CASE REPORT article
Front. Pediatr.
Sec. Pediatric Gastroenterology, Hepatology and Nutrition
Volume 13 - 2025 | doi: 10.3389/fped.2025.1598807
Diagnosis and Treatment of Giant Colonic Fecalith in a Child: A Case Report
Provisionally accepted
- Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China
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Fecaliths are concretions composed of undigested or partially digested substances formed within the gastrointestinal lumen, potentially causing obstruction or partial obstruction. The most common type of fecalith is phytobezoar, composed of plant fibers. Due to their high cellulose, hemicellulose, and lignin content, phytobezoars remain undigested within the stomach and intestines, causing blockage in the narrowest portions of the gastrointestinal tract. Obstructions caused by fecaliths typically occur in the stomach and small intestine, whereas colonic obstructions are rare, particularly in pediatric cases. In this study, we report for the first time a case of colonic obstruction caused by a giant fecalith measuring 6×6 cm, which was successfully managed by colonoscopy-assisted manual extraction under general anesthesia.
Keywords: Fecalith, Intestinal Obstruction, colonic stone, Manual extraction, manual extraction.
Received: 24 Mar 2025; Accepted: 25 Apr 2025.
Copyright: © 2025 Wei, Chen, Yuxia, Pingping, Jingwen, Chunqi, Liu and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Jie Liu, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China
Baoxiang Wang, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China
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