title: Megacolon for a giant faecaloma with unlucky outcome: case report and review of the literature.
abstract: We herein report a case of megacolon with fecaloma in an 83-year-old man who presented with constipation, no intestinal occlusion, and a left hydroureteronephrosis, with A.S.A. 4. The patient asymptomatic, was treated Primariely with laxatives. During the conservative therapy the patient presented an abrupt abdominal distension with a bowel obstruction and abdominal compartment syndrome. After the laparotopy and a Hartmann left colon resection the patient died for cardiovascular and metabolic complications. The aim of this report is to give a brief review of this entity and discuss the treatment options for these cases.
authors.forename: Paolo
authors.initials: P
authors.lastname: Caiazzo
authors.forename: Ciro
authors.initials: C
authors.lastname: De Martino
authors.forename: Giovanni
authors.initials: G
authors.lastname: Del Vecchio
authors.forename: Pierpaolo
authors.initials: P
authors.lastname: Di Lascio
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Marasco
authors.forename: Fabia
authors.initials: F
authors.lastname: Laviani
authors.forename: Pio Rocco
authors.initials: PR
authors.lastname: Tramutoli
mesh_terms: D000369:Aged, 80 and over; D017809:Fatal Outcome; D005244:Fecal Impaction / Q000150:complications*; D006801:Humans; D008297:Male; D008531:Megacolon / Q000209:etiology*
keywords: Bowel obstruction, Fecaloma, Megacolon.