Lower pole ureteral obstruction secondary to fecal impaction in an 8-year-old girl

E. L. Paquette, D. S. Peppas

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

An 8-year-old girl presented with frequent, nonfebrile, urinary tract infections and a lifelong history of severe constipation. Ultrasound revealed bilateral duplicated renal systems, severe right upper pole hydronephrosis, and moderate left lower pole hydronephrosis. Computerized tomographic scan revealed a large, fecal-impacted colon. Diuretic renogram showed high-grade obstruction (T 1/2 >30 minutes) of the right upper pole and left lower pole moieties. After administering an aggressive bowel preparation, a repeat diuretic renogram was performed, which revealed resolution of the left lower pole obstruction. Constipation has long been established as a contributing factor to urinary tract infections in children. However, fecal impaction causing ureteral obstruction in a child has not been reported. We report the case of an 8-year-old girl who had left lower pole ureteral obstruction secondary to fecal impaction.

Original languageEnglish (US)
Pages (from-to)299-301
Number of pages3
JournalTechniques in Urology
Volume7
Issue number4
StatePublished - Dec 11 2001

Keywords

  • Constipation
  • Pediatric
  • Ureteral obstruction
  • Urinary tract infection

ASJC Scopus subject areas

  • Urology

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