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Usually made at surgery
 
Usually made at surgery
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==Treatment==
 
==Treatment==
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Medical treatment may resolve the impaction(36) but '''surgery''' is typically required.  At surgery, fluids can be directly infused into the mass so that the impaction can be manually broken down.  '''Dioctyl sodium sulfosuccinate (DSS)''' may be included in the infusion to help disrupt the mass.
    
==Prognosis==
 
==Prognosis==
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