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)
Lerman BB, Levin ML, Patterson R. Hepatic Encephalopathy Precipitated by Fecal Impaction. Arch Intern Med. 1979;139(6):707-708. doi:10.1001/archinte.1979.03630430083028