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 languageEnglish (US)
Pages (from-to)59-61
Number of pages3
JournalPediatric Reports
Volume7
Issue number3
DOIs
StatePublished - Jan 1 2015

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Fecal Impaction
Edema
Foot
Encopresis
Constipation
Thrombosis
Femoral Vein
Ankle
Abdominal Pain
Electrolytes
Recurrence

All Science Journal Classification (ASJC) codes

  • Pediatrics

Cite this

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title = "Fecal impaction causing pelvic venous compression and edema",
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.",
author = "Sara Naramore and Faisal Aziz and Alexander, {Chandran Paul} and Sosamma Methratta and Robert Cilley and Dorothy Rocourt",
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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.

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