title: [A giant fecalith complicated by acute urinary retention, hydronephrosis and acute obstructive pyelonephritis].
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.
authors.affiliation: E.A. Vagner Perm State Medical Academy, Perm.
authors.forename: M I
authors.initials: MI
authors.lastname: Davidov
mesh_terms: D000208:Acute Disease; D000328:Adult; D005244:Fecal Impaction / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D008297:Male; D011704:Pyelonephritis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D016055:Urinary Retention / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery
keywords: Hirschsprung's disease; acute obstructive pyelonephritis; acute urinary retention; fecalith; hydronephrosis; intestinal stones