Fecal Impaction Causing Pelvic Venous Compression and Edema
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Chronic constipation is a common condition which may result in fecal impaction. A 13-year-old male with chronic constipation and encopresis presented with fecal impaction for three weeks. The impaction caused abdominal pain, distension, encopresis, and decreased oral intake. He was found in severe distress with non-pitting edema of his feet and ankles along with perineal edema. The pedal edema worsened after receiving a fluid bolus, so concern arose for venous compression or a thrombus. A Duplex Ultrasound demonstrated changes in the venous waveforms of the bilateral external iliac and common femoral veins without thrombosis....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4594448/
Dr. D●v P●●●●●h M●●●●a and 1 others like this
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