title: Giant fecaloma in a 12-year-old-boy: a case report.
abstract: BACKGROUND
  Fecaloma is a mass of feces accumulated that is much harder in consistency than a fecal impactation. The aim of this report is to give a brief review of this entity and discuss the treatment options for these cases.
  
  
  METHODS
  We present the case of a 12-year-old boy who developed a fecaloma associated with chronic constipation. This is a rare case on a child which was treated by a sigmoid colectomy after failure of conservative measures of evacuation.
  
  
  CONCLUSIONS
  Fecaloma should be considered in the differential diagnosis of patients with history of chronic constipation and abdominal mass.
authors.affiliation: Department of Surgery, Regional Hospital of Changuinola, Bocas Del Toro, Apartado 801912090, El Dorado, Republic of Panama. jgaristomd@yahoo.com.
authors.forename: Juan D
authors.initials: JD
authors.lastname: Garisto
authors.forename: Luis
authors.initials: L
authors.lastname: Campillo
authors.forename: Errol
authors.initials: E
authors.lastname: Edwards
authors.forename: Mireya
authors.initials: M
authors.lastname: Harbour
authors.forename: Rufino
authors.initials: R
authors.lastname: Ermocilla