Faecaloma is a hardened, relatively immobile, tumour-like mass of accumulated faeces, usually found in the rectosigmoid region. Rarely, a faecaloma may be observed in other locations along the colon. It is a rare condition but has important complications, including ulceration, perforation and obstruction. The diagnosis is important not only to avoid confusion with neoplasm but also to alert the physician to the possibility of complications. Here we present a case of faecaloma, including the clinical and radiological difficulties in the diagnosis.