Postrenal Acute Renal Failure Due to Giant Fecaloma-related Bilateral Hydronephrosis: A Case Report and Brief Literature Review

An 88-year-old woman presented to the emergency department with abdominal distention, fever, and constipation of about a week's duration. Laboratory tests showed impaired kidney function tests and fluid electrolyte values. Bilateral hydroureteronephrosis was observed on non-contrasted abdominal...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2020-04, Vol.12 (4), p.e7815
Main Authors: Ozlu, Deniz Noyan, Seker, Kamil Gokhan, Cetin Seker, Yurdagul, Haciislamoglu, Ahmet, Kalfazade, Nadir
Format: Article
Language:English
Subjects:
Abdomen
Bladder
Blood
Case reports
Colon
Constipation
Creatinine
Electrolytes
Feces
Gastroenterology
General Surgery
Hydronephrosis
Joint replacement surgery
Joint surgery
Lavage
Literature reviews
Patients
Urinary tract diseases
Urinary tract infections
Urine
Urogenital system
Urology
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Description
Summary:An 88-year-old woman presented to the emergency department with abdominal distention, fever, and constipation of about a week's duration. Laboratory tests showed impaired kidney function tests and fluid electrolyte values. Bilateral hydroureteronephrosis was observed on non-contrasted abdominal CT. Imaging revealed no intrinsic urological pathology (ureteral stones, etc.) that could lead to obstruction in the urinary system; however, excessively dilated and feces-loaded rectum and colon were observed. The patient was treated with conservative methods. Unfortunately, she passed away due to general condition disorder.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.7815