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KMID : 0816120130160030200
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Korean Journal of Pediatric Gastroenterolology and Nutrition
2013 Volume.16 No. 3 p.200 ~ p.205
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Acute Urinary Retention in a 47-month-old Girl Caused by the Giant FecalomaLissencephaly
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Park Ji-Sook
Seo Ji-Hyun
Park Chan-Hoo
Youn Hee-Shang
Park Tae-Jin
Hwa Jung-Seok
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Abstract
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We present a case of a 47-month-old female suffering from acute urinary bladder neck obstruction and bilateral hydro-nephrosis 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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KEYWORD
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Urinary retention, Hirschsprung disease, Fecaloma
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