Incidental Detection of a Giant Fecaloma on 18F-FDG PET/CT.

Fecal retention can be exacerbated in older patients, bedridden patients, as well as those receiving opioids analgesics or anticholinergic medications. It can lead to impaction, which can have serious consequences, sometimes even requiring surgical intervention. We describe herein the incidental detection of a giant hypometabolic fecaloma on PET/CT with F-FDG during the initial staging of a patient with osteosarcoma using opioids for pain management.

[1]  Fanxiao Liu,et al.  Effectiveness of 18F-FDG PET/CT in the diagnosis and staging of osteosarcoma: a meta-analysis of 26 studies , 2019, BMC Cancer.

[2]  A. Studer,et al.  Megabowel and Giant Fecaloma: a Surgical Condition? , 2018, Journal of Gastrointestinal Surgery.

[3]  B. Southwell,et al.  Treatment of fecal impaction in children using combined polyethylene glycol and sodium picosulphate , 2018, JGH open : an open access journal of gastroenterology and hepatology.

[4]  S. Oyogoa,et al.  Opioid drugs and stercoral perforation of the colon: Case report and review of literature , 2017, International journal of surgery case reports.

[5]  B. Shulkin,et al.  The Role of 18F-FDG-PET/CT in Pediatric Sarcoma. , 2017, Seminars in nuclear medicine.

[6]  R. Wickham.  Managing Constipation in Adults With Cancer , 2017, Journal of the advanced practitioner in oncology.

[7]  Hiroyuki Yamamoto,et al.  Successful endoscopic fragmentation of large hardened fecaloma using jumbo forceps , 2017, World journal of gastrointestinal endoscopy.

[8]  E. Rey,et al.  Fecal impaction: a systematic review of its medical complications , 2016, BMC Geriatrics.

[9]  Jeong Wook Kim,et al.  [Successful Removal of Hard Sigmoid Fecaloma Using Endoscopic Cola Injection]. , 2015, The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi.

[10]  M. Herning,et al.  Constipation--prevalence and incidence among medical patients acutely admitted to hospital with a medical condition. , 2014, Journal of clinical nursing.

[11]  H. Chuang,et al.  FDG PET/CT of primary bone tumors. , 2014, AJR. American journal of roentgenology.

[12]  Hirokazu Takahashi,et al.  Rectal Fecaloma: Successful Treatment Using Endoscopic Removal , 2007, Digestion.