A case of fecalith in the rectum after loop sigmoid colostomy associated with Crohn's disease

Eiki Nomura; Sho Takagi; Hisashi Shiga; Go Imai; Hiroki Aizawa; Yoshifumi Matsumura; Yoichi Kakuta; Hiroko Abe; Seiichi Takahashi; Yoshitaka Kinouchi; Tooru Shimosegawa

A case of fecalith in the rectum after loop sigmoid colostomy associated with Crohn's disease

Eiki Nomura, Sho Takagi, Hisashi Shiga, Go Imai, Hiroki Aizawa, Yoshifumi Matsumura, Yoichi Kakuta, Hiroko Abe, Seiichi Takahashi, Yoshitaka Kinouchi, Tooru Shimosegawa

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Abstract

We report a case of fecalith developed in the remnant rectum after loop sigmoid colostomy due to anal lesion associated with Crohn's disease. A 39-year-old man was admitted to our hospital with anal pain and difficulty of defecation. He was diagnosed as Crohn's disease at 23-year-old and underwent loop sigmoid colostomy due to repeated anal fistula and perianal abscess at 35-year-old. Colonoscopy and X-ray revealed anal stenosis and two fecalith approximately 7 cm in diameter in the rectum. Then, we succeeded in removing the fecalith with jumbo polypectomy snare (45mm in diameter) and endoscopic electrohydraulic lithotripsy. The fecalith was composed of inspissated feces.

Original language	English
Pages (from-to)	2799-2805
Number of pages	7
Journal	GASTROENTEROLOGICAL ENDOSCOPY
Volume	48
Issue number	12
Publication status	Published - 2006 Dec

Keywords

Crohn's disease
Fecalith

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Gastroenterology

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A case of fecalith in the rectum after loop sigmoid colostomy associated with Crohn's disease. / Nomura, Eiki; Takagi, Sho; Shiga, Hisashi; Imai, Go; Aizawa, Hiroki; Matsumura, Yoshifumi; Kakuta, Yoichi; Abe, Hiroko; Takahashi, Seiichi; Kinouchi, Yoshitaka; Shimosegawa, Tooru.

In: GASTROENTEROLOGICAL ENDOSCOPY, Vol. 48, No. 12, 12.2006, p. 2799-2805.

Research output: Contribution to journal › Article

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AU - Matsumura, Yoshifumi

AU - Kakuta, Yoichi

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AU - Shimosegawa, Tooru

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AB - We report a case of fecalith developed in the remnant rectum after loop sigmoid colostomy due to anal lesion associated with Crohn's disease. A 39-year-old man was admitted to our hospital with anal pain and difficulty of defecation. He was diagnosed as Crohn's disease at 23-year-old and underwent loop sigmoid colostomy due to repeated anal fistula and perianal abscess at 35-year-old. Colonoscopy and X-ray revealed anal stenosis and two fecalith approximately 7 cm in diameter in the rectum. Then, we succeeded in removing the fecalith with jumbo polypectomy snare (45mm in diameter) and endoscopic electrohydraulic lithotripsy. The fecalith was composed of inspissated feces.

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