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Related Concept Videos

Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

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Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
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Intestinal Obstruction II: Pathophysiology01:07

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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...
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Nursing Assessment of the Genitourinary System II: Inspection and Palpation01:26

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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...
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Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

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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...
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Urinary Tract Calculi VI: Surgical Management01:25

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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...
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Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

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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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An Immature Murine Model of Reversible Unilateral Ureteral Obstruction
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Urinary retention presenting as complete bowel obstruction.

Dino Papeš1, Silvio Altarac1, Nuhi Arslani2

  • 1Department of Surgery and Urology, Zabok General Hospital, Zabok, Croatia;

Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada
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Summary

A distended bladder can mimic large bowel obstruction, causing peritonitis. Prompt urinary catheterization and re-evaluation can resolve symptoms, avoiding unnecessary surgery.

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Area of Science:

  • Urology
  • Gastroenterology
  • Surgical Emergency

Background:

  • Large bowel obstruction and peritonitis are surgical emergencies.
  • Urinary retention is a common condition, particularly in older males.
  • Diagnostic challenges can arise when symptoms overlap between conditions.

Purpose of the Study:

  • To highlight a rare cause of bowel obstruction.
  • To emphasize the importance of considering urinary retention in differential diagnosis.
  • To advocate for re-evaluation in suspected mechanical obstruction after urinary catheterization.

Main Methods:

  • Case report of a 59-year-old male.
  • Clinical presentation of bowel obstruction and peritonitis.
  • Intervention: urinary catheterization with significant urine output.
  • Observation of symptom resolution post-catheterization.

Main Results:

  • Over 2000 mL of urine was obtained via catheterization.
  • Patient's symptoms of bowel obstruction and peritonitis resolved completely.
  • Avoidance of exploratory laparotomy and further imaging studies.

Conclusions:

  • Acute urinary retention can present as a complete large bowel obstruction.
  • Distended bladder pressure can lead to signs mimicking peritonitis.
  • Re-evaluation after urine output is crucial to prevent unnecessary surgical intervention.