A CASE OF FECALITH IN THE RECTUM AFTER LOOP SIGMOID COLOSTOMY ASSOCIATED WITH CROHN'S DISEASE

  • NOMURA Eiki
    Division of Gastroenterology, Tohoku University Graduate School of Medicine
  • TAKAGI Sho
    Division of Gastroenterology, Tohoku University Graduate School of Medicine
  • SHIGA Hisashi
    Division of Gastroenterology, Tohoku University Graduate School of Medicine
  • IMAI Go
    Division of Gastroenterology, Tohoku University Graduate School of Medicine
  • AIZAWA Hiroki
    Division of Gastroenterology, Tohoku University Graduate School of Medicine
  • MATSUMURA Yoshifumi
    Division of Gastroenterology, Tohoku University Graduate School of Medicine
  • KAKUTA Yoichi
    Division of Gastroenterology, Tohoku University Graduate School of Medicine
  • ABE Hiroko
    Division of Gastroenterology, Tohoku University Graduate School of Medicine
  • TAKAHASHI Seiichi
    Division of Gastroenterology, Tohoku University Graduate School of Medicine
  • KINOUCHI Yoshitaka
    Division of Gastroenterology, Tohoku University Graduate School of Medicine
  • SHIMOSEGAWA Tooru
    Division of Gastroenterology, Tohoku University Graduate School of Medicine

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Other Title
  • S状結腸瘻造設後残存直腸内に糞石を生じたクローン病の1例

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Abstract

We report a case of fecalith developed in the remnant rectum after loop sigmoid colostomy due to anal lesion associated with Crohn's disease. A 39-year-old man was admitted to our hospital with anal pain and difficulty of defecation. He was diagnosed as Crohn's disease at 23-year-old and underwent loop sigmoid colostomy due to repeated anal fistula and perianal abscess at 35-year-old. Colonoscopy and X-ray revealed anal stenosis and two fecalith approximately 7 cm in diameter in the rectum. Then, we succeeded in removing the fecalith with jumbo polypectomy snare (45mm in diameter) and endoscopic electrohydraulic lithotripsy. The fecalith was composed of inspissated feces.

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