Fecal impaction causing pelvic venous compression and edema

Sara Naramore, Faisal Aziz, Chandran Paul Alexander, Sosamma Methratta, Robert Cilley, Dorothy Rocourt

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Chronic constipation is a common condition which may result in fecal impaction. A 13-yearold male with chronic constipation and encopresis presented with fecal impaction for three weeks. The impaction caused abdominal pain, distension, encopresis, and decreased oral intake. He was found in severe distress with non-pitting edema of his feet and ankles along with perineal edema. The pedal edema worsened after receiving a fluid bolus, so concern arose for venous compression or a thrombus. A Duplex Ultrasound demonstrated changes in the venous waveforms of the bilateral external iliac and common femoral veins without thrombosis. Manual disimpaction and polyethylene glycol 3350 with electrolytes resolved the pedal and perineal edema. Four months later, he had soft bowel movements without recurrence of the edema. A repeat Duplex Ultrasound was normal. We present a child in whom severe fecal impaction caused pelvic venous compression resulting in bilateral pedal and perineal edema.

Original languageEnglish (US)
Pages (from-to)59-61
Number of pages3
JournalPediatric Reports
Issue number3
StatePublished - 2015

All Science Journal Classification (ASJC) codes

  • Pediatrics


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