title: [Successful Removal of Hard Sigmoid Fecaloma Using Endoscopic Cola Injection].
abstract: Colorectal fecaloma is hardening of feces into lumps of varying size that is much harder in consistency than a fecal impaction. Complications of colorectal fecaloma include ulceration, bleeding, perforation and obstruction of the colon. Most fecalomas are successfully removed by conservative treatment with laxatives, enemas and rectal evacuation to relieve fecal impaction. When conservative treatments have failed, a surgical intervention may be needed. Herein, we report a case of 4.7 cm sized sigmoid fecaloma showing no response to conservative treatments that was successfully removed by endoscopic fragmentation with Coca-Cola injection instead of surgery.
authors.affiliation: Department of Internal Medicine, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.
authors.forename: Jong Jin
authors.initials: JJ
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.
authors.forename: Jeong Wook
authors.initials: JW
authors.lastname: Kim
mesh_terms: D000328:Adult; D030221:Cola / Q000737:chemistry*; D012809:Colon, Sigmoid; D003113:Colonoscopy; D005244:Fecal Impaction / Q000188:drug therapy*; D005260:Female; D006801:Humans; D054368:Laxatives / Q000627:therapeutic use*; D011860:Radiography, Abdominal; D014057:Tomography, X-Ray Computed
chemical_list: D054368:Laxatives
keywords: Cola; Endoscopy; Fecal impaction; Sigmoid colon