Ureteral Obstruction Due to Massive Fecal Impaction

Obstructive Uropathy Caused by Chronic Constipation

“…In the literature, we found several cases of asymptomatic uropathy due to constipation. Our case and eight other cases, had no abdominal symptoms and showed no signs of distress, despite a grossly distended abdomen (3,11,12,(21)(22)(23)(24)(25). Of these, eight had an underlying history of psychosis, dementia, diabetes mellitus or cerebrovascular disease.…”

“…Our case, the oldest one to be reported, also had multiple risk factors of constipation. Some authors have suggested that women may be less prone to this complication because of the protective position of the uterus (22,23), however there is no significant difference in gender among the reported cases (17 men, 20 women).…”

“…Of the 18 cases of children and adolescents (age range, 1-23 years of age), more than half of the patients had no relevant medical history. Reports suggest that children are more susceptible to the obstruction of the urinary tract by fecal impaction because of the higher intra-abdominal location of the urinary bladder (22,23). The loose connective tissues in children may provide the viscera some mobility within the abdominal cavity, thereby increasing the chances of compression by adjacent viscera.…”

Development of hydronephrosis secondary to poorly managed neurogenic bowel requiring surgical disimpaction in a patient with spinal cord injury: A case report

“…Hydronephrosis secondary to fecal impaction is one important complication that has been rarely reported in the adult SCI literature; however, a few cases have been reported in the palliative care, urology, and pediatric literature. [2][3][4][5][6][7] One case discussed an adult patient with onset of SCI during childhood using reflex voiding for bladder management who developed fecal impaction and was noted to have bilateral ureteral obstruction and hydronephrosis, that resolved after decompression of fecal impaction. 2 Other cases reported include a stroke patient, a geriatric patient on constipating medications, a pediatric patient, and a patient with hypothyroidism.…”

“…2 Other cases reported include a stroke patient, a geriatric patient on constipating medications, a pediatric patient, and a patient with hypothyroidism. [3][4][5][6][7] We present a case of a paraplegic male with neurogenic bowel, who had poorly managed versus abandoned bowel program for years leading to fecal impaction and hydronephrosis.…”