Faecal loading

Case contributed by Dr Ian Bickle

Presentation

Child with abdominal distension and discomfort.

Patient Data

Age: 9
Gender: Male
X-ray

Mottled gas and soft tissue appearance extending from the rectum into the upper abdomen.

No bowel obstruction.

Lumbar scoliosis.

Case Discussion

Faecal loading is not a good indication for the undertaking of an abdominal film.

It is however a common observation, especially in the young, elderly and those with spinal or neurological problems.

This example is of a grossly distended rectum with the typical mottled appearance of gas trapped between more solid faeculant matter.  When more focal it is termed a faeculoma.

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Case information

rID: 44486
Case created: 23rd Apr 2016
Last edited: 25th Apr 2016
Inclusion in quiz mode: Included

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