Demographics:
6 years old, Male
Indication:
Nausea, hematemesis
Findings
- Massive colonic and rectal stool burden with fixed oblique lucencies in the mid abdomen
- No evidence of free intraperitoneal air
- No abnormal intraabdominal calcification
- Incompletely imaged ventriculoperitoneal shunt catheter terminating in the right lower abdomen without evidence of discontinuity
- Bilateral coxa valga with shallow acetabula
Diagnosis
Fecal impaction
Sample Report
Massive colonic and rectal stool burden concerning for fecal impaction. Fixed lucencies in the mid abdomen are favored to represent intracolonic air between the retracted formed stool and the distended colonic wall.
No evidence of free intraperitoneal air.
No abnormal intraabdominal calcification.
Incompletely imaged ventriculoperitoneal shunt catheter terminating in the right lower abdomen without evidence of discontinuity.
Bilateral coxa valga with shallow acetabula.
Discussion