Constipation and fecal impaction, can be seen frequently especially in elderly patients. On the other hand, colonic ischemia and perforation due to fecal impaction is a rare condition. Uncomplicated cases of fecal impaction rarely requires surgical intervention, and a few in this situation have been reported in the literature. In this case, a patient who admitted to general surgery clinic for about ten days without defecation, complaints of abdominal pain and abdominal bloating; in his first application manual extraction of petrified feces was performed and next day discharged from the hospital; three days after applied to the Emergency Service with the sudden onset of abdominal pain and abdominal bloating complaints; and after abdominal computed tomography imagining, fecaloma and perforation in the sigmoid colon identified; and colostomy with Hartmann procedure was performed after left hemicolectomy; is presented and discussed with the current literature.
Key words: Constipation, fecal impaction, intestinal perforation
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