PED 1-Prevoid-full-rectum
PED_1: 12 y/o F with nocturnal enuresis pre void, note “crescent sign” from full rectum distorting rectovaginal septum
PED_2: The same patient as above, Post void and bowel evacuation, elevated post-void residual
PED_3: 14 y/o F with nocturnal enuresis at the time of evaluation
PED_4: The same patient as above 6 months later with the bowel management program
PED_5: 4y/o F experiencing new onset of daytime wetting, 35mm rectal diameter
PED_6: The same patient as previous, 1 week later, 14mm rectal diameter
PED_7a: The same patient as previous, 2 weeks later, 11mm rectal diameter
PED_7b: The same image as previous, rectum outlined, complete resolution of symptoms
PED_8a: Pediatric dysfunctional voiding patient underwent cleanout several months earlier. The image demonstrates continued rectal impaction demonstrated by deflection of the bladder base and positive “crescent sign”
PED 8b-crescent-sign-labels
PED_8b: The same image as previous with an outline of the crescent shape hyperechoic anterior rectal fascia and labeling of acoustic shadow caused by significant stool in the rectum.
PED_9a: Mega rectum observed in a 12-year-old female with continued nocturnal enuresis
PED 9b-megarectum-sagittal
PED_9b: The same patient as the previous image, the sagittal view can now observe the length of the mega rectum by the hyperechoic anterior rectal fascia
