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Obstructive uropathy caused by chronic constipation.

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Fecal impaction can cause urinary tract obstruction and infections, especially in elderly patients. Prompt diagnosis and treatment of constipation are crucial for resolving these urinary issues.

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Area of Science:

  • Geriatrics
  • Urology
  • Gastroenterology

Background:

  • Recurrent urinary tract infections (UTIs) are common in elderly individuals.
  • Urinary obstruction can lead to severe UTIs and systemic complications.
  • Constipation is a prevalent issue in geriatric populations.

Purpose of the Study:

  • To report a case of obstructive uropathy secondary to fecal impaction.
  • To emphasize the link between constipation and urinary tract issues in the elderly.
  • To highlight the importance of considering bowel obstruction in UTI management.

Main Methods:

  • Case report of a 90-year-old female patient.
  • Clinical presentation with fever and recurrent UTIs.
  • Diagnostic workup including urinalysis and computed tomography (CT).
  • Treatment for UTI and constipation.

Main Results:

  • CT revealed a dilated, fecally loaded colon and rectum causing obstructive uropathy.
  • Patient responded to antibiotic treatment for UTI and bowel management with lubiprostone.
  • Successful resolution of symptoms and discharge in good condition.

Conclusions:

  • Fecal impaction should be considered in the differential diagnosis of urinary tract obstruction and infections.
  • Integrated management of constipation is essential for preventing and treating urological complications in the elderly.
  • This case underscores the interconnectedness of gastrointestinal and urinary systems.