Successful endoscopic fragmentation of large hardened fecaloma using jumbo forceps

Figure 1 Abdominal computed tomography-scan demonstrating 7 cm fecaloma in the transverse colon.

Figure 2 Lower gastrointestinal endoscopy revealed dilated colonic lumen and brown fecaloma in the transverse colon. There is 2 cm ulcer near the fecaloma.

Figure 3 Same procedure was then repeated several hundred times, aiming for the center of the fecaloma and resulting in gradual fragmentation. A: Jumbo forceps scrape off the surface of hardened fecaloma; B: Jumbo forceps split the fecaloma; C: Fecaloma is separated into two blocks by biting the jumbo forceps.

Figure 4 Abdominal computed tomography reveal the disappearance of the fecaloma.