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首页> 外文期刊>Case Reports in Pediatrics >Obstructive Fecalomas in an Infant Treated with Successful Endoscopic Disimpaction
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Obstructive Fecalomas in an Infant Treated with Successful Endoscopic Disimpaction

机译：在成功的内窥镜减去治疗的婴儿的阻塞性粪瘤

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A fecaloma is a mass of accumulated feces with a consistency much harder than that of a fecal impaction. It is most frequently observed in the rectum and sigmoid area, and associated complications include colonic obstruction, ulceration, bleeding, and perforation. A one-year-old, previously healthy boy with no history of chronic constipation was admitted because of vomiting and abdominal distension. An abdominal computed tomography scan showed small and large bowel distension due to multiple obstructive fecalomas in the transverse colon. As the fecalomas could not be resolved by laxatives, enemas, or colonic lavage, endoscopic disimpaction under general anesthesia was attempted. Repeatedly shaving the fecalomas with biopsy forceps finally resulted in gradual fragmentation with subsequent passage. Gastrointestinal food allergy was later suggested as the cause because eosinophilic infiltration was found in a biopsy specimen of the colon wall. Endoscopic disimpaction is an effective treatment approach for addressing fecalomas to avoid more invasive surgical intervention.
机译：粪瘤是一种累积粪便的质量，其一致性比粪便剥夺更难。它在直肠和乙状体区域中最常观察到，相关的并发症包括结肠梗阻，溃疡，出血和穿孔。由于呕吐和腹胀，一岁的，以前没有慢性便秘的历史，没有慢性便秘的男孩。由于横向结肠中的多个阻塞性粪族瘤，腹部计算断层摄影扫描显示出小而大的肠道扩散。由于粪便瘤不能通过泻药，灌肠或结肠灌洗来解决，因此尝试了全身麻醉下的内窥镜含量。用活检钳反复剃肉芽肿最终导致随后的段落逐渐破碎。胃肠食物过敏症后来被视为原因，因为在结肠壁的活检标本中发现了嗜酸性渗透。内窥镜杀死是一种有效的治疗方法，用于寻求粪便瘤以避免更多的侵入性外科手术。

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