Beyond the Biliary Tree: A Giant Calcified Rectal Fecalith Treated With Electrohydraulic Lithotripsy.

Document Type

Article

Publication Date

2025

Publication Title

ACG Case Reports Journal

Abstract

Chronic constipation and anorectal abnormalities can lead to the formation of fecaliths. Large, calcified fecaliths may pose significant clinical challenges when conservative treatments fail, including the risk of bowel perforation and hemorrhage. Although electrohydraulic lithotripsy (EHL) has been widely adopted for biliary and urinary calculi, its role in managing fecaliths remains rare. We report a 40-year-old woman with multiple sclerosis who presented with a large rectal fecalith successfully treated with EHL. This case underscores the potential of EHL as a minimally invasive procedure for calcified fecaliths, offering a safe alternative to surgery in patients at high risk for complications.

Volume

12

Issue

10

First Page

e01835

Last Page

e01835

DOI

10.14309/crj.0000000000001835

ISSN

2326-3253

PubMed ID

41030432

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