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KMID : 0359020120450020174
Korean Journal of Gastrointestinal Endoscopy
2012 Volume.45 No. 2 p.174 ~ p.176
Cecal Fecaloma Due to Intestinal Tuberculosis: Endoscopic Treatment
Kim Sun-Moon

Ryu Ki-Hyun
Kim Young-Suk
Lee Tae-Hee
Im Euyi-Hyeog
Huh Kyu-Chan
Choi Young-Woo
Kang Young-Woo
Abstract
Colorectal fecaloma is a mass of accumulated feces that is much harder in consistency than a fecal impactation. The rectosigmoid area is the common site for fecalomas and the cecum is the most unusual site. Diagnosis is usually made by distinctive radiographic findings of a mobile intraluminal mass with a smooth outline and no mucosal attachment. Most of the fecalomas are successfully treated by conservative methods such as laxatives, enemas and rectal evacuation. When conservative treatments have failed, endoscopic procedures or a surgical intervention may be needed. We report here that a cecal fecaloma caused by intestinal tuberculosis scar was successfully removed by endoscopic procedures.
KEYWORD
Fecaloma, Intestinal tuberculosis, Cecum, Endoscopic treatment
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