Abstract

Fecaloma, a discrete mass of intestinal debris and fecal material usually occurring in the colon, is a rare finding in children. The case of a six-year-old boy is presented who developed signs of partial colonic obstruction which was due to a large, calcified fecaloma of the rectosigmoid. Barium enema revealed changes indicating Hirschsprung's disease which were confirmed with rectal biopsy. Any child presenting with fecaloma should be evaluated for Hirschsprung's disease.

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