Urinary retention presenting as complete bowel obstruction.
A case report describes a 59-year-old male whose urinary retention caused complete bowel obstruction and peritonitis, highlighting the need for re-evaluation to prevent unnecessary surgery.
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This case report describes a 59-year-old male presenting with clinical and radiological signs of large bowel obstruction and generalized peritonitis, initially scheduled for emergency exploratory laparotomy. During preoperative catheterization, over 2000 mL of urine was drained, after which the patient’s symptoms resolved within several hours. The authors highlight that while rare, pressure from a distended bladder due to urinary retention can mimic complete bowel obstruction and peritonitis, potentially leading to unnecessary surgical intervention if not recognized. Re-evaluation is recommended when large volumes of urine are obtained during preparation for suspected mechanical bowel obstruction to avoid unwarranted procedures. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.
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- last seen: 2026-09-06T09:34:12.023084+00:00