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June 1979

Hepatic Encephalopathy Precipitated by Fecal Impaction

Author Affiliations

From the Department of Medicine, Northwestern University Medical School, and the Medical Service, Veterans Administration Lakeside Hospital, Chicago.

Arch Intern Med. 1979;139(6):707-708. doi:10.1001/archinte.1979.03630430083028

Two episodes of hepatic encephalopathy developed in a 64-year-old man with cirrhosis during the course of hospitalization. The first event was precipitated by spontaneous bacterial peritonitis; the second occurred four weeks later and was associated with a massive fecal impaction, an unreported precipitant. No other potential causes were demonstrated. Symptoms promptly resolved following disimpaction.

(Arch Intern Med 139:707-708, 1979)