'Ball valve' small bowel obstruction caused by a large caecal faecolith

Small bowel obstruction is a common surgical presentation, but intestinal faecoliths are rarely reported as a cause. A 75-year-old woman presented with small bowel obstruction from a large faecolith lodged in the caecum. This required removal at laparoscopy-assisted surgery. This case highlights the...

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Bibliographic Details
Published in:Annals of the Royal College of Surgeons of England 2021-02, Vol.103 (2), p.e69-e71
Main Authors: Sharma, S, Majeed, T, Solomon, J, Guy, R
Format: Article
Language:English
Subjects:
Abdomen
Aged
Appendicitis
Calcification
Cecal Diseases - complications
Cecal Diseases - diagnosis
Cecal Diseases - surgery
Cecum - diagnostic imaging
Cecum - surgery
Colon
Constipation
Female
Fistula
Gallstones
Humans
Ileal Diseases - etiology
Ileal Diseases - surgery
Ileocecal Valve - diagnostic imaging
Ileocecal Valve - surgery
Intestinal obstruction
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Laparoscopy
Lithiasis - complications
Lithiasis - diagnosis
Lithiasis - surgery
Online Case Report
Pathology
Small intestine
Stone
Tomography, X-Ray Computed
Treatment Outcome
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Description
Summary:Small bowel obstruction is a common surgical presentation, but intestinal faecoliths are rarely reported as a cause. A 75-year-old woman presented with small bowel obstruction from a large faecolith lodged in the caecum. This required removal at laparoscopy-assisted surgery. This case highlights the need to deal promptly with symptomatic intestinal faecoliths as they are unlikely to pass spontaneously and are prone to cause acute obstruction.
ISSN:0035-8843
1478-7083
DOI:10.1308/RCSANN.2020.7006