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Scholars Journal of Medical Case Reports | Volume-13 | Issue-10
Rectosigmoid Compression and Colonic Distension by a Distended Bladder Mimicking Intestinal Obstruction: A Diagnostic Pitfall in A Paraplegic Spinal Cord Injury Patient
S. Bah, H. Dek, M.K. Diakité, N. Nour Said, F. Sidibé, Youssef Bouktib, Ayoub El Hajjami, Badr Boutakioute, Mariem Ouali Idrissi, Najat Cherif Idrissi El Ganouni
Published: Oct. 15, 2025 |
56
42
Pages: 2342-2344
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Abstract
We report the case of a 50-year-old man, paraplegic following a spinal cord injury six months prior, who presented with a four-day history of fecal and gas retention. Abdominopelvic CT revealed massive colonic distension caused by extrinsic compression from a distended urinary bladder, mimicking a mechanical intestinal obstruction. This case highlights the importance of considering extrinsic, particularly urological, causes of pseudo-obstructive syndromes in chronically neurologically impaired patients.