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Prerectal peritoneal pouch with herniating small bowel -- a unique cause of severe constipation in a child
T Wester1, B Lindqvist, L Oslen
1Department of Pediatric Surgery, University Children's Hospital, Uppsala, Sweden.
Insights
A rare case of severe constipation in a 14-year-old boy was resolved after surgery. A prerectal peritoneal pouch obstructing defecation was resected, leading to daily spontaneous bowel movements.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Anatomy
Background:
- Severe, chronic constipation significantly impacts quality of life in pediatric patients.
- Obstructive defecation is a complex condition with various potential causes.
- A four-year history of no spontaneous bowel movements indicates a severe underlying issue.
Abstract:
We report a 14-year-old boy with severe constipation with a four-year history of no spontaneous bowel movements. Defecography, with synchronously administered barium enema and barium meal, showed that the small bowel could slide down in front of the rectum obstructing defecation. He was operated and a prerectal peritoneal pouch was found, which was resected. Postoperatively he has had daily spontaneous bowel movements. We have found no similar case described in the literature.