Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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Acute Urinary Retention in a 47-month-old Girl Caused by the Giant Fecaloma

  • Park, Ji Sook (Department of Pediatrics, Gyeongsang Institute of Health Sciences, Gyeongsang National University School of Medicine) ;
  • Park, Tae-Jin (Department of General Surgery, Gyeongsang Institute of Health Sciences, Gyeongsang National University School of Medicine) ;
  • Hwa, Jung Seok (Department of Urology, Gyeongsang Institute of Health Sciences, Gyeongsang National University School of Medicine) ;
  • Seo, Ji-Hyun (Department of Pediatrics, Gyeongsang Institute of Health Sciences, Gyeongsang National University School of Medicine) ;
  • Park, Chan-Hoo (Department of Pediatrics, Gyeongsang Institute of Health Sciences, Gyeongsang National University School of Medicine) ;
  • Youn, Hee-Shang (Department of Pediatrics, Gyeongsang Institute of Health Sciences, Gyeongsang National University School of Medicine)
  • Received : 2013.08.25
  • Accepted : 2013.09.15
  • Published : 2013.09.30
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Abstract

We present a case of a 47-month-old female suffering from acute urinary bladder neck obstruction and bilateral hydronephrosis secondary to a fecaloma. Fecaloma is defined as an accumulation of inspissated feces in the colon or rectum giving the appearance of an abdominal mass. A fecaloma can be developed by diverse causes and the causes of the fecaloma in this case were septum reformation after the Duhamel procedure and long-term constipation. Chronic constipation is very common at outpatient clinic. However, acute urinary retention and voiding difficulty caused by fecaloma in the giant Duhamel pouch has never been reported in Korea. We would like to present our case with acute urinary retention due to a fecaloma and suggest that fecaloma might be considered as one of the causes for acute urinary retention, especially in cases with previous Duhamel operation for repair of Hischsprung disease.

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References

  1. Gatti JM, Perez-Brayfield M, Kirsch AJ, Smith EA, Massad HC, Broecker BH. Acute urinary retention in children. J Urol 2001;165:918-21. https://doi.org/10.1016/S0022-5347(05)66574-3
  2. Kerrigan DD, Lucas MG, Sun WM, Donnelly TC, Read NW. Idiopathic constipation associated with impaired urethrovesical and sacral reflex function. Br J Surg 1989;76:748-51. https://doi.org/10.1002/bjs.1800760735
  3. Garisto JD, Campillo L, Edwards E, Harbour M, Ermocilla R. Giant fecaloma in a 12-year-old-boy: a case report. Cases J 2009;2:127. https://doi.org/10.1186/1757-1626-2-127
  4. Chatoorgoon K, Pena A, Lawal TA, Levitt M. The problematic Duhamel pouch in Hirschsprung's disease: manifestations and treatment. Eur J Pediatr Surg 2011;21:366-9. https://doi.org/10.1055/s-0031-1285875
  5. Nurko S. Management of surgical patients. In: Walker WA, Goulet O, Kleinman RE, Sherman PM, Shneider B, Sanderson IR, eds. Pathophysiology, diagnosis, management. 4th ed. Ontario: BC Decker Inc., 2004: 2119-26.
  6. Weber TR, Fortuna RS, Silen ML, Dillon PA. Reoperation for Hirschsprung's disease. J Pediatr Surg 1999;34:153-7. https://doi.org/10.1016/S0022-3468(99)90247-6
  7. Langer JC. Repeat pull-through surgery for complicated Hirschsprung's disease: indications, techniques, and results. J Pediatr Surg 1999;34:1136-41. https://doi.org/10.1016/S0022-3468(99)90585-7
  8. Wang KR, Huang FY, Chang PY, Chen CC. Congenital megacolon presented as fecaloma and urinary tract infection. Report of one case. Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi 1989;30:437-41.
  9. Araki T, Miki C, Yoshiyama S, Toiyama Y, Sakamoto N, Kusunoki M. Total proctocolectomy and ileal J-pouch anal anastomosis for chagasic megacolon with fecaloma: report of a case. Surg Today 2006;36:277-9. https://doi.org/10.1007/s00595-005-3140-2
  10. Ribas Y, Bargalló J, Lamas S, Aguilar F. Idiopathic sigmoid megacolon with fecal impaction and giant calcified fecaloma. Am Surg 2013;79:E96-7.
  11. Yucel AF, Akdogan RA, Gucer H. A giant abdominal mass: fecaloma. Clin Gastroenterol Hepatol 2012;10: e9-10. https://doi.org/10.1016/j.cgh.2011.06.030
  12. Boemers TM, Bax NM, Van GJ. The effect of rectosigmoidectomy and Duhamel-type pull-through procedure on lower urinary tract function in children with Hirschsprung's disease. J Pediatr Surg 2001;36:453-6. https://doi.org/10.1053/jpsu.2001.21615
  13. Loening-baucke V. Constipation in early childhood: patient characteristics, treatment, and longterm follow up. Gut 1993;34:1400-4. https://doi.org/10.1136/gut.34.10.1400
  14. Veiga ML, Lordêlo P, Farias T, Barroso C, Bonfim J, Barroso U Jr. Constipation in children with isolated overactive bladder. J Pediatr Urol 2013. [Epub ahead of print]
  15. Oestmann A. Hydronephrosis in impacted feces. Schweiz Med Wochenschr 1997;127:1925.
  16. Delaere KP, Braam PF, Debruyne FM. Unilateral hydroureteronephrosis resolved by fecal disimpaction in a patient with neurogenic bladder. Acta Urol Belg 1983;51:289-92.
  17. Knobel B, Rosman P, Gewurtz G. Bilateral hydronephrosis due to fecaloma in an elderly woman. J Clin Gastroenterol 2000;30:311-3. https://doi.org/10.1097/00004836-200004000-00022
  18. Yuan R, Zhao GG, Papez S, Cleary JP, Heliotis A. Urethral obstruction and bilateral ureteral hydronephroses secondary to fecal impaction. J Clin Gastroenterol 2000;30:314-6. https://doi.org/10.1097/00004836-200004000-00023
  19. Paquette EL, Peppas DS. Lower pole ureteral obstruction secondary to fecal impaction in an 8-year-old girl. Tech Urol 2001;7:299-301.
  20. Kantarci M, Fil F. Education and imaging. Gastrointestinal: fecaloma in a dilated sigmoid colon. J Gastroenterol Hepatol 2007;22:955. https://doi.org/10.1111/j.1440-1746.2007.04979.x

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