{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T12:08:03Z","timestamp":1788782883686,"version":"build-2803163510"},"reference-count":18,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2021,7,29]],"date-time":"2021-07-29T00:00:00Z","timestamp":1627516800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns3:p>Fecaloma is an accumulation of hardened impacted stool typically occurring in the sigmoid colon and rectum. It mainly affects elderly and bedridden patients suffering from chronic constipation and can be revealed by different signs. We report a case of 74-year-old female, with anorexia, Alzheimer\u2019s disease, and chronic constipation, who was admitted to the emergency department with complaints of dyspnea and anuria. Clinical examination showed fever, Glasgow Coma Scale score of 13\/15, tachycardia with a blood pressure of 100\/50 mmHg, polypnea with hypoxia, foci of crepitant rales in pulmonary auscultation and a tender hypogastric mass with mild diffuse abdominal tenderness. Digital rectal examination revealed hard fecal material. Computed tomography (CT) images demonstrated bilateral pulmonary parenchymal condensation and a huge heterogeneous fecaloma in the sigmoid colon and rectum compressing the bladder. Based on these findings, the diagnosis of giant fecaloma causing aspiration pneumonia and urinary retention was retained. Manual disimpaction and bowel enemas were done but they were unsuccessful and surgical treatment was refused. Ultimately the patient died due to septic shock. Early diagnosis should be made to relieve symptoms and prevent complications.<\/ns3:p>","DOI":"10.12688\/f1000research.54855.1","type":"journal-article","created":{"date-parts":[[2021,7,29]],"date-time":"2021-07-29T04:25:06Z","timestamp":1627532706000},"page":"691","update-policy":"https:\/\/doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Case Report: A giant fecaloma revealed by severe aspiration pneumonia and urinary retention"],"prefix":"10.12688","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6551-0878","authenticated-orcid":false,"given":"Elhem","family":"Mchirgui","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanen","family":"Elloumi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imen","family":"Ganzoui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wissem","family":"Triki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2560","published-online":{"date-parts":[[2021,7,29]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"166-169","DOI":"10.1002\/aid2.13176","article-title":"Fecaloma impaction and stercoral ulcer.","volume":"7","author":"W Huang","year":"2020","journal-title":"Adv Dig 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Rep."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1946-1950","DOI":"10.1016\/j.radcr.2021.04.067","article-title":"Stercoral colitis due to massive fecal impaction: a case report and literature review.","volume":"16","author":"T Abasin","year":"2021","journal-title":"Radiol Case Rep."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"e48","DOI":"10.1016\/j.cgh.2017.08.004","article-title":"A case of a giant fecaloma.","volume":"16","author":"G Ghosh","year":"2018","journal-title":"Clin Gastroenterol Hepatol."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"294-295","DOI":"10.1002\/jgh3.12221","article-title":"Fecaloma presenting as huge abdominal mass.","volume":"4","author":"M Khan","year":"2020","journal-title":"JGH Open."},{"key":"ref11","article-title":"Unique Endoscopic Therapy of Colonic Obstruction Caused by a Fecaloma: 1631.","volume":"113","author":"S Moraveji","year":"2018","journal-title":"Off J Am Coll Gastroenterol ACG."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"70","DOI":"10.4103\/fjs.fjs_58_19","article-title":"Fecaloma causing megacolon and bilateral hydronephrosis.","volume":"53","author":"K Tu","year":"2020","journal-title":"Formos J Surg."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"53","DOI":"10.11138\/gchir\/2017.38.1.053","article-title":"Supergiant fecaloma as manifestation of chronic constipation.","volume":"38","author":"G Curro","year":"2017","journal-title":"Il G Chir."},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.7815","article-title":"Postrenal Acute Renal Failure Due to Giant Fecaloma-related Bilateral Hydronephrosis: A Case Report and Brief Literature Review.","volume":"12","author":"D Ozlu","year":"2020","journal-title":"Cureus."},{"key":"ref15","first-page":"164-168","article-title":"A Rare Ileus Etiology: Giant Fecaloma.","volume":"7","author":"T Kalayci","year":"2018","journal-title":"Causapedia."},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.14309\/crj.2017.94","article-title":"Transient descending colocolonic intussusception due to a large fecaloma in an adult.","volume":"4","author":"Z Khan","year":"2017","journal-title":"ACG Case Rep J."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"223","DOI":"10.4235\/agmr.20.0052","article-title":"Acute Hydronephrosis owing to A Giant Fecaloma in an Older Patient.","volume":"24","author":"N Joo","year":"2020","journal-title":"Ann Geriatr Med Res."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"418-422","DOI":"10.4236\/ojgas.2016.612044","article-title":"Staged Surgery for Giant Fecaloma Complicating Idiopathic Megacolon.","volume":"6","author":"B Tchangai","year":"2016","journal-title":"Open J 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