Urinary Retention due to Idiopathic Megacolon

Abstract

A 58-year-old man with neurogenic bladder dysfunction was hospitalized with chief complaints of urinary retention and abdominal distention. He had been treated for neurogenic bladder due to cerebral infarction for 3 years. The pelvic CT scan and excretory urogram revealed an obstruction of the neck of the bladder due to an abundant stool, which was found to have resulted from adult idiopathic megacolon. A permanent colostomy with sigmoid resection was established. The postoperative urodynamic examination demonstrated improvement of micturition.

Blasenfunktionsstörung in Folge einer großen präsakralen Retentionsmukozele

“…Weitere seltene Ursachen einer Funktionsbeeinflussung der Harnblase können große Peritoneal-oder Ovarialzysten als auch massiv dilatierte Darmschlingen sein [1,2,8,10]. Mukozelen gastrointestinalen Ursprungs, die zu einer obstruktiven Blasenfuktionsstörung führten, sind bisher lediglich von der Appendix vermiformis bekannt [5].…”