Obstructive Uropathy Caused by Chronic Constipation

Yuri Iwata, Yosuke Kunishi, Koichiro Yoshie
2015 Internal medicine (Tokyo. 1992)  
We herein report a case regarding a 90-year-old woman with a history of recurrent episodes of urinary tract infections presenting with fever. Urinalysis revealed bacteria and white blood cells. Computed tomography showed dilated and fecally loaded rectum and colon with signs of obstructive uropathy. The patient was treated for urinary tract infection and constipation. Her bowel habits were controlled with lubiprostone, and she was discharged in good medical condition. This case highlights the
more » ... se highlights the importance of considering fecal impaction as a cause of urinary tract obstruction or infection.
doi:10.2169/internalmedicine.54.3551 pmid:25948344 fatcat:jbcq6rnklneb5cfiiwaed4fo2m