Beyond the Biliary Tree: A Giant Calcified Rectal Fecalith Treated With Electrohydraulic Lithotripsy.

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2025-09-29 eCollection Date: 2025-10-01 DOI:10.14309/crj.0000000000001835

Michael Gianarakis, Ameen Taufiq, Hasan S Raza, Omar T Ahmed, Parth Thaker, Jesse Hartpence, Brian Boulay

引用次数: 0

Abstract

Chronic constipation and anorectal abnormalities can lead to the formation of fecaliths. Large, calcified fecaliths may pose significant clinical challenges when conservative treatments fail, including the risk of bowel perforation and hemorrhage. Although electrohydraulic lithotripsy (EHL) has been widely adopted for biliary and urinary calculi, its role in managing fecaliths remains rare. We report a 40-year-old woman with multiple sclerosis who presented with a large rectal fecalith successfully treated with EHL. This case underscores the potential of EHL as a minimally invasive procedure for calcified fecaliths, offering a safe alternative to surgery in patients at high risk for complications.

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胆道树外：电液碎石治疗巨大钙化直肠粪石。

慢性便秘和肛肠异常可导致粪石的形成。当保守治疗失败时，大的钙化粪石可能会带来重大的临床挑战，包括肠穿孔和出血的风险。虽然电液碎石术（EHL）已被广泛应用于胆道和尿路结石，但其在治疗结石中的作用仍然很少。我们报告一个40岁的女性多发性硬化症谁提出了一个大的直肠粪石成功治疗EHL。该病例强调了EHL作为钙化结石微创手术的潜力，为并发症高风险患者提供了一种安全的手术选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.