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Fecal Impaction Causing Pelvic Venous Compression and Edema
Chronic constipation is a common condition which may result in fecal impaction. A 13-year-old male with chronic constipation and encopresis presented with fecal impaction for three weeks. The impaction caused abdominal pain, distension, encopresis, and decreased oral intake. He was found in severe d...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
PAGEPress Publications, Pavia, Italy
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4594448/ https://www.ncbi.nlm.nih.gov/pubmed/26500749 http://dx.doi.org/10.4081/pr.2015.5999 |
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author | Naramore, Sara Aziz, Faisal Alexander, Chandran Paul Methratta, Sosamma Cilley, Robert Rocourt, Dorothy |
author_facet | Naramore, Sara Aziz, Faisal Alexander, Chandran Paul Methratta, Sosamma Cilley, Robert Rocourt, Dorothy |
author_sort | Naramore, Sara |
collection | PubMed |
description | Chronic constipation is a common condition which may result in fecal impaction. A 13-year-old male with chronic constipation and encopresis presented with fecal impaction for three weeks. The impaction caused abdominal pain, distension, encopresis, and decreased oral intake. He was found in severe distress with non-pitting edema of his feet and ankles along with perineal edema. The pedal edema worsened after receiving a fluid bolus, so concern arose for venous compression or a thrombus. A Duplex Ultrasound demonstrated changes in the venous waveforms of the bilateral external iliac and common femoral veins without thrombosis. Manual disimpaction and polyethylene glycol 3350 with electrolytes resolved the pedal and perineal edema. Four months later, he had soft bowel movements without recurrence of the edema. A repeat Duplex Ultrasound was normal. We present a child in whom severe fecal impaction caused pelvic venous compression resulting in bilateral pedal and perineal edema. |
format | Online Article Text |
id | pubmed-4594448 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | PAGEPress Publications, Pavia, Italy |
record_format | MEDLINE/PubMed |
spelling | pubmed-45944482015-10-23 Fecal Impaction Causing Pelvic Venous Compression and Edema Naramore, Sara Aziz, Faisal Alexander, Chandran Paul Methratta, Sosamma Cilley, Robert Rocourt, Dorothy Pediatr Rep Case Report Chronic constipation is a common condition which may result in fecal impaction. A 13-year-old male with chronic constipation and encopresis presented with fecal impaction for three weeks. The impaction caused abdominal pain, distension, encopresis, and decreased oral intake. He was found in severe distress with non-pitting edema of his feet and ankles along with perineal edema. The pedal edema worsened after receiving a fluid bolus, so concern arose for venous compression or a thrombus. A Duplex Ultrasound demonstrated changes in the venous waveforms of the bilateral external iliac and common femoral veins without thrombosis. Manual disimpaction and polyethylene glycol 3350 with electrolytes resolved the pedal and perineal edema. Four months later, he had soft bowel movements without recurrence of the edema. A repeat Duplex Ultrasound was normal. We present a child in whom severe fecal impaction caused pelvic venous compression resulting in bilateral pedal and perineal edema. PAGEPress Publications, Pavia, Italy 2015-09-28 /pmc/articles/PMC4594448/ /pubmed/26500749 http://dx.doi.org/10.4081/pr.2015.5999 Text en ©Copyright S. Naramore et al. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Naramore, Sara Aziz, Faisal Alexander, Chandran Paul Methratta, Sosamma Cilley, Robert Rocourt, Dorothy Fecal Impaction Causing Pelvic Venous Compression and Edema |
title | Fecal Impaction Causing Pelvic Venous Compression and Edema |
title_full | Fecal Impaction Causing Pelvic Venous Compression and Edema |
title_fullStr | Fecal Impaction Causing Pelvic Venous Compression and Edema |
title_full_unstemmed | Fecal Impaction Causing Pelvic Venous Compression and Edema |
title_short | Fecal Impaction Causing Pelvic Venous Compression and Edema |
title_sort | fecal impaction causing pelvic venous compression and edema |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4594448/ https://www.ncbi.nlm.nih.gov/pubmed/26500749 http://dx.doi.org/10.4081/pr.2015.5999 |
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