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Idiopathic Constipation/Retained Stool

Faught SF - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Idiopathic Constipation/Retained Stool

History: 33 year old woman with constipation since childhood. She presented with abdominal distension and pain.

Findings: Plain Film: Mottled gas Pattern in the LUQ (large intestine). CT: Markedly abnormal study demonstrating stool-distended bowel extending from the distal transverse colon to the level of the rectum, with associated compression of several structures, most noticeably the distal right ureter with associated mild dilatation of the collecting system. There is also shift of the adnexal structures and uterus to the left. The largest dilatation of the bowel appears to be at the level of the sigmoid colon which measures approximately 11.6cm in short axis diameter.

Ddx: DDX for Mottled Gas Pattern on Plain film: *Stool *Abscess *Sponge *Bezoar DDX for Constipation: *Poor Diet *Poor Bowel Habits *Hirschsprung's Disease *Medications: Iron, antacids, narcotic pain meds... *Laxative abuse *Anal Fissures

Dxhow: Exclusion of Hirschprungs and Celiac Disease by negative Bx

No MeSH data available.


Markedly abnormal study demonstrating stool-distended bowel extending from the distal transverse colon to the level of the rectum, with associated compression of several structures, most noticeably the distal right ureter with associated mild dilatation of the collecting system.
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MPX1416_synpic50981: Markedly abnormal study demonstrating stool-distended bowel extending from the distal transverse colon to the level of the rectum, with associated compression of several structures, most noticeably the distal right ureter with associated mild dilatation of the collecting system.


Idiopathic Constipation/Retained Stool

Faught SF - MedPix (2009)

Markedly abnormal study demonstrating stool-distended bowel extending from the distal transverse colon to the level of the rectum, with associated compression of several structures, most noticeably the distal right ureter with associated mild dilatation of the collecting system.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1416&req=5

MPX1416_synpic50981: Markedly abnormal study demonstrating stool-distended bowel extending from the distal transverse colon to the level of the rectum, with associated compression of several structures, most noticeably the distal right ureter with associated mild dilatation of the collecting system.

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Idiopathic Constipation/Retained Stool

History: 33 year old woman with constipation since childhood. She presented with abdominal distension and pain.

Findings: Plain Film: Mottled gas Pattern in the LUQ (large intestine). CT: Markedly abnormal study demonstrating stool-distended bowel extending from the distal transverse colon to the level of the rectum, with associated compression of several structures, most noticeably the distal right ureter with associated mild dilatation of the collecting system. There is also shift of the adnexal structures and uterus to the left. The largest dilatation of the bowel appears to be at the level of the sigmoid colon which measures approximately 11.6cm in short axis diameter.

Ddx: DDX for Mottled Gas Pattern on Plain film: *Stool *Abscess *Sponge *Bezoar DDX for Constipation: *Poor Diet *Poor Bowel Habits *Hirschsprung's Disease *Medications: Iron, antacids, narcotic pain meds... *Laxative abuse *Anal Fissures

Dxhow: Exclusion of Hirschprungs and Celiac Disease by negative Bx

No MeSH data available.