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Related Concept Videos

Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Nursing Assessment of the Genitourinary System II: Inspection and Palpation01:26

Nursing Assessment of the Genitourinary System II: Inspection and Palpation

The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...

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Related Experiment Video

Updated: May 25, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

Distended bladder presenting with constipation and venous obstruction: a case report.

Anu Sharma1, Vijay Naraynsingh

  • 1Faculty of the Clinical Surgical Sciences, University of the West Indies, St, Augustine, Trinidad & Tobago. anu.sharma25@gmail.com.

Journal of Medical Case Reports
|January 26, 2012
PubMed
Summary

A distended urinary bladder, previously known to cause venous or bowel obstruction, is reported here for the first time to cause both constipation and lower limb edema. Prompt relief was achieved via urethral catheterization.

Related Experiment Videos

Last Updated: May 25, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

Area of Science:

  • Urology
  • Internal Medicine
  • Gastroenterology

Background:

  • Urinary bladder distension can lead to venous or bowel obstruction.
  • This case presents a rare instance of urinary bladder distension causing both venous and bowel obstruction.
  • It highlights an unusual presentation of bladder distension.

Purpose of the Study:

  • To report the first case of urinary bladder distension causing both constipation and lower limb edema.
  • To broaden the differential diagnosis for patients presenting with clinical venous obstruction.
  • To emphasize the importance of considering urinary bladder distension in similar presentations.

Main Methods:

  • A case study of an 83-year-old man presenting with constipation and bilateral lower limb edema.
  • Diagnostic imaging (computed tomography) confirmed a large, distended urinary bladder.
  • Treatment involved prompt urethral catheterization.

Main Results:

  • The patient presented with a large, distended urinary bladder causing a significant abdominal mass.
  • Following urethral catheterization, both constipation and lower limb edema resolved rapidly.
  • This demonstrates the direct impact of bladder distension on these symptoms.

Conclusions:

  • This is the first reported case of urinary bladder distension causing both constipation and lower limb edema.
  • Several factors contribute to this unusual presentation.
  • A high index of suspicion for urinary bladder distension is crucial for accurate diagnosis and appropriate management.