O Bjane*, M El Idrissi, Y Byadi, A Kbiro, A Moataz, M Dakir, A Debbagh and R Aboutaieb

Urology Department, IBN Rochd Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco

*Corresponding Author: O Bjane, Urology Department, IBN Rochd Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

Received: January 22, 2025; Published: February 12, 2025

Abstract

Background: Intestinal obstructions are common medical emergencies with significant morbidity. Although the gastrointestinal implications are well-documented, urological complications, such as ureteral compression or hydronephrosis, remain rare and underreported.

Case Presentation: We report the case of a 30-year-old male with a history of segmental ileal resection and double-barrel ileostomy who presented with signs of intestinal obstruction, including bilious vomiting, cessation of stool and gas, and a non-functional stoma. Imaging revealed a bowel-to-bowel intussusception complicated by necrosis and a retroperitoneal hematoma compressing the right ureter, causing moderate dilation of the excretory cavities. The patient underwent urgent surgical intervention, including resection of the necrotic bowel, evacuation of the hematoma, and restoration of intestinal continuity. Postoperative recovery was uneventful, and the patient showed significant clinical improvement.

Discussion: Ureteral compression caused by retroperitoneal hematomas secondary to intestinal obstruction is rare. This case highlights the importance of cross-sectional imaging in diagnosing complex interactions between the digestive and urinary systems. Multidisciplinary management, involving surgical resection and evacuation of obstructive masses, is crucial for preventing long-term complications such as chronic hydronephrosis or renal insufficiency.

Conclusion: This case underscores the need for awareness of urological complications in intestinal obstruction, particularly in patients with prior abdominal surgery. Prompt diagnosis and multidisciplinary care are essential to optimize patient outcomes.

Keywords: Intestinal Obstruction; Ureteral Compression; Retroperitoneal Hematoma; Bowel Intussusception; Urological Complications; Cross-Sectional Imaging; Case Report

References

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Citation

Citation: O Bjane., et al. “Urological Complications Associated with Intestinal Obstruction: A Case Report". Acta Scientific Nutritional Health 9.3 (2025): 31-34.

Copyright

Copyright: © 2025 O Bjane., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.