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Fecal impaction; Plain abdominal X-ray showing a large fecal impaction extending from the pelvis upwards to the left subphrenic space and from the left towards the right flank, measuring over 40 cm in length and 33 cm in width. Specialty: Gastroenterology
In children, abdominal x-ray is indicated in the acute setting: Suspected bowel obstruction or gastrointestinal perforation; Abdominal x-ray will demonstrate most cases of bowel obstruction, by showing dilated bowel loops. [1] Foreign body in the alimentary tract; can be identified if it is radiodense. [1] Suspected abdominal mass [1]
Depending on the level of obstruction, bowel obstruction can present with abdominal pain, abdominal distension, and constipation.Bowel obstruction may be complicated by dehydration and electrolyte abnormalities due to vomiting; respiratory compromise from pressure on the diaphragm by a distended abdomen, or aspiration of vomitus; bowel ischemia or perforation from prolonged distension or ...
Fecal impaction can occur as well, says Khan, “which is when stool stays in the rectum for so long that it becomes dry and cannot be expelled naturally, so it must be removed with [a health care ...
If constipation gets worse, you can develop a fecal impaction, where your stools become so hard in the rectum that the stool behind it doesn’t have anywhere to go, so it’s a blockage, Dr ...
It can form secondary to fecal impaction. A fecaloma is a more severe form of fecal impaction, and a hardened fecaloma may be considered a giant fecalith. The term is from the Greek líthos =stone.
The imaging study of choice is an CT scan of the abdomen with IV contrast, considering the patient's renal function is adequate. Findings that can be seen are fecal impaction with dilation of the rectosigmoid junction commonly, but any part of the colon can be dilated. Additionally, fecalomas may be seen as masses in the colon.
Constipation in a young child seen on X-ray. Circles represent areas of fecal matter (stool is white surrounded by black bowel gas). Specialty: Gastroenterology: Symptoms: Infrequent or hard to pass bowel movements, abdominal pain, bloating [2] [3] Complications: Hemorrhoids, anal fissure, fecal impaction [4] Causes