Radiology Case Reports (Feb 2019)

Large bowel obstruction caused by urinary retention from benign prostate hyperplasia

  • Tomohiro Fujisaki, MD,
  • Yasuhiko Fujita, MD,
  • Hiroyuki Mizuta, MD,
  • Naohisa Niina, MD,
  • Nodoka Miyazaki, MD,
  • Atsushi Tashiro, MD,
  • Takahiro Hayashi, MD,
  • Naotsuna Tada, MD,
  • Norio Tomono, MD

Journal volume & issue
Vol. 14, no. 2
pp. 213 – 216

Abstract

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Although large bowel obstruction is a common surgical emergency, its occurrence due to bladder distension is rarely reported in the literature. We report a case of large bowel obstruction caused by bladder distention secondary to benign prostate hyperplasia in a 67-year-old man. This case demonstrates a grossly distended urinary bladder compressing the rectosigmoid colon against the sacrum, presenting as a complete large bowel obstruction. Management consisted of transurethral urinary catheter insertion, which resulted in complete resolution of the bowel obstruction with drainage of a large amount of urine. Early recognition of the underlying etiology resulted in the expeditious treatment of large bowel obstruction. Keywords: Large bowel obstruction, Urinary retention, Bladder distention, Benign prostate hyperplasia