case_images: PMC11830409_01
case_images: Abdominal X-ray showing a calcified fecalith measuring up to 8 cm in diameter.
case_images: cureus-0017-00000079099-i01.jpg
case_images: PMC11830409_01_cureus-0017-00000079099-i01.jpg
case_images: FIG1
case_images: Prior imaging was scarce, aside from several abdominal X-rays, which showed evidence of an 8.0 cm fecalith starting to form five years ago (Figure 1).
case_images: CT abdomen and pelvis with IV contrast depicting massive fecaloma.. Image A highlights a fecaloma measuring 21.08 cm anterior to posterior. Image B demonstrates a transverse fecaloma measurement of 17.53 cm.
case_images: cureus-0017-00000079099-i02.jpg
case_images: PMC11830409_01_cureus-0017-00000079099-i02.jpg
case_images: FIG2
case_images: He was subsequently taken for CT imaging, which showed an extremely large stool burden with a significant mass effect on the internal organs; the sigmoid colon measured 21.0 x 17.5 cm, and the aforementioned 8.0 cm fecalith was seen at the rectosigmoid junction (Figure 2).
case_images: Plain film abdominal X-ray demonstrating movement of the fecalith (arrows) into the proximal descending colon.
case_images: cureus-0017-00000079099-i03.jpg
case_images: PMC11830409_01_cureus-0017-00000079099-i03.jpg
case_images: FIG3
case_images: Upon short-interval follow-up, repeat abdominal X-rays showed movement of the fecalith into the proximal descending colon (Figure 3).