A Case of Obstructive Colitis due to a Fecal Stone in the Transverse Colon

Abstract

A 68-year-old man with a history of multiple bilateral renal cysts presented to our hospital with complaints of abdominal pain and distention. Physical examination revealed abdominal distension and tenderness in the right lower quadrant. Abdominal computed tomography revealed multiple bilateral renal cysts, a 6-cm fecal stone in the transverse colon, and distention of the proximal colon. Blood tests revealed a remarkable inflammatory reaction. Obstructive colitis due to fecal stones in the transverse colon was diagnosed, and emergency surgery was performed. Necrosis of the distended colon was noticed intraoperatively, and right hemicolectomy was performed. The patient was discharged on postoperative day 11 with no significant postoperative complications. Obstructive colitis caused by fecal stones formed in the transverse colon is very rare. Emergency surgery should be considered when blood tests reveal a remarkable inflammatory response in patients with fecal bowel obstruction.