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Large bowel obstruction caused by urinary retention from benign prostate hyperplasia
Tomohiro Fujisaki1, Yasuhiko Fujita1, Hiroyuki Mizuta1
1Department of Emergency Medicine, Tokunoshima Tokushukai Medical Center, Oshima, Tokunoshima 891-7101, Japan.
Large bowel obstruction can rarely be caused by bladder distension. In this case, a distended bladder due to benign prostate hyperplasia compressed the colon, leading to obstruction that resolved with catheterization.
Area of Science:
- Gastroenterology
- Urology
- Surgical Emergencies
Background:
- Large bowel obstruction is a frequent surgical emergency.
- Obstruction caused by bladder distension is infrequently documented.
Observation:
- A 67-year-old male presented with complete large bowel obstruction.
- The obstruction was caused by a significantly distended urinary bladder compressing the rectosigmoid colon.
- The underlying etiology was benign prostate hyperplasia.
Findings:
- Transurethral urinary catheter insertion led to the drainage of a substantial volume of urine.
- Complete resolution of the large bowel obstruction was achieved post-catheterization.
Implications:
- This case highlights the importance of considering bladder distension as a cause of large bowel obstruction.
- Prompt diagnosis and management via urinary catheterization can effectively treat this rare presentation.
- Highlights the interplay between urological and gastrointestinal conditions.
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