Bladder Shift Due to Constipation: Case Report Zohre Rezaie

Introduction: Constipation is a common digestive problem that significantly affects people’s quality of life. Dilatation of the rectum caused by constipation can block the outlet of the bladder. Therefore, this report presents a case of bladder shift due to constipation. Case Report: A 14-year-old adolescent patient who suffered from mild constipation at the age of 9 and he had to push to defecate. This case continued until the age of 14 and he used laxatives for treatment based on the doctor’s instructions. 3 months ago, he was referred to the hospital due to right abdominal pain and nausea. After rejecting appendicitis, the patient had enema. Moreover, the nausea was eliminated after defecation. The patient was discharged with the continuation of laxative medication. The last time, he went to the hospital with symptoms of weight loss, severe pain, touching and seeing a tight mass on the right side of the abdomen, and anorexia. In the patient’s history, a history of constipation from one month ago indicated that he did not have defecation for three days. Defecation was normal after three days. There was no history of blood in the stool, fever, chills, vomiting, nausea, melena and rectal bleeding. Ultrasound showed a large cystic mass in the abdomen and pelvis extending from the subdiaphragmatic area to the inside of the pelvis. In addition, bilateral hydronephrosis and ureteral dilatation were reported. Clinical signs and Para clinical tests provide a background to confirm the diagnosis of sarcoma carcinoma. After surgery, the result showed a bladder shift due to constipation. Discussion and Conclusion: Understanding the effective factors and rare consequences of constipation is very important in the treatment and recovery of patients. Bladder shift due to constipation is one of its rare complications that require more detailed study in this field.