title: [Transverse presentation due to coprostasis].
abstract: A multiparous woman was admitted at 32 weeks to evaluate the reason for a persistency in transverse lie. Ultrasound examination at 25 and 32 weeks revealed a circular echogenic structure near the cervix. It was considered to be a fibroid. At rectovaginal examination a compact faecal mass was identified. The woman never had complained of abnormal bowel function: however, daily diarrhoea had occurred since 3 months gestational age. Several times it was necessary to apply oil rectally for softening, enabling digital faecal extraction; phosphate enemas and warm water enemas led to considerable faeces production. Near term a healthy daughter was delivered vaginally. Chronic constipation was diagnosed, worsened by pregnancy and an inadequate diet.
authors.affiliation: Afd. Verloskunde en Gynaecologie, Academisch Ziekenhuis Vrije Universiteit, Amsterdam.
authors.forename: J I
authors.initials: JI
authors.lastname: de Vries
authors.forename: R J
authors.initials: RJ
authors.lastname: Felt-Bersma
mesh_terms: D000328:Adult; D005244:Fecal Impaction / Q000209:etiology / Q000503:physiopathology*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011248:Pregnancy Complications