Giant Fecaloma Leading to Bilateral Ureterohydronephrosis

Abstract

Symptomatic compression of the lower urinary tract because of constipation-induced fecal impactions is a rare condition. It is particularly seen in the elderly and in patients with limited mobilization and chronic dehydration caused by inadequate fluid intake. Among the reasons that can cause urinary tract obstruction, fecal impactions mimicking a pelvic mass effect should also be considered. In this study, we presented two cases of giant fecaloma leading to bilateral ureterohydronephrosis.

Postrenal Acute Renal Failure Due to Giant Fecaloma-related Bilateral Hydronephrosis: A Case Report and Brief Literature Review

“…Özer et al have presented two cases where movement restriction due to knee arthroplasty operation and progressive muscular dystrophy (PMD) disease was shown to be the etiological factor. Both patients died during the followup [1].…”

“…Significant complications may occur in the gastrointestinal system due to fecaloma formation. Due to the local pressurizing effect of fecaloma (pelvic mass effect), severe morbidity such as urinary system obstruction and rupture of colon or bladder may occur, and sometimes they can be mortal [1]. Although conservative methods such as the use of enemas, laxatives, and rectal evacuation are among the treatment options to relieve the fecal effect, surgical intervention is another option when these methods fail [2].…”

“…Although conservative methods such as the use of enemas, laxatives, and rectal evacuation are among the treatment options to relieve the fecal effect, surgical intervention is another option when these methods fail [2]. Rare cases of fecalomarelated urinary system obstruction and renal failure have also been reported [1,3,4].…”

Imaging Diagnosis — Radiography, Ultrasonography, and Computed Tomography of a Giant Fecaloma Causing Stercoral Perforation of the Colon in a Dog With a Prostatic Abscess

“…[8][9][10]13 Fecaloma may cause various complications such as hydronephrosis, compressive rupture of the urinary bladder, and rectal bleeding, as well as stercoral perforation and fecal peritonitis in more severe cases. 3,7,17,18 In the four reported cases of cecal impaction in dogs, three dogs without fatal complications showed a good prognosis after typhlectomy, with no recurrence over a follow-up period of 1 year. [8][9][10] However, one dog with visceral myopathy exhibited chronic intestinal pseudoobstruction.…”

“…However, most affected dogs are older than 7 years and show gradual onset of constipation over periods of up to 6 months . Fecaloma may cause various complications such as hydronephrosis, compressive rupture of the urinary bladder, and rectal bleeding, as well as stercoral perforation and fecal peritonitis in more severe cases . In the four reported cases of cecal impaction in dogs, three dogs without fatal complications showed a good prognosis after typhlectomy, with no recurrence over a follow‐up period of 1 year .…”