PubMed · 13654004
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K A DRESEN, G L KRATZER. 1959-06-06. Fecal impaction in modern practice.. https://doi.org/10.1001/jama.1959.03010060012003
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The authors present a rare case of colonic obstruction caused by a fecolith in a 59-year-old female who presented with symptoms suggestive of intestinal obstruction. The computed tomography (CT) confirmed the diagnosis. The patient was managed by laparotomy and colotomy to remove the fecolith.
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Spontaneous fistula between anorectum and vagina is extremely uncommon. Successful repair depends on etiology, location and the expertise of the surgeon. We report two cases of spontaneous stercoral perforation resulting in rectovaginal fistula (RVF). Both occurred in bedridden patients with fecal impaction. One patient was successfully repaired with a bulbocavernosus (BC) flap interposition. Flap interposition prevents vaginal stenosis in repair of multiple RVF.