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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2022; 12(01): 98-100
DOI: 10.1055/s-0041-1734340
Brief Report

Colonoscopic Instillation of Coca-Cola for Evacuation of Large Fecaloma: A Report of Two Cases and Review of Literature

Avnish Kumar Seth 
1   Department of Gastroenterology & Hepatobiliary Sciences, Fortis Memorial Research Institute, Gurugram, Haryana, India
,
Mahesh Kumar Gupta
1   Department of Gastroenterology & Hepatobiliary Sciences, Fortis Memorial Research Institute, Gurugram, Haryana, India
,
Rinkesh Kumar Bansal
1   Department of Gastroenterology & Hepatobiliary Sciences, Fortis Memorial Research Institute, Gurugram, Haryana, India
,
Radha Krishan Verma
2   Department of Radiology, Fortis Memorial Research Institute, Gurugram, Haryana, India
,
Gursimran Kaur
1   Department of Gastroenterology & Hepatobiliary Sciences, Fortis Memorial Research Institute, Gurugram, Haryana, India
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Abstract

Introduction Fecaloma is a large mass of organized hardened feces causing impaction, usually in rectum and sigmoid colon. Medical management usually entails digital evacuation, use of clearance enema, and oral laxatives. We report two patients managed successfully with colonoscopic instillation of Coca-Cola and review the literature.

Case Report Patient 1: A 37-year-old male presented with firm, nontender, pitting mass over lower abdomen for 2 months and inability to pass stool for 1 month. Per-rectal examination and imaging confirmed presence of solid stool with gross distension of rectum and sigmoid colon. Attempts at clearance of stool with conventional methods were unsuccessful. At colonoscopy, 4 L of Coca-Cola was instilled into descending and sigmoid colon, leading to evacuation of 10 L of fragmented and liquid stool.

Patient 2: A 72-year-old diabetic lady presented with constipation and tender, firm pelvic mass extending till mid-abdomen for 6 months. Per-rectal examination revealed presence of hard stool. Imaging confirmed large amount of fecal matter in dilated rectum, sigmoid, and descending colon. Attempts at evacuating stool with digital evacuation, sodium phosphate enema, and oral polyethylene glycol were unsuccessful. At colonoscopy, two sittings of instillation of 990 mL of Coca-Cola Light each were done into sigmoid colon over 2 days, resulting in clearance.

Conclusion Colonoscopic instillation of Coca-Cola may be effective in evacuation of large fecaloma from rectum, sigmoid, and descending colon when refractory to use of conventional methods like digital disimpaction, rectal enema, and oral laxatives.

Keywords

fecaloma - colonoscopic removal - colonoscopic installation - Coca-Cola


Publication History

Article published online:
05 August 2021

© 2021. Nitte (Deemed to be University). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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