title: Development of hydronephrosis secondary to poorly managed neurogenic bowel requiring surgical disimpaction in a patient with spinal cord injury: a case report.
abstract: BACKGROUND
  Case of an adult patient with paraplegia managing neurogenic bladder with intermittent catheterization who was not performing a standard bowel program for management of neurogenic bowel.
  
  
  RESULTS
  Patient presented with increasing spasticity, fecal incontinence, and abdominal pain and ultimately was hospitalized for management. Imaging revealed massive fecal impaction, resulting in ureteral obstruction and hydronephrosis. Despite repeated aggressive bowel regimens, serial abdominal X-rays showed continued large stool burden. Ultimately surgical intervention was required to evacuate the colon and subsequently the hydronephrosis resolved.
  
  
  CONCLUSIONS
  This case illustrates the importance of proper management of neurogenic bowel, as significant medical complications, such as hydronephrosis can occur with poorly managed neurogenic bowel.
authors.forename: Jairon
authors.initials: J
authors.lastname: Downs
authors.forename: Tracy
authors.initials: T
authors.lastname: Wolfe
authors.forename: Heather
authors.initials: H
authors.lastname: Walker
mesh_terms: D015502:Absorptiometry, Photon; D000328:Adult; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D055496:Neurogenic Bowel / Q000209:etiology* / Q000601:surgery*; D013119:Spinal Cord Injuries / Q000601:surgery*
keywords: Hydronephrosis; Neurogenic bowel; Spinal cord injury; Surgical disimpaction