title: Obstructive uropathy caused by chronic constipation.
abstract: We herein report a case regarding a 90-year-old woman with a history of recurrent episodes of urinary tract infections presenting with fever. Urinalysis revealed bacteria and white blood cells. Computed tomography showed dilated and fecally loaded rectum and colon with signs of obstructive uropathy. The patient was treated for urinary tract infection and constipation. Her bowel habits were controlled with lubiprostone, and she was discharged in good medical condition. This case highlights the importance of considering fecal impaction as a cause of urinary tract obstruction or infection.
authors.affiliation: Department of Internal Medicine, Kanagawa Prefectural Ashigarakami Hospital, Japan.
authors.forename: Yuri
authors.initials: Y
authors.lastname: Iwata
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Kunishi
authors.forename: Koichiro
authors.initials: K
authors.lastname: Yoshie
mesh_terms: D000527:Alprostadil / Q000008:administration & dosage / Q000031:analogs & derivatives*; D003248:Constipation / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D005244:Fecal Impaction / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D005260:Female; D006801:Humans; D000068238:Lubiprostone; D011092:Polyethylene Glycols / Q000008:administration & dosage*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014552:Urinary Tract Infections / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*
chemical_list: D011092:Polyethylene Glycols; D000068238:Lubiprostone; D000527:Alprostadil