Ultrasonographic Diagnosis and Conservative Management of Fecal Impaction

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Authors: Wahei Uemura, Tetsuhito Muranaka, Yutaro Otsuka, Yunosuke Takishin, Yasuyuki Kunieda
Cited by: 0
References: 15

Abstract

Fecal impaction (FI) is a clinically significant condition, especially in the elderly, and may lead to fatal complications, such as stercoral ulceration and intestinal perforation. A 70-year-old man presented with abdominal bloating and was diagnosed with FI using point-of-care ultrasound (POCUS). He was treated with an ultrasound-guided glycerin enema, and the therapeutic effect was monitored in real-time. The patient's condition improved, and he was discharged without requiring surgical intervention. This case demonstrates that POCUS is a valuable tool not only for diagnosing FI but also for dynamically assessing the effectiveness of conservative treatment and guiding management decisions.

Fields of Study & Subjects

Foreign Body Medical Cases Intestinal and Peritoneal Adhesions Abdominal Trauma and Injuries

Publication details

Journal / source
Cureus
Volume
18
Issue
1
Pages
e100552–e100552
Publication date
1 January 2026
Language
EN