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Faecal impaction has been linked with an increased potential for future morbidity in impacted patients (Araghizadeh 2005).
Aged just 33, Mr Handley died suddenly in Ipswich hospital in November 2012 after a heart attack caused by inhaling his own liquid faeces, vomited up because his bowel was severely obstructed by faecal impaction.
Note the faecal impaction in the rectum (black arrowheads).
Imaging findings are diagnostic and include faecal impaction with distended affected segment with or without proximal dilatation.
Coronal CT image confirms large rectal stool ball with mild associated rectal wall thickening, compatible with faecal impaction.
Uncomplicated faecal impaction shows a thin wall, whereas focal wall thickening and pericolonic stranding indicate oedema/acute inflammation of stercoral colitis (Fig. 18).
In the emergency room setting, SCI patients often present with faecal impaction, which is readily detected by radiograph or CT, often obtained to screen for obstruction (Fig. 8).
After a scan of his abdomen, doctors realised the culprit was a huge faecal impaction that had distended his large intestine to the point it was pressing on his iliac artery — leading to the lack of blood flow to the leg.
In case of faecal impaction treatment was initiated.
In clinical practice, the physical examination also includes a digital rectal palpation to assess faecal impaction.
Faecal impaction occurs when there is an accumulation of hard faeces in the rectum.
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