Fecalith Causing Mechanical Bowel Obstruction Managed with Intracorporeal Lithotripsy

An 87-year-old man with a past medical history of type II diabetes mellitus, pericarditis, peripheral vascular disease, and atrial fibrillation was admitted to the hospital with malnutrition, pneumonia, abdominal distention, and fecal incontinence. An abdominal computed tomography (CT) revealed an impacted calcified fecaloid (6 x 10 cm) at rectum and dilated small and large intestines (cecum diameter 8.5 cm; Figure 1 and Figure 2). A rectoscopy showed a large fecalith causing a large