Large Fecaloma with Multiple Fecal Impactions in a 12-Year-Old Girl: Case Report

Abstract

Fecaloma is a mass of accumulated fecal matter that develops primarily as a consequence of poorly managed chronic constipation. It most commonly occurs in the distal colon and rectum, although it can occasionally be found in other parts of the gastrointestinal tract. While fecalomas are more frequently reported in adults, they are exceedingly rare in children. In this case report, we present a rare instance of a 12-year-old girl who developed a large fecaloma due to chronic constipation, resulting in significant weight loss.
We describe the case of a 12-year-old girl who presented with abdominal pain, constipation, and weight loss over a four-month period. The patient’s symptoms were initially unresponsive to multiple laxatives and gradually worsened, leading to a marked reduction in her weight. A contrast-enhanced computed tomography (CT) scan revealed a large fecaloma extending from the transverse colon through to the rectosigmoid colon. The patient was successfully treated with enemas, polyethylene glycol, magnesium citrate, and sodium pico sulfate.
Fecaloma is a rare and severe condition in children that often arises due to poorly managed chronic constipation. Early diagnosis and appropriate treatment are essential to prevent complications. Conservative methods, such as laxatives and enemas, can often be effective in managing this condition, although more invasive approaches may be necessary in certain cases.