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Erschienen in:
10.11.2022 | Case Report
An Unusual Presentation of Obstructive Defecation
Erschienen in: Indian Journal of Surgery | Ausgabe 4/2023
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Anatomic or functional pelvic floor dysfunction leads to obstructed defecation syndrome which is characterized by chronic constipation leading to difficulty in evacuation. It has an adverse impact on patients’ quality of life. Herein, we present an unusual case of a young patient with obstructive defecation and severe pain posing a diagnostic and therapeutic challenge. After failure of conservative efforts, he was investigated further by magnetic resonance defecography. A nodular lump involving the internal sphincter and part of the external sphincter was detected. He underwent a wide excision of the lump along with part of the external and internal sphincter. Histopathology was suggestive of a chronic inflammatory nodule with fibrosis. On a 6-month follow-up, patients’ symptoms had completely subsided, and his quality of life significantly improved.