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Naramore S, Aziz F, Alexander CP, et al. Fecal Impaction Causing Pelvic Venous Compression and Edema. Pediatr Rep. 2015;7(3):5999doi: 10.4081/pr.2015.5999.
Naramore, S., Aziz, F., Alexander, C. P., Methratta, S., Cilley, R., & Rocourt, D. (2015). Fecal Impaction Causing Pelvic Venous Compression and Edema. Pediatric reports, 7(3), 5999. https://doi.org/10.4081/pr.2015.5999
Naramore, Sara, et al. "Fecal Impaction Causing Pelvic Venous Compression and Edema." Pediatric reports vol. 7,3 (2015): 5999. doi: https://doi.org/10.4081/pr.2015.5999
Naramore S, Aziz F, Alexander CP, Methratta S, Cilley R, Rocourt D. Fecal Impaction Causing Pelvic Venous Compression and Edema. Pediatr Rep. 2015 Sep 28;7(3):5999. doi: 10.4081/pr.2015.5999. eCollection 2015 Sep 28. PMID: 26500749; PMCID: PMC4594448.
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Pediatr Rep. 2015 Sep 28;7(3):5999. doi: 10.4081/pr.2015.5999. eCollection 2015 Sep 28.

Fecal Impaction Causing Pelvic Venous Compression and Edema.

Pediatric reports

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

Affiliations

  1. Department of Pediatrics, Penn State Milton S Hershey Medical Center , PA, USA.
  2. Department of Vascular Surgery, Penn State Milton S Hershey Medical Center , PA, USA.
  3. Division of Pediatric Gastroenterology, Penn State Milton S Hershey Medical Center , PA, USA.
  4. Department of Radiology, Penn State Milton S Hershey Medical Center , PA, USA.
  5. Department of Surgery, Penn State Milton S Hershey Medical Center , PA, USA.

PMID: 26500749 PMCID: PMC4594448 DOI: 10.4081/pr.2015.5999

Abstract

Chronic constipation is a common condition which may result in fecal impaction. A 13-year-old 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.

Keywords: Pedal edema; constipation; duplex ultrasound; fecal impaction; polyethylene glycol 3350 with electrolytes

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