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It was not that there was no evidence that something was wrong with him. But the 57-year-old Australian has all ignored them – the still-wrenching abdominal pain as well as the swelling of his abdomen and the nausea that occurs in the waves.
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It was only when pains in the right leg followed paralysis that he decided to consult a doctor. His choice falls on the footscray hospital in Melbourne.
The collection of bone-hard feces blocks the blood supply
In the local emergency department, doctors go immediately to work. When they do not feel a pulse in the visible leg, but a threatening coldness, they immediately order an examination of the human intestine, as they write it in the "BMJ Case Studies".
The rectal examination showed that stool in the rectum was responsible for discomfort. It had apparently been so compressed for days that it had become very hard. But that was not all, as revealed by an MRI (Magnetic Resonance Imaging).
Thus, not only the last 20 centimeters of the intestine were affected by constipation, but the entire digestive system. As a result, the bowel was so developed that it was squeezing several organs and the right iliac artery. The latter had triggered pain and paralysis in the leg.
Two liters of pumped excrement
To prevent other complications such as kidney failure or death of the leg, the team around Simon Ho decided on the emergency surgery. Meanwhile, stagnant life-threatening feces have been corrected and pressure on organs and blood vessels has been reduced.
And successfully: "Under general anesthesia, we performed a large manual removal of stool, taking about two liters of faeces," the researchers write in the newspaper.
In order to remove all faecal residues from the patient's intestine, always laxative. After four days he was able to leave the intensive care unit, but only 14 days later he was able to walk again. What led to unusually stubborn constipation is still not clear.
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