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Inicio Cirugía Española (English Edition) Right Hydronephrosis Secondary to Fecal Impaction
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Vol. 97. Issue 7.
Pages 407 (August - September 2019)
Vol. 97. Issue 7.
Pages 407 (August - September 2019)
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Right Hydronephrosis Secondary to Fecal Impaction
Hidronefrosis derecha por fecaloma
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Arkaitz Perfecto Valero
Corresponding author
arkaitz.perfecto@gmail.com

Corresponding author.
, Clara Serrano Hermosilla, Elena Aranda Escaño, Miriam Tellaeche de la Iglesia
Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Cruces, Barakaldo, Bizkaia, Spain
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The patient is a 90-year-old woman with a history of chronic constipation. She described abdominal pain that had been progressing for one week with associated overflow diarrhea, nausea and vomiting. Lab work showed deterioration of renal function with a creatinine level of 3.23mg/dL. CT scan revealed a large fecaloma that occupied the rectal ampulla, sigmoid and descending colon, which extended to the epigastrium and had a maximum craniocaudal length of 35cm, lateral diameter of 12.7cm and anteroposterior of 14.8cm. The fecaloma was compressing the right pelvic ureter, causing uretero-pyelocaliceal dilation and changes associated with obstructive uropathy and hydronephrosis (Fig. 1).

Fig. 1
(0.16MB).

We extracted the fecaloma manually under sedation, after which creatinine levels and intestinal transit normalized progressively.

Please cite this article as: Perfecto Valero A, Serrano Hermosilla C, Aranda Escaño E, Tellaeche de la Iglesia M. Hidronefrosis derecha por fecaloma. Cir Esp. 2019;97:407.

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