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Online Published: 24 Jul 2024
 


Bilateral Ureteral Obstruction Caused by a Fecaloma: An Uncommon Presentation of Acute Kidney Injury

Rita Sevivas , Carolina Veiga, Catarina Pinto Silva.


Abstract
An 84 year-old woman with a history of hypertension, dyslipidemia, type 2 diabetes, atrial fibrillation, and diabetic kidney disease, presented with anorexia, oligoanuria, and constipation despite laxatives. The physical exam revealed a distended abdomen, and lab tests showed high creatinine levels only. The pre-renal etiology of the acute kidney injury was considered due to anorexia and probable dehydration. However, given the constipation mentioned in the clinical history, it was important to rule out a post-renal cause for the acute kidney injury, so an abdominal and pelvic CT scan was requested. The CT scan revealed small kidneys with ureters compressed by an 8 cm fecaloma, leading to acute renal failure due to post-renal obstruction (Figures 1 and 2).
Laxative therapy was initiated, which resolved the fecaloma, and the patient was catheterized, resulting in the immediate release of 1 liter of urine. The resolution of the fecaloma and subsequent post-renal decompression led to a rapid recovery of kidney function.

Key words: Ureteral obstruction, Acute Kidney Injury, Fecaloma, fecaloma-induced obstruction, Bilateral ureteral obstruction, Elderly patient


 
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Pubmed Style

RS, Veiga C, Silva CP, . Bilateral Ureteral Obstruction Caused by a Fecaloma: An Uncommon Presentation of Acute Kidney Injury. Int J Med Rev Case Rep. Online First: 24 Jul, 2024. doi:10.5455/IJMRCR.172-1715361265

Web Style

RS, Veiga C, Silva CP, . Bilateral Ureteral Obstruction Caused by a Fecaloma: An Uncommon Presentation of Acute Kidney Injury. https://www.mdpub.net/?mno=201185 [Access: October 13, 2024]. doi:10.5455/IJMRCR.172-1715361265

AMA (American Medical Association) Style

RS, Veiga C, Silva CP, . Bilateral Ureteral Obstruction Caused by a Fecaloma: An Uncommon Presentation of Acute Kidney Injury. Int J Med Rev Case Rep. Online First: 24 Jul, 2024. doi:10.5455/IJMRCR.172-1715361265


Vancouver/ICMJE Style

RS, Veiga C, Silva CP, . Bilateral Ureteral Obstruction Caused by a Fecaloma: An Uncommon Presentation of Acute Kidney Injury. Int J Med Rev Case Rep, [cited October 13, 2024]; Online First: 24 Jul, 2024. doi:10.5455/IJMRCR.172-1715361265


Harvard Style

, R. S., Veiga, C., Silva, C. P. & (2024) Bilateral Ureteral Obstruction Caused by a Fecaloma: An Uncommon Presentation of Acute Kidney Injury. Int J Med Rev Case Rep, Online First: 24 Jul, 2024. doi:10.5455/IJMRCR.172-1715361265


Turabian Style

, Rita Sevivas, Carolina Veiga, Catarina Pinto Silva, and . 2024. Bilateral Ureteral Obstruction Caused by a Fecaloma: An Uncommon Presentation of Acute Kidney Injury. International Journal of Medical Reviews and Case Reports, Online First: 24 Jul, 2024. doi:10.5455/IJMRCR.172-1715361265


Chicago Style

, Rita Sevivas, Carolina Veiga, Catarina Pinto Silva, and . "Bilateral Ureteral Obstruction Caused by a Fecaloma: An Uncommon Presentation of Acute Kidney Injury." International Journal of Medical Reviews and Case Reports Online First: 24 Jul, 2024. doi:10.5455/IJMRCR.172-1715361265


MLA (The Modern Language Association) Style

, Rita Sevivas, Carolina Veiga, Catarina Pinto Silva, and . "Bilateral Ureteral Obstruction Caused by a Fecaloma: An Uncommon Presentation of Acute Kidney Injury." International Journal of Medical Reviews and Case Reports Online First: 24 Jul, 2024. Web. 13 Oct 2024 doi:10.5455/IJMRCR.172-1715361265


APA (American Psychological Association) Style

, R. S., Veiga, C., Silva, C. P. & (2024) Bilateral Ureteral Obstruction Caused by a Fecaloma: An Uncommon Presentation of Acute Kidney Injury. International Journal of Medical Reviews and Case Reports, Online First: 24 Jul, 2024. doi:10.5455/IJMRCR.172-1715361265


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