Urinary retention presenting as complete bowel obstruction

Papeš, Dino; Altarac, Silvio; Arslani, Nuhi; Rajković, Zoran

doi:10.5489/cuaj.347

Cited by 4 publications

(3 citation statements)

References 6 publications

(8 reference statements)

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“…Although both urinary retention and acute bowel obstruction are common clinical conditions, it is hardly recognized that both conditions occur at the same time and bladder distention contributes to intestinal obstruction manifesting as a surgical abdomen. We are aware several authors have reported similar cases in the literature [1] , [4] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] . One has to remember that bowel obstruction secondary to urinary retention exists in female patients too [14] .…”

Section: Discussionmentioning

confidence: 83%

Large bowel obstruction caused by urinary retention from benign prostate hyperplasia

Fujisaki¹,

Fujita²,

Mizuta³

et al. 2019

Radiology Case Reports

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Although large bowel obstruction is a common surgical emergency, its occurrence due to bladder distension is rarely reported in the literature. We report a case of large bowel obstruction caused by bladder distention secondary to benign prostate hyperplasia in a 67-year-old man. This case demonstrates a grossly distended urinary bladder compressing the rectosigmoid colon against the sacrum, presenting as a complete large bowel obstruction. Management consisted of transurethral urinary catheter insertion, which resulted in complete resolution of the bowel obstruction with drainage of a large amount of urine. Early recognition of the underlying etiology resulted in the expeditious treatment of large bowel obstruction.

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Section: Discussionmentioning

confidence: 83%

Large bowel obstruction caused by urinary retention from benign prostate hyperplasia

Fujisaki¹,

Fujita²,

Mizuta³

et al. 2019

Radiology Case Reports

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“…Younger age, thick rectus abdominis muscle, and high stoma output are independent risk factors for outlet obstruction in diverting loop ileostomy patients [6], all of which applied to our patient. Although both postoperative urinary retention and intestinal obstruction are relatively common clinical diagnoses, cases where a causal effect is found between the two are rare [7, 8]. Hypertrophy of the prostate in elderly males and prolonged use of tricyclic antidepressants have been cited as contributing factors in the few cases reported in literature [9, 10].…”

Section: Discussionmentioning

confidence: 99%

Early Onset Outlet Obstruction of a Temporary Diverting Loop Ileostomy Secondary to Urinary Retention

Akova

Doğru

Esen

et al. 2023

Case Rep Gastroenterol

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A mechanical obstruction is not a physiological entity, and when it occurs within the 30-day postoperative period, it is called an early postoperative small bowel obstruction. Kinking of small bowel segments at the ileostomy outlet secondary to a distended bladder is an unusual source of early postoperative small bowel obstruction. A 36-year-old female underwent a redo J-Pouch surgery and creation of loop ileostomy after pouch failure related to recurrent small bowel obstruction and perianal fistulae. Her foley catheter was removed on postoperative day 3 and she passed a trial of void test. On postoperative day 6, the abdomen became progressively more distended. Computerized tomography (CT) imaging with IV contrast showed small bowel distension extending to the midline anterior to the urinary bladder where it demonstrated a narrowed lumen. These findings were thought to be the cause of small bowel obstruction at this level before the ileostomy. Immediately after CT, a foley catheter was applied with which 2 L of urine was removed, and consequently, gas and stool were observed in the ostomy soon thereafter. Although rare, urinary retention may cause intestinal obstruction, especially in the presence of a loop ileostomy in close proximity.

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“…He recovered without need for surgical intervention and was discharged with stool softener and tamsulosin. Severe bladder distension is a rare cause of bowel obstruction (1). Bladder is a less mobile organ with lower intrapelvic fixation and its distention tends to pinch the rectosigmoid colon at the prominence of sacral promontory, where diameter of pelvis is narrow (2).…”

mentioning

confidence: 99%