Ureteral obstruction due to massive fecal impaction

Area of Science:

• Urology
• Gastroenterology

Background:

• Fecal impaction is a common clinical issue, particularly in the elderly.
• Urinary tract obstruction can lead to severe renal complications.

Observation:

• A 74-year-old woman presented with symptoms suggestive of urinary obstruction.
• Physical examination revealed a large fecal impaction in the rectum.

Findings:

• Complete urinary tract obstruction was diagnosed.
• Evacuation of the fecal impaction led to the resolution of the urinary obstruction.

Implications:

• Fecal impaction should be considered in the differential diagnosis of urinary tract obstruction, especially in older adults.
• Prompt recognition and management of fecal impaction can prevent serious renal sequelae.