Successful endoscopic fragmentation of large hardened fecaloma using jumbo forceps

• 作者: Fumio Itoh Hiroshi Yasuda Hiroyasu Nakano Hiroyuki Yamamoto Masaki Yamashita Midori Ozawa Miki Hattori Shun-Ichiro Ozawa Yasumasa Matsuo Yoshiko Ikeda Yoshinori Sato
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: Fecaloma 巨大的活体检视钳 全身的硬皮病 混合结缔组织疾病
• 年，卷（期）: 2017,（2）
• 页码范围: 91-94
• 页数: 4页
• 分类号: R574.62

摘要

We present a rare case of fecaloma, 7 cm in size, in the setting of systemic scleroderma. A colonoscopy revealed a giant brown fecaloma occupying the lumen of the colon and a colonic ulcer that was caused by the fecaloma. The surface of the fecaloma was hard, large and slippery, and fragmentation was not possible despite the use of various devices, including standard biopsy forceps, an injection needle, and a snare. However, jumbo forceps were able to shave the surface of the fecaloma and break it successfully by repeated biting for 6 h over 2 d. The ability of the jumbo forceps to collect large mucosal samples was also appropriate for achieving fragmentation of the giant fecaloma.