Chronic stool retention with soiling is a common and distressing condition in children. Diagnosis and treatment generally involve both medical and psychological aspects. This case addresses a potentially life-threatening complication of shock occurring during treatment of chronic stool retention with castor oil, and also explores the psychosocial factors felt to be contributory.
Get full access to this article
View all access options for this article.
References
1.
Levine M.Children with encopresis: a descriptive analysis. Pediatrics1975;56:512.
2.
Richmond JB, Eddy EJ, Garrard SDThe syndrome of fecal soiling and megacolon. Am J Orthopsychiatr1954;24:391.
3.
Anthony EJAn experimental approach to the psychopathology of childhood: encopresis. Br J Medical Psychology1957;30:146.
4.
Kobak M., Jacobson M., Sirca D.Acquired megacolon in psychiatric patients. Dis Col Rectum1962;5(5):373.
5.
Al-Jurff A.Pseudo-obstruction in idiopathic megacolon. Dis Colon Rectum1979;22(6):437.
6.
Lane Phs, Todd IPIdiopathic megacolon: a review of 42 cases. Br J Surg1977;64(5):307-10.
7.
Leventhal A. , Gimmon Z.Toxic idiopathic megacolon: fatal outcome in a mentally retarded adolescent. Dis Colon Rectum1978;21:383.
8.
Tobon F., Schuster MMMegacolon: special diagnostic and therapeutic features. Johns Hopkins Med J1974;135:91.
9.
Nolan HHMegarectum in the older child. Proc R Soc Med1976;3:803-5.
10.
Ponka J., Grodsinsky C., Brush B.Megacolon in teenaged and adult patients. Dis Colon Rectum1972;15:14-22.
11.
Clayden GS, Lawson Jon.Investigation and management of long-standing chronic constipation in childhood . Arch Dis Child1976;51(12):918.
12.
Rottmeier PK , Clatworthy HWAganglionic and functional megacolon in children—a diagnostic dilemma. Pediatrics1965;36(4):572.
13.
Fitzgerald JFDifficulties with defecation and elimination in children. Clin Gastroenterol1977;6(2).