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Hirschsprung's disease presenting as calcified fecaloma
Authors:John B. Campbell  Arvin E. Robinson
Affiliation:(1) Department of Radiology, Fitzsimons General, Hospital, 80218 Denver, Colorado, USA;(2) The Children's Hospital, 80218 Denver, Colorado, USA;(3) Present address: University of Colorado Medical Center, 80218 Denver, Colorado, USA;(4) Present address: Duke University Medical Center, Durham, North Carolina, USA
Abstract:Fecaloma, a discrete mass of intestinal debris and fecal material usually occurring in the colon, is a rare finding in children. The case of a six-year-old boy is presented who developed signs of partial colonic obstruction which was due to a large, calcified fecaloma of the rectosigmoid. Barium enema revealed changes indicating Hirschsprung's disease which were confirmed with rectal biopsy. Any child presenting with fecaloma should be evaluated for Hirschsprung's disease.
Keywords:Colonic obstruction  constipation  fecaloma  Hirschsprung's disease, megacolon
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