Fecaloma em bugio
Autor: M.V. Fabiane Prusch | Publicado: 2013-05-27T06:57:00-07:00







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<!--StartFragment-->



Os fecalomas – massas
compostas de fezes secas e, ás vezes, por corpos estranhos, situados no lúmen
do intestino – ocorrem nos mamíferos por diversas razões. Baixa ingesta de
fibras, &nbsp;hipomotilidade ou atonia
intestinal, ambiente inadequado, desidratação, obstrução extra-luminal, são
alguns dos fatores que induzem ao ressecamento fecal e consequentemente à dificuldade
na evacuação. O paciente pode apresentar sinais clínicos variados, tais como
inapetência, aumento de volume abdominal, tenesmo evacuatório, e até mesmo
febre e alterações nos exames bioquímicos.



A fêmea bugio ruivo desse
post apresentava, além desses sinais, uma grande massa à palpação abdominal, o
que levou a realização da ultrassonografia para confirmação do diagnóstico
clínico e excluir a presença de massas extra-luminais. Foi evidenciada uma
grande estrutura hiperecoica, formadora de forte sombra acústica posterior,
intra-luminalmente em intestino grosso. Ainda, a presença de alterações em
sistema hepatobiliar, tais como hipoecogenicidade do parênquima hepático,
hiperecogenicidade peri-ductal e espessamento das paredes da vesícula biliar. Foi descartado processo obstrutivo extra-luminal. As imagens foram compatíveis com fecaloma e hepatopatia aguda, uma complicação do quadro toxêmico induzido pela retenção fecal.







A paciente bugio ruivo



Ultrassonografia abdominal



Imagens do fígado. vesícula biliar e do fecaloma em intestino grosso




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