Spontaneous Rupture of Urinary Bladder Associated With Massive Fecal Impaction (Fecaloma)

Abstract

We report a case of sudden death due to a catastrophic spontaneous rupture of a urinary bladder associated with megacolon due to a fecal impaction (fecaloma). The massively distended rectum and sigmoid colon filled the pelvic cavity and pressed up against the posterior aspects of the uterus, vagina, and urinary bladder. This produced bladder outlet obstruction, followed by massive dilatation and rupture of the urinary bladder, bilateral hydronephrosis, and a 3.5 liter collection of urinary fluid within the abdominal cavity. Complications of chronic constipation, fecalomas, and rupture of the urinary bladder are reviewed.

Acute Abdominal Pain Accompanied by High Creatinine in a Female Patient With Schizophrenia

“…8 Benzodiazepines, such as lorazepam and diazepam, can provoke urinary retention likely because of muscle relaxation. 6 13 Indwelling urethral and suprapubic catheter 4 Eosinophilic cystitis 14 Pelvic organ prolapse Alcohol intoxication 3,4 and in combination with substance abuse Opioid 15 and benzodiazepine overdose 16 Cases of traumatic or iatrogenic rupture were not included in this overview.…”

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

“…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 .…”

Chronic Abdominal Pain: A Case of Giant Fecalith in the Distal Jejunum

“…There are cases of fecaliths that had an unfavorable outcome, leading to the death of the patient [6][7]. For this reason, we highly recommend practitioners to keep a high level of suspicion to avoid delay in diagnosis.…”