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10.11.2022 | Case Report

An Unusual Presentation of Obstructive Defecation

verfasst von: Mizelle D’Silva, Prajesh Bhuta, Amit Maydeo

Erschienen in: Indian Journal of Surgery

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Abstract

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.
Literatur
1.
Zurück zum Zitat Sákra L, Šiller J (2017) Obstructed defecation syndrome - review article. Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti 96(6):247–251 Sákra L, Šiller J (2017) Obstructed defecation syndrome - review article. Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti 96(6):247–251
Metadaten
Titel
An Unusual Presentation of Obstructive Defecation
verfasst von
Mizelle D’Silva
Prajesh Bhuta
Amit Maydeo
Publikationsdatum
10.11.2022
Verlag
Springer India
Erschienen in
Indian Journal of Surgery
Print ISSN: 0972-2068
Elektronische ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-022-03599-7

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