A fecalith is a mass of accumulated hardened fecal matter that commonly arises in the sigmoid colon, the rectum and very rarely in the small intestine. Fecaliths may often present as benign obstructions and can lead to more serious complications such as persistent obstruction leading to bowel perforation. As a result, fecaliths may present similarly to malignant lesions that may be fixated to the gastrointestinal mucosa, such as gastrointestinal stromal tumors (GIST).
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