Unusual cause of palpable mass per abdomen in an elderly woman: Fecaloma

Chronic constipation and fecal impaction are common problems in elderly patient. Drugs causing constipation can add on to it and rarely lead to fecalomas causing abdominal distention, which mimics an abdominal tumor. We present an unusual case of a 63yr old patient under psychiatric treatment for 15yrs, who developed fecaloma and was managed conservatively. Diagnosis of fecaloma must be considered in elderly patient with history of constipation and mass per abdomen.