Fig. 3.

Axial (A, D-E) and coronal (B, C) contrast-enhanced CT scans demonstrate an extensive recto-sigmoid fecaloma measuring more than 30 × 10 cm (red arrows); chronic thickening of rectal walls is visible (yellow arrows), as well as compressive bilateral grade III hydronephrosis with staghorn stones and thinning of renal parenchyma, frequently seen in DMD patients (C and D, yellow arrows). Dilatation with atonia and an evident air-fluid level also involves the stomach (E, yellow arrows), further witnessing the multifocal nature of gastrointestinal motility disorders in patients with DMD.