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An unusual case of abdominal distension with constipation
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  1. Pooja Popat1,
  2. Helen Williams2,
  3. Ian Wacogne1,
  4. Ingo Jester3,
  5. Silvia Planas4,
  6. Mohamed A Elemraid1
  1. 1Department of General Paediatrics, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK
  2. 2Department of Radiology, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK
  3. 3Department of Paediatric Surgery, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK
  4. 4Department of Histopathology, Sheffield Children's NHS Foundation Trust, Sheffield, UK
  1. Correspondence to Dr Mohamed A Elemraid, Department of General Paediatrics, Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, UK; elemraid{at}doctors.org.uk

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A previously healthy 3-year-old boy was referred by his general practitioner to the paediatric outpatient clinic because of a 6-month history of moderate to severe constipation. It was associated with mild central abdominal pain and slight weight loss. He had been treated with Movicol, with minimal effect. There …

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