溢泻和急性肾损伤作为粪便嵌塞的表现,导致梗阻性尿病

Dhara Dave
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引用次数: 0

摘要

粪便嵌塞是慢性便秘的一种已知并发症,在老年人中尤其令人烦恼。大便嵌塞的常见并发症包括痔疮、巨结肠、溢流性腹泻和梗阻性尿路病变等。许多病例报告已经报道了粪便嵌塞和梗阻性尿路病变,但没有报道溢泻作为表现。在这个病例报告中,我们报告了一位老年男性,他因溢泻和急性肾损伤而入院,这是由粪便嵌塞引起的梗阻性尿路病变。他接受了宣泄治疗,及早发现病情,结果很好。识别和管理粪便嵌塞可能具有挑战性,特别是在腹泻患者中。因此,我们概述并讨论了将溢血性腹泻视为粪便嵌塞并发症的重要性,以及对此类患者的管理。
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Overflow diarrhea and acute kidney injury as a presentation of fecal impaction that led to obstructive uropathy
Fecal impaction is a known complication of chronic constipation and is particularly bothersome in the elderly population. Common complications of fecal impaction include hemorrhoids, megacolon, overflow diarrhea, and obstructive uropathy among others. Many case reports have been reported with fecal impaction and obstructive uropathy though none have reported overflow diarrhea as a presentation. In this case report, we present an elderly male who came in with overflow diarrhea and acute kidney injury that resulted from fecal impaction that caused obstructive uropathy. He was managed with catharsis and early recognition of the condition led to a good outcome. Recognition and management of fecal impaction can be challenging especially in patients who present with diarrhea. We, therefore, outline and discuss the importance of recognition of overflow diarrhea as a complication of fecal impaction and the management of such patients.
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