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Eur J Pediatr Surg 1997; 7(1): 50-51
DOI: 10.1055/s-2008-1071051
Case report

© Georg Thieme Verlag KG Stuttgart · New York

Prerectal Peritoneal Pouch with Herniating Small Bowel - A Unique Cause of Severe Constipation in a Child

T.  Wester1 , B.  Lindqvist2 , L.  Olsen1
  • 1Department of Pediatric Surgery, University Children's Hospital, Uppsala, Sweden
  • 2Department of Pediatrics, Örebro Medical Center Hospital, Örebro, Sweden
Further Information

Publication History

Publication Date:
25 March 2008 (online)

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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.

Zusammenfassung

Es wird ein 14jähriger Junge mit einer schweren chronischen Obstipation vorgestellt, der 4 Jahre lang keine spontanen Defäkationen hatte. Bei der Defäkographie fand sich eine Dünndarmschlinge, die frontal des Rektums in das kleine Becken glitt und die Obstruktion durch Kompression des Rektums herbeiführte. Die präperitoneale Tasche wurde reseziert. Postoperativ hat der Junge regelmäßige Stuhlentleerungen.

Key words

Prerectal peritoneal pouch - Constipation - Obstructed defecation

Schlüsselwörter

Chronische Obstipation - Präperitoneale Tasche - Innere Hernie

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