[A giant fecalith complicated by acute urinary retention, hydronephrosis and acute obstructive pyelonephritis]

Urologiia. 2016 Apr:(2):109-111.
[Article in Russian]

Abstract

The article reports a rare case of a 30-year-old man with Hirschsprung's disease, who developed a giant fecalith in the rectum and sigmoid (weight 3.5 kg, the largest diameter 20 cm). The fecalith impaired urine flow by compressing urinary tract, thereby causing acute urinary retention and right-sided hydronephrosis with acute obstructive pyelonephritis. Removing fecalith resulted in the patient recovery and normal functioning of genitourinary system.

Keywords: Hirschsprung's disease; acute obstructive pyelonephritis; acute urinary retention; fecalith; hydronephrosis; intestinal stones.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adult
  • Fecal Impaction* / complications
  • Fecal Impaction* / diagnostic imaging
  • Fecal Impaction* / surgery
  • Humans
  • Hydronephrosis* / diagnostic imaging
  • Hydronephrosis* / etiology
  • Hydronephrosis* / surgery
  • Male
  • Pyelonephritis* / diagnostic imaging
  • Pyelonephritis* / etiology
  • Pyelonephritis* / surgery
  • Urinary Retention* / diagnostic imaging
  • Urinary Retention* / etiology
  • Urinary Retention* / surgery