Abstract
A 68-year-old female developed abdominal pain. An abdominal CT scan showed a cystic lesion of 5 cm in diameter, which was communicating with the ascending colon. This contained a huge fecalith. A giant colonic diverticulum with inflammatory change in the ascending colon was diagnosed. Physical findings were resolved with antibiotic therapy, but four days after the admission, abdominal pain recurred. The CT scan revealed a large bowel obstruction caused by the prolapsed fecalith from the giant diverticulum. An emergency colonoscopy was performed and the fecalith was crushed with forceps and a polypectomy snare. We report herein on a rare case of large bowel obstruction caused by a fecalith from the giant colonic diverticulum, which could be relieved by crushing the fecalith with endoscopic lithotripsy.
