Presentation
Child with abdominal distension and discomfort.
Patient Data
Age: 9 years
Gender: Male
From the case:
Fecal loading
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Info
Mottled gas and soft tissue appearance extending from the rectum into the upper abdomen.
No bowel obstruction.
Lumbar scoliosis.
Case Discussion
Fecal 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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