DOI: 10.36347/sjmcr.2017.v05i01.015

Pages: 44-45

Faecal impaction is a disorder characterized by a large mass of compacted faeces in the rectum and/or colon, which cannot be evacuated. Such impaction causing emergencies is rare and seldom reported. Here, we report a case of 45 years old male presenting to the emergency department with massive abdominal distension, abdominal pain and obstipation. Abdominal CT scan was done which revealed the gross dilatation of whole of the large bowel especially the sigmoid colon was distended massively measuring 18x14cm over 34cm filled with faecal material. Attempts to relieve an obstruction were failed to relieve obstruction and, was taken for emergency laparotomy. Debulking of whole of the colon was done with enterotomy of 0.5cm to evacuate the gas and bowel was totally decompressed of faecal material per rectally and excision of involved sigmoid colon with colo-rectal anastomoses was done. Post operative period was uneventful. Patient was advised with healthy bowel habits and stool softeners and was discharged after 15 days of surgery.