Case of the Week: July 16-July 23, 2007

8 year old with history of constipation

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Case Details

Large amount of stool with calcified mass in the region of the rectosigmoid.

Answer

Diagnosis: FECALOMA

Fecaloma, a discrete mass of intestinal debris and fecal mater usually occurring in the colon, is a rare finding in children.

 

Any child presenting with fecaloma should be evaluated for Hirschsprung’s disease.

  

The gastroenterologist was able to break the shell of this fecaloma and able to remove this  calcified mass and the barium enema revealed no transition zone.

 Complications include Stercoral ulcer and perforation

Correct answers by users

VCU Resident
Radiology Pediatrics
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    VCU Department of Pediatric Radiology Virginia Commonwealth University VCU Medical Center