Abstract

Fecaloma is a rare finding of inspissated accumulation of hard feces in individuals with chronic constipation. Older adults are at heightened risk of sequalae of chronic constipation such as urinary obstruction, infections and systemic findings. Management includes manual disimpaction, laxatives and enemas however endoscopic and surgical intervention is required for complicated cases. We describe a rare clinical case of an 88-year-old female who presented to the emergency department in septic encephalopathy due to urinary obstruction from a giant rectal Fecaloma.

Keywords: Septic Encephalopathy; Constipation; Gynecological Issues; Psychological Disturbances; Urinary Obstruction; Infection