Presentation
Abdominal pain, vomiting. Empty colostomy. History of total abdominal hysterectomy and Hartmann's. ? Large bowel obstruction.
Patient Data
Age: 60 years
Gender: Female
From the case:
Fecolith causing large bowel obstruction
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/29181/annotated_viewer_json?lang=us"}
Distension of large colon with transition at descending colon. A 4cm fecolith in the left mid abdomen is noted.
From the case:
Fecolith causing large bowel obstruction
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/29182/annotated_viewer_json?lang=us"}
Large bowel obstruction due to impacted fecolith in descending colon. Incidental hiatus hernia.
Case Discussion
Impacted fecolith causing large bowel obstruction.
Case courtesy of Dr James Stegeman (Monash Health Diagnostic Imaging).