A 6 year old girl with abdominal pains and constipation for several months with acute increase in abdominal pains was presented at the ER.
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15x10cm fecaloma from sigmoid colon to anal cavity can be seen on the abdominal X-ray with dilated bowels due to underlying Hirschsprung's disease.
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The 6 year old girl was diagnosed with a fecaloma in the anal cavity due to underlying Hirschsprung's disease. The fecaloma will be manually removed under anesthesia and laxatives will be given to prevent future complications.