 Jun 23;1(7817):1454.
- 4. Bezoar formation after vagotomy and pyloroplasty.Int Surg. 1974 Apr;59(4):241-2
- 5. Jejunal Bezoar Causing Obstruction After Laparoscopic Roux-en-Y Gastric Bypass. JSLS. 2010 Oct-Dec; 14(4): 592–595.
Abstract
Fekalomlar genellikle kolon ve rektumda bulunurlar. Yetişkinlerde jejunal dev fekalom bulunması oldukça nadir bir durumdur. Bazı kronik hastalıkların fekalomların alışılmadık lokalizasyonlarda gelişmesinde rolü olduğu düşünülmektedir. Bu olguda, dev jejunal fekaloma bağlı gelişen intestinal obstrüksiyonlu 50 yaşında erkek hastanın sunulması amaçlanmıştır. 25 yıl önce peptik ülser cerrahisi için yapılmış vagotomi ve gastrojejunostomi öyküsü mevcuttu. Jejunal fekalomun impakte olduğu segmentte küçük nekrotik alanların olmasından dolayı jejunal rezeksiyon ile tedavi edildi. Geçirilmiş peptik ülser cerrahisi olan hastalarda gelişen ince barsak obstrüksiyonunda fekalomlar ayırıcı tanıda düşünülmelidir.
Keywords
References
- 1. Giant Fecaloma Causing Small Bowel Obstruction: Case Report and Review of the Literature. Bull Emerg Trauma. 2015 Apr; 3(2): 70–72.
- 2. Ileal Fecaloma Presenting with Small Bowel Obstruction. Pediatr Gastroenterol Hepatol Nutr. 2015 Sep;18(3):193-6. doi: 10.5223/pghn.2015.18.3.193. Epub 2015 Sep 25.
- 3. Obstruction by bezoar after vagotomy and pyloroplasty. Lancet. 1973 Jun 23;1(7817):1454.
- 4. Bezoar formation after vagotomy and pyloroplasty.Int Surg. 1974 Apr;59(4):241-2
- 5. Jejunal Bezoar Causing Obstruction After Laparoscopic Roux-en-Y Gastric Bypass. JSLS. 2010 Oct-Dec; 14(4): 592–595.
Details
| Subjects | Surgery |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | April 18, 2017 |
| Published in Issue | Year 2017 Volume: 2 Issue: 1 |
