Acute Urinary Retention in a 47-month-old Girl Caused by the Giant FecalomaLissencephaly
박지숙, 서지현, 박찬후, 윤희상, 박태진, Hwa Jung-Seok,
소속 상세정보
박지숙 ( Park Ji-Sook )
Gyeongsang National University School of Medicine Department of Pediatrics
서지현 ( Seo Ji-Hyun )
Gyeongsang National University School of Medicine Department of Pediatrics
박찬후 ( Park Chan-Hoo )
Gyeongsang National University School of Medicine Department of Pediatrics
윤희상 ( Youn Hee-Shang )
Gyeongsang National University School of Medicine Department of Pediatrics
박태진 ( Park Tae-Jin )
Gyeongsang National University School of Medicine Department of General Surgery
( Hwa Jung-Seok )
Gyeongsang National University School of Medicine Department of Urology
KMID : 0816120130160030200
Abstract
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.
키워드
Urinary retention;Hirschsprung disease;Fecaloma
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