title: Giant fecaloma in an adult with severe anal stricture caused by anal imperforation treated by proctocolectomy and ileostomy: report of a case.
abstract: Although fecalomas are relatively common in patients who are elderly, constipated, or who have spinal injuries, a giant fecaloma formation unresponsive to conservative treatment is a rare condition that sometimes requires surgery for complications. Herein we report a case of a long-lasting (46 years) giant fecaloma associated with severe anal stricture after surgery for anal atresia and resulting in severe malnutrition, bone structural changes, and severe impairment of quality of life. Eight months after treatment by total proctocolectomy and ileostomy, the patient was on a free diet and had gained more than 10 percent of his postoperative body weight; improvements were observed in the tone of the abdominal muscles and in his quality of life.
authors.affiliation: Department of Emergency and Organ Transplantation, General Surgery and Liver Transplantation Units, University of Bari, Bari, Italy. Altomare@clichiru.uniba.it
authors.forename: Donato F
authors.initials: DF
authors.lastname: Altomare
authors.forename: Marcella
authors.initials: M
authors.lastname: Rinaldi
authors.forename: Pierluca L
authors.initials: PL
authors.lastname: Sallustio
authors.forename: Nicola
authors.initials: N
authors.lastname: Armenise