Like a Rolling Stone: Year-Over-Year Growth of a Rectal Fecalith

This report describes a 65-year-old woman who presented with melena due to ischemic proctitis caused by a large fecalith. On computed tomography, the fecalith showed a unique multilayered calcification sign. We successfully dismantled and removed the fecalith transanally, assisted by a traction method using a balloon catheter. A review of imaging studies from 6 years ago revealed the growth of the fecalith over the previous year and provided an insight into the mechanism underlying the development of large fecaliths.Case Rep Gastroenterol 2022;16:278 –283
Source: Case Reports in Gastroenterology - Category: Gastroenterology Source Type: research