ASGE DDW Videos from Around the World | 2023-FECALITH OBSTRUCTION RESOLVED WITH DR. PEPPER

FECALITH OBSTRUCTION RESOLVED WITH DR. PEPPER

Video Transcription

Video Summary

Dr. Jesus Guzman presents a case of a 39-year-old male with abdominal pain, constipation, nausea, and vomiting. Despite trying high fiber diet and exercise, the patient's symptoms persisted. CT scan revealed a colon obstruction caused by a 5cm fecalith. Traditional attempts to break it apart failed, leading to the decision of injecting a carbonated beverage, specifically Dr. Pepper, into the fecalith using a needle. After a few injections, the combination of carbonation, acidity, and force successfully softened and broke the fecalith. The colonoscopy was then completed in less than 20 minutes. The patient was discharged and returned for a follow-up with a normal colon appearance. Carbonated beverages can be used for managing obstructions caused by fecalith.

Asset Subtitle

Honorable Mention

Keywords

abdominal pain

constipation

colon obstruction

fecalith

carbonated beverage