Abstract
Anatomic or functional pelvic floor dysfunction leads to obstructed defecation syndrome which is characterized by chronic constipation leading to difficulty in evacuation. It has an adverse impact on patients’ quality of life. Herein, we present an unusual case of a young patient with obstructive defecation and severe pain posing a diagnostic and therapeutic challenge. After failure of conservative efforts, he was investigated further by magnetic resonance defecography. A nodular lump involving the internal sphincter and part of the external sphincter was detected. He underwent a wide excision of the lump along with part of the external and internal sphincter. Histopathology was suggestive of a chronic inflammatory nodule with fibrosis. On a 6-month follow-up, patients’ symptoms had completely subsided, and his quality of life significantly improved.
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Dr. Mizelle D’Silva made substantial contributions to the acquisition and interpretation of data; drafted the work; approved the version to be published; and agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Dr. Prajesh Bhuta made substantial contributions to the conception and design of the work; revised it critically for important intellectual content; approved the version to be published; and agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Dr. Amit Maydeo made substantial contributions to the conception and design of the work; revised it critically for important intellectual content; approved the version to be published; and agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
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D’Silva, M., Bhuta, P. & Maydeo, A. An Unusual Presentation of Obstructive Defecation. Indian J Surg 85, 960–962 (2023). https://doi.org/10.1007/s12262-022-03599-7
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DOI: https://doi.org/10.1007/s12262-022-03599-7