Urinary retention presenting as complete bowel obstruction

Authors

  • Dino Papeš Department of surgery and urology, Zabok General Hospital, Bračak 8, 49210 Zabok, Croatia, staff physician
  • Silvio Altarac Department of surgery and urology, Zabok General Hospital, Bračak 8, 49210 Zabok, Croatia, staff physician
  • Nuhi Arslani Department of surgery, University Hospital Center Maribor, Ljubljanska ulica, Maribor, Slovenia, staff physician
  • Zoran Rajković Department of surgery and urology, Zabok General Hospital, Zabok, Croatia, Head of Department of trauma surgery

DOI:

https://doi.org/10.5489/cuaj.347

Keywords:

bowel, intestinal obstruction, urinary retention, prostate, benign prostatic hyperplasia

Abstract

A 59-year-old male was admitted to hospital for clinical and radiological signs of large bowel obstruction with clinical signs of generalized peritonitis. As such, he was scheduled to undergo emergency exploratory laparotomy. During preoperative preparation, over 2000 mL of urine was obtained after catheterization. We suggested re-evaluation, and after several hours the symptoms resolved. Although rare, pressure from the distended bladder due to urinary retention can cause complete bowel obstruction and signs of peritonitis. If a large volume of urine is obtained during preoperative preparation for mechanical bowel obstruction, it is recommended to re-evaluate the patient to avoid unnecessary surgery and imaging studies.

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Published

2013-10-09

How to Cite

Papeš, D., Altarac, S., Arslani, N., & Rajković, Z. (2013). Urinary retention presenting as complete bowel obstruction. Canadian Urological Association Journal, 7(9-10), e637–9. https://doi.org/10.5489/cuaj.347

Issue

Section

Case Report