Abstract
Chronic constipation is a common condition which may result in fecal impaction. A 13-yearold 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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 59-61 |
| Number of pages | 3 |
| Journal | Pediatric Reports |
| Volume | 7 |
| Issue number | 3 |
| DOIs | |
| State | Published - Jan 1 2015 |
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All Science Journal Classification (ASJC) codes
- Pediatrics
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Fecal impaction causing pelvic venous compression and edema. / Naramore, Sara; Aziz, Faisal; Alexander, Chandran Paul; Methratta, Sosamma; Cilley, Robert; Rocourt, Dorothy.
In: Pediatric Reports, Vol. 7, No. 3, 01.01.2015, p. 59-61.Research output: Contribution to journal › Article
TY - JOUR
T1 - Fecal impaction causing pelvic venous compression and edema
AU - Naramore, Sara
AU - Aziz, Faisal
AU - Alexander, Chandran Paul
AU - Methratta, Sosamma
AU - Cilley, Robert
AU - Rocourt, Dorothy
PY - 2015/1/1
Y1 - 2015/1/1
N2 - Chronic constipation is a common condition which may result in fecal impaction. A 13-yearold 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.
AB - Chronic constipation is a common condition which may result in fecal impaction. A 13-yearold 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.
UR - http://www.scopus.com/inward/record.url?scp=84946082330&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84946082330&partnerID=8YFLogxK
U2 - 10.4081/pr.2015.5999
DO - 10.4081/pr.2015.5999
M3 - Article
C2 - 26500749
AN - SCOPUS:84946082330
VL - 7
SP - 59
EP - 61
JO - Pediatric Reports
JF - Pediatric Reports
SN - 2036-749X
IS - 3
ER -