SUSPICION OF A TUMOR: MRI IN THE DIAGNOSTICS OF A RARE CASE OF FECAL CALCULUS OF THE RECTUM
Grigorev E.G., Frolova I.G., Rodionov E.O.
| Purpose. Demonstration of diagnostics and description of a rare pathology - fecal calculus of the rectum. Materials and methods. The patient, 59 year old, was complained of constipation, constant tenesmus, the need to cleanse enemas every day. The direction Diagnosis was: “Tumor of the pelvis with compression of the rectum wall from the outside”. MRI, MDCT of pelvis was performed. Results. The diagnosis of tumor is not confirmed, a large fecal calculus of the rectum has been identified. Conclusion. In most cases, fecal calculus is diagnosed when examining patients due to chronic intestinal obstruction, manifested by complaints of chronic constipation. In most patients, the diagnosis is confirmed with a standard digital rectal examination, supplement-ed by instrumental methods - fibroconoscopy, radiography with barium sulfate. The stand-ard therapeutic tactic is conservative, with inefficiency and complications - surgical treat-ment. The peculiarity of the presented clinical case is the absence of pathology according to the data of fibrocolonoscopy, which made diagnostics more difficult, and required the addi-tional methods. The non-standard method was used, with contrast per rectum, which al-lowed to more accurately assess the borders between fecaloma and the rectum wall, and make a final diagnosis. |
Tomsk National Re-search Medical Center, Cancer Re-search Institute. Tomsk, Russia. |
Keywords: MRI, MDCT, fecal calculus, stone, coprolite, fecaloma, colonoscopy, rectum tumor.
Corresponding author: Grigoriev E.G., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript
For citation: Grigorev E.G., Frolova I.G., Rodionov E.O. Suspicion of a tumor: MRI in the diagnostics of a rape case of fecal calculus of the rectum. REJR 2018; 8 (2):255-260. DOI:10.21569/2222-7415-2018-8-2-255-260.
Received: 04.04.2018 Accepted: 18.05.2018