Teenager with chronic neurologic impairment who has fever and constipation

CT of stercoral colitis
Axial CT with contrast of the abdomen (above) shows marked diffuse wall thickening and mucosal enhancement of the transverse colon. Wall thickening and mucosal enhancement is also present but less pronounced in the descending colon on the coronal CT (below left) and rectum (below right). The colon is filled with a marked amount of stool from the cecum to the rectum.

The diagnosis was a marked amount of chronic constipation resulting in stercoral colitis.