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THE SILENT OVERFLOW A CASE OF CHRONIC CONSTIPATION PRESENTING AS FECAL INCONTINENCE IN A 4-YEAR OLD
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12

February 2026

2025/2026

A+
This case study examines a 4-year-old male presenting with a chief complaint of involuntary stool leakage. While initially perceived by the parents as a behavioral issue or a failure in toilet training, the clinical presentation—characterized by daily soiling, infrequent passage of large-caliber stools, and a palpable abdominal fecal mass—is classic for encopresis with overflow incontinence secondary to chronic functional constipation. This report details the pathophysiology of rectal desens...
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