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    Large bowel obstruction in a 27-year-old woman caused by a sigmoid faecal bolus.

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    URI
    http://hdl.handle.net/11287/620725
    Author
    Smith, Radford Arran James
    Abdalkoddus, Muhammad
    Bethune, Rob
    Date
    2018-05-14
    Journal
    BMJ case reports
    Type
    Case Report
    Publisher
    BMJ
    DOI
    10.1136/bcr-2018-224811
    Rights
    Archived with thanks to BMJ case reports
    Metadata
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    Abstract
    A 27-year-old woman presented to the emergency department with a 24-hour history of severe left iliac fossa pain associated with vomiting. She reported a history of ovarian cysts and was provisionally diagnosed with a ruptured ovarian cyst and admitted under the obstetrics and gynaecology team for further investigation. 24 hours later, she became haemodynamically unstable with increasing abdominal distention and developed a metabolic acidosis. A CT scan revealed large bowel obstruction (LBO) secondary to a faecal bolus in the sigmoid colon with appearances suggestive of adult-onset Hirschsprung's disease. She underwent an emergency laparotomy and decompressive transverse colotomy and was admitted to the intensive care unit overnight. After discharge, she presented again with small bowel obstruction (SBO) which resolved with conservative management. A follow-up colonoscopy and biopsies showed no anatomical abnormalities to account for the LBO and were inconclusive for Hirschsprung's disease.
    Citation
    Large bowel obstruction in a 27-year-old woman caused by a sigmoid faecal bolus. 2018, 2018 BMJ Case Rep
    Publisher URL
    http://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=29764832
    Collections
    • 2018 RD&E publications
    • Colorectal (rectum, anus and colon)

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