Abstract
A 15-year-old boy with cerebral palsy was admitted with abdominal pain, distention, and multiple loose bloody stools for 2 days. No fever was reported. The patient had chronic constipation for the last 5 years. On physical examination the child was hypotensive and tachycardic with diffuse abdominal tenderness. Digital rectal examination revealed a fecaloma. Blood investigations showed leukocytosis (26,000/mm3). Abdominal radiograph showed a dilated large bowel with maintained haustral pattern (Figure A).
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