Question fecal ileal obstruction in preschool age

[Admin]

Hello, anyone has experience with fecal ileal obstruction in preschool age? what could be the cause and management?

[Secundino López Ibarra]

Rule out mechanical vs. functional obstruction. Suspect in ileal stenosis, cystic fibrosis with thick stools, hypothyroidism, etc. Do intestinal transit with water-soluble medium.
Cheers

[Amin]

This is Gohary's phenomenon. Pleade Google it. It requires gastrgrafin enema. Usually it does not recure after enema. Sometimes it needs more than one enema. The first time I came across one was 35 years ago and have to operate but having realising it is type of fecal impaction I stated using Fleet enema and in resistant cases gastrografin enema and published our findings as Gohary's phenomenon.
Kind regards

[Ahmed Nabil]

Rule out mechanical vs. functional obstruction. Suspect in ileal stenosis, cystic fibrosis with thick stools, hypothyroidism, etc. Do intestinal transit with water-soluble medium.
Cheers

Gohary's phenomenon

https://pediatricsurgery.club/forum/pediatric-surgery-discussions-ac/general-discussions/409-gohary%E2%80%99s-phenomenon