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Case Reports
. 2021 Aug 2;13(8):e16837.
doi: 10.7759/cureus.16837. eCollection 2021 Aug.

Urinary Incontinence Secondary to Fecal Impaction in a Patient With Likely Undiagnosed Hirschsprung's Disease

Simon Kashfi  1 , Carlos Sermeno Camacho  2 , Karen L Castro  2
Affiliations
Case Reports

Urinary Incontinence Secondary to Fecal Impaction in a Patient With Likely Undiagnosed Hirschsprung's Disease

Simon Kashfi et al. Cureus. .

Abstract

Hirschsprung's disease is caused by the failure of migration of neural crest cells to the hindgut, causing a lack of development of ganglion cells in the submucosal and myenteric plexuses of the colonic wall. Hirschsprung's disease most often presents in infants with failure to pass meconium in the first two days of life. We present the case of an eight-year-old male with chronic constipation since birth who presented to the emergency department with signs concerning spinal cord compression. To our knowledge, this is the first of such a case presenting with urinary incontinence.

Keywords: constipation; hirschsprung's disease; meconium; spinal cord compression; urinary incontinence.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Fecal mass (arrow) compressing the bladder.
See this image and copyright information in PMC

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References

    1. Adult Hirschsprung’s disease: report of four cases. Qiu JF, Shi YJ, Hu L, Fang L, Wang HF, Zhang MC. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3726979/ Int J Clin Exp Pathol. 2013;6:1624–1630. - PMC - PubMed
    1. Hirschsprung's disease in a young adult: report of a case and review of the literature. Chen F, Winston JH 3rd, Jain SK, Frankel WL. Ann Diagn Pathol. 2006;10:347–351. - PubMed
    1. The developmental etiology and pathogenesis of Hirschsprung disease. Butler Tjaden NE, Trainor PA. Transl Res. 2013;162:1–15. - PMC - PubMed
    1. Hirschsprung’s disease: diagnosis and management. Kessmann J. https://www.aafp.org/afp/2006/1015/p1319.html. Am Fam Physician. 2006;74:1319–1322. - PubMed
    1. Late diagnosis of Hirschsprung’s disease. Martins MR, dos Santos CHM, Falcão GR. J Coloproctology. 2015;35:178–181.

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