{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:59:30Z","timestamp":1785427170375,"version":"3.56.0"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Intestinal obstruction due to a giant fecaloma is a rare clinical condition, characterized by a markedly hardened fecal mass that is more severe than a simple fecal impaction. We report a case of a 24-year-old female with a history of repaired anorectal malformation (ARM) during infancy who presented with the complaint of abdominal rigidity, progressive abdominal distention, and chronic constipation. The contrast-enhanced computed tomography of the abdomen showed a grossly dilated rectosigmoid region. During laparotomy, a giant fecaloma (4\u00a0kg) was found obstructing the descending colon. The distal sigmoid stump was closed, and a diversion transverse colostomy was created to allow the passage of stool. The postoperative period was uneventful, and she was discharged with a well-functioning stoma. This case highlights that exploratory laparotomy with enterotomy and fecaloma extraction with the creation of a diversion transverse colostomy can be an effective and safe treatment approach, leading to excellent postoperative recovery and symptom relief.<\/jats:p>","DOI":"10.1093\/jscr\/rjag646","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T11:20:03Z","timestamp":1785151203000},"source":"Crossref","is-referenced-by-count":0,"title":["A giant 4\u00a0kg fecaloma leading to intestinal obstruction in an adult survivor of anorectal malformation: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Dinesh","family":"Choudhary","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery, Dr. Sampurnanand Medical College and Affiliated Hospitals , Jodhpur, Rajasthan ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunvi","family":"Ohri","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Dr. Sampurnanand Medical College and Affiliated Hospitals , Jodhpur, Rajasthan ,","place":["India"]},{"name":"SMR Collaborative for Surgical Excellence & Research (CSER), Squad Medicine and Research (SMR), Amadalavalasa ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8484-9314","authenticated-orcid":false,"given":"Shivani","family":"Ravipati","sequence":"additional","affiliation":[{"name":"SMR Collaborative for Surgical Excellence & Research (CSER), Squad Medicine and Research (SMR), Amadalavalasa ,","place":["India"]},{"name":"Dr. Pinnamaneni Siddhartha Institute of Medical Science and Research Foundation , Vijayawada, Andhra Pradesh ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7914-5482","authenticated-orcid":false,"given":"Pranav","family":"Vempati","sequence":"additional","affiliation":[{"name":"SMR Collaborative for Surgical Excellence & Research (CSER), Squad Medicine and Research (SMR), Amadalavalasa ,","place":["India"]},{"name":"Rangaraya Medical College , Kakinada 533003, Andhra Pradesh ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8816-156X","authenticated-orcid":false,"given":"Bhaskar","family":"Kambhampati","sequence":"additional","affiliation":[{"name":"SMR Collaborative for Surgical Excellence & Research (CSER), Squad Medicine and Research (SMR), Amadalavalasa ,","place":["India"]},{"name":"Rangaraya Medical College , Kakinada 533003, Andhra Pradesh ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tejinder","family":"Singh","sequence":"additional","affiliation":[{"name":"SMR Collaborative for Surgical Excellence & Research (CSER), Squad Medicine and Research (SMR), Amadalavalasa ,","place":["India"]},{"name":"Odessa National Medical University , Odessa ,","place":["Ukraine"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"2026073010590198600_ref1","doi-asserted-by":"publisher","first-page":"833","DOI":"10.1007\/s10350-004-6306-x","article-title":"Giant fecaloma with idiopathic sigmoid megacolon: report of a case and review of the literature","volume":"45","author":"Rajagopal","year":"2002","journal-title":"Dis Colon Rectum"},{"key":"2026073010590198600_ref2","doi-asserted-by":"crossref","first-page":"955","DOI":"10.1111\/j.1440-1746.2007.04979.x","article-title":"Gastrointestinal: Fecaloma in a dilated sigmoid colon","volume":"22","author":"Kantarci","year":"2007","journal-title":"J Gastroenterol Hepatol"},{"key":"2026073010590198600_ref3","doi-asserted-by":"publisher","first-page":"1134","DOI":"10.1007\/BF01295981","article-title":"Cecal fecaloma mimicking colonic neoplasm","volume":"26","author":"Cid","year":"1981","journal-title":"Digest Dis Sci"},{"key":"2026073010590198600_ref4","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1002\/aid2.13176","article-title":"Fecaloma impaction and stercoral ulcer","volume":"7","author":"Huang","year":"2020","journal-title":"Adv Dig Med"},{"key":"2026073010590198600_ref5","doi-asserted-by":"publisher","first-page":"GMR.000602","DOI":"10.31031\/GMR.2020.05.000602","article-title":"Giant Fecaloma causing large bowel obstruction: a case report","volume":"5","author":"Gil","year":"2020","journal-title":"Gastro Med Res"},{"key":"2026073010590198600_ref6","doi-asserted-by":"publisher","first-page":"846","DOI":"10.3390\/children10050846","article-title":"State of the art bowel management for pediatric colorectal problems: anorectal malformations","volume":"10","author":"Bokova","year":"2023","journal-title":"Children"},{"key":"2026073010590198600_ref7","doi-asserted-by":"crossref","first-page":"124","DOI":"10.4103\/wjcs.wjcs_32_24","article-title":"Fecaloma: classification, treatment, and outcomes","volume":"13","author":"de Souza","year":"2024","journal-title":"World J Colorectal Surg"},{"key":"2026073010590198600_ref8","first-page":"70","article-title":"Giant fecaloma causing small bowel obstruction: case report and review of the literature","volume":"3","author":"Mushtaq","year":"2015","journal-title":"Bull Emerg Trauma"},{"key":"2026073010590198600_ref9","doi-asserted-by":"crossref","first-page":"58","DOI":"10.5339\/qmj.2025.58","article-title":"A giant fecaloma causing stercoral colitis secondary to aripiprazole and benztropine: a case report","volume":"2025","author":"Abbarh","year":"2025","journal-title":"Qatar Med J"},{"key":"2026073010590198600_ref10","first-page":"1","article-title":"A giant fecaloma presenting as abdominal mass - a case report","volume":"2","author":"Singh","year":"2014","journal-title":"Int J Contemp Surg"},{"key":"2026073010590198600_ref11","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/s12877-015-0162-5","article-title":"Fecal impaction: a systematic review of its medical complications","volume":"16","author":"Serrano Falc\u00f3n","year":"2016","journal-title":"BMC Geriatr"},{"key":"2026073010590198600_ref12","doi-asserted-by":"crossref","first-page":"2353","DOI":"10.1097\/MS9.0000000000002904","article-title":"Massive fecaloma causing bilateral hydronephrosis and acute kidney injury: a case report and review of the literature","volume":"87","author":"AlJardali","year":"2025","journal-title":"Ann Med Surg"},{"key":"2026073010590198600_ref13","doi-asserted-by":"crossref","first-page":"174","DOI":"10.5946\/ce.2012.45.2.174","article-title":"Cecal fecaloma due to intestinal tuberculosis: endoscopic treatment","volume":"45","author":"Kim","year":"2012","journal-title":"Clin Endosc"},{"key":"2026073010590198600_ref14","doi-asserted-by":"crossref","first-page":"91","DOI":"10.4253\/wjge.v9.i2.91","article-title":"Successful endoscopic fragmentation of large hardened fecaloma using jumbo forceps","volume":"9","author":"Matsuo","year":"2017","journal-title":"World J Gastrointest Endosc"},{"key":"2026073010590198600_ref15","doi-asserted-by":"crossref","first-page":"AB88","DOI":"10.1016\/j.gie.2024.04.821","article-title":"Fizz and fecaloma: the use of ileostomy enemas and carbonated soda injections in a patient with persistent residual stool burden","volume":"99","author":"Garcia","year":"2024","journal-title":"Gastrointest Endosc"},{"key":"2026073010590198600_ref16","first-page":"1083","article-title":"Long-term outcomes of anorectal malformations","volume":"26","author":"Rintala","year":"2010","journal-title":"Pediatr Surg Int"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/7\/rjag646\/70389555\/rjag646.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/7\/rjag646\/70389555\/rjag646.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:59:11Z","timestamp":1785423551000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag646\/8747545"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":16,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7,4]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag646","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,7]]},"published":{"date-parts":[[2026,7]]},"article-number":"rjag646"}}