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Extraordinary cause of complete colonic obstruction in children: urinary retention

Huseyin Kilincaslan1, Mesrur Selcuk Silay, Mehmet Remzi Erdem

  • 1Department of Pediatric Surgery, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey.

Pediatrics International : Official Journal of the Japan Pediatric Society
|June 5, 2014
PubMed

Insights

Complete colonic obstruction in children is rare. This case highlights extensive urinary retention, caused by a urinary infection in a child with a horseshoe kidney, leading to colonic obstruction.

Area of Science:

  • Pediatric Gastroenterology
  • Pediatric Urology
  • Clinical Case Reports

Background:

  • Complete colonic obstruction in children typically arises from congenital or acquired gastrointestinal issues.
  • Urinary retention is an uncommon cause of bowel obstruction in pediatric patients.

Observation:

  • A 3-year-old boy presented with complete colonic obstruction.
  • The obstruction was found to be caused by severe urinary retention.
  • The patient had a horseshoe kidney and a concurrent urinary infection.

Findings:

  • The underlying mechanism for urinary retention was identified as a urinary infection in a child with a horseshoe kidney.
  • Resolution of bladder symptoms and the urinary infection led to the relief of colonic obstruction.

Implications:

  • This case suggests a potential, previously unreported, link between urinary retention and colonic obstruction in children.
  • Highlights the importance of considering non-gastrointestinal causes, such as urinary issues, in pediatric bowel obstruction.
  • Emphasizes the need for thorough evaluation of urinary tract health in children presenting with abdominal symptoms.

Keywords:
childrencomplete colonic obstructionhorseshoe kidneyurinary retention

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