title: Prerectal peritoneal pouch with herniating small bowel -- a unique cause of severe constipation in a child.
abstract: We report a 14-year-old boy with severe constipation with a four-year history of no spontaneous bowel movements. Defecography, with synchronously administered barium enema and barium meal, showed that the small bowel could slide down in front of the rectum obstructing defecation. He was operated and a prerectal peritoneal pouch was found, which was resected. Postoperatively he has had daily spontaneous bowel movements. We have found no similar case described in the literature.
authors.affiliation: Department of Pediatric Surgery, University Children's Hospital, Uppsala, Sweden.
authors.forename: T
authors.initials: T
authors.lastname: Wester
authors.forename: B
authors.initials: B
authors.lastname: Lindqvist
authors.forename: L
authors.initials: L
authors.lastname: Oslen
mesh_terms: D000293:Adolescent; D001466:Barium Sulfate; D003248:Constipation / Q000000981:diagnostic imaging / Q000209:etiology*; D003287:Contrast Media; D006555:Hernia, Ventral / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008297:Male; D011859:Radiography; D012002:Rectal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*
chemical_list: D003287:Contrast Media; D001466:Barium Sulfate