1 Department of Digestive Surgery B, Ibn Sina University Hospital, Mohammed V University in Rabat, Morocco.
2 Department of Digestive Surgical Oncology, National Institute of Oncology, Rabat, Morocco.
World Journal of Advanced Research and Reviews, 2025, 27(03), 909–912
Article DOI: 10.30574/wjarr.2025.27.3.3234
Received on 09 August 2025; revised on 13 September 2025; accepted on 15 September 2025
Acute intestinal obstruction is a surgical emergency whose etiologies vary according to age and comorbidities. Small bowel fecaloma is an exceptional cause. We report the case of an 84-year-old patient with type 2 diabetes mellitus admitted for occlusive syndrome. Surgical exploration revealed an ileal fecaloma responsible for the obstruction. Management consisted of manual disimpaction without enterotomy, with favorable outcome. This case highlights the rarity of this etiology and raises the question of the appropriate timing for surgical intervention in case of failure of the Gastrografin protocol.
Small Bowel Obstruction; Fecaloma; Gastrographic; Surgical Emergency
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Hager BOUCHNAFATI, Abderrahmane MANSOURI, Talha LAALOU, Hatim MERGHAD, Abdejlil MDAGHRI, Said BENAMAR, Rahal MSSROURI and Mohammed HAMID. Acute small bowel obstruction due to ileal fecaloma in an elderly patient: A Case Report. World Journal of Advanced Research and Reviews, 2025, 27(03), 909–912. Article DOI: https://doi.org/10.30574/wjarr.2025.27.3.3234.
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