One easy thing to consider any time you are worried about constipation is a fecalith
. Sometimes, especially in small dogs with very long hair, a firm fecal ball can become stuck to the hair around the anus and obstruct the outside.
Feces was present in the lumen in more than half of the patients (n=18, 79.1%), as fecalith
in 6 (25%) (Figure 3A), soft feces in 7 (29.1%) and admixed with blood and/or suppuration in 5 (20.8%) (Figure 2B).
The blockage can stem from benign or malignant tumors (1%), foreign bodies (4%), hardened feces (fecalith
) (35%), and hyperplasia of lymphoid cells (60%) (Bhangu et al., 2015; Lee, 2017; Stetina & Wraa, 2014).
Scoliosis to the right side, localized air-fluid level or gas deposition on the right lower quadrant, and fecalith
on standing abdominal X-ray were noted.
In more complicated cases with evidence of fecalith
, or appendiceal abscess or phlegm, initial antimicrobial therapy reduces the acute inflammation and urgent need for surgery, but persistent inflammation of the appendix is often observed and appendectomy, either acutely or after improvement following antimicrobial therapy, appears indicated.
Radiographic differential diagnoses for a radiopaque object in the right lower quadrant of the abdomen include right ureteral lithiasis, colonic diverticulum with a calcified fecalith
, and a foreign body.
Inflammation, trauma, or fecalith
causes the obstruction of the drain ducts of the gland; thus, abscess forms in the intersphincteric space, and 30%~40% of the cases may develop into the anal fistula.
Additionally, hyperdense fecalith
image was seen in the distal portion of appendix; also there were 2 cm calculi in bladder (Figure 1).
In acute appendicitis there are neutrophils in mucosa, wall of appendix and congested blood vessel with fibrinous exudates in the serosa while suppurative appendicitis associated with obstruction (fecalith
, ball of worms) and abscess formation within the wall and foci of suppurative necrosis in the mucosa.5
For instance, the appendix may have been removed due to a finding of distention with fecalith
or extensive adhesions binding the appendix to the abdominal wall.
The report stated: 4-cm long appendix with swelling of the distal portion and fecalith
in the lumen, clear points of perforation.
Surgical findings were severe acute serositis, recurrent necrosis, fecalith
, and fibrosed appendix containing an exudate.