Document Detail

A case of idiopathic fecal incontinence. Evaluation and management.
MedLine Citation:
PMID:  9267194     Owner:  NLM     Status:  MEDLINE    
Idiopathic fecal incontinence is a clinical entity described mostly in the colorectal surgical literature and seldom encountered by the physiatrist. Evidence exists suggesting neuropathic injury to the external anal sphincter. Several reports have linked this syndrome to the descending perineum syndrome. A final answer to this diagnostic puzzle is yet to be found. This article presents a case of probable "idiopathic" fecal incontinence presenting during an evaluation for low back pain. Full evaluation yielded a denervating lesion of unknown etiology to the pudendal nerve. The patient was managed with a bowel program without success. Because physiatrists often find themselves managing cases of neurogenic bowel or bladder, it is important for the physiatrist to have a thorough understanding of idiopathic fecal incontinence. A discussion of the differential diagnosis and management of fecal incontinence is included.
R Marin; J M Francis
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of physical medicine & rehabilitation / Association of Academic Physiatrists     Volume:  76     ISSN:  0894-9115     ISO Abbreviation:  Am J Phys Med Rehabil     Publication Date:    1997 Jul-Aug
Date Detail:
Created Date:  1997-09-11     Completed Date:  1997-09-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8803677     Medline TA:  Am J Phys Med Rehabil     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  333-7     Citation Subset:  AIM; IM    
Department of Physical Medicine & Rehabilitation, Landstuhl Regional Medical Center, Germany.
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MeSH Terms
Diagnosis, Differential
Fecal Incontinence / diagnosis,  etiology*,  therapy
Neural Conduction
Rectum / physiopathology*

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