Acute Urinary Retention in a 47-month-old Girl Caused by the Giant Fecaloma.

[hirschsprung disease]

We present a case of a 47 -month -old female suffering from acute urinary bladder neck obstruction and bilateral hydronephrosis secondary to a fecaloma . Fecaloma is defined as an accumulation of inspissated feces in the colon or rectum giving the appearance of an abdominal mass . A fecaloma can be developed by diverse causes and the causes of the fecaloma in this case were septum reformation after the Duhamel procedure and long -term constipation . Chronic constipation is very common at outpatient clinic . However , acute urinary retention and voiding difficulty caused by fecaloma in the giant Duhamel pouch has never been reported in Korea . We would like to present our case with acute urinary retention due to a fecaloma and suggest that fecaloma might be considered as one of the causes for acute urinary retention , especially in cases with previous Duhamel operation for repair of Hischsprung disease .