Zaki Syed Ahmed, Banur Dinesh, Chaudhary Nazima, Gebran Sleiman
Department of Pediatrics, All India Institute of Medical Sciences, Bibinagar, Hyderabad, India.
Department of Pediatrics, NMC Royal Hospital, Abu Dhabi, United Arab Emirates.
Indian J Crit Care Med. 2022 Jun;26(6):739-741. doi: 10.5005/jp-journals-10071-24259.
Postoperative adhesions are commonly seen after most abdominal surgeries. The majority of patients with intra-abdominal adhesions remain asymptomatic; however, some patients may develop symptoms ranging from mild abdominal pain to sometimes life-threatening complications. The most severe complication seen in association with postoperative adhesions is small bowel obstruction (SBO). This complication is rarely seen in the pediatric age-group. Adhesions have the potential to cause bowel obstruction. In addition, they can also affect the normal intestinal motility and transit leading to constipation. Several studies reported in literature show a strong association between constipation and the urinary disorders, such as incontinence and urinary urgency. We herein report a case of a boy who developed adhesive SBO with segmental ileal dilatation leading to constipation, urinary symptoms, and finally presenting to our hospital as acute urinary retention.
Zaki SA, Banur D, Chaudhary N, Gebran S. Postoperative Adhesive Small Bowel Obstruction Presenting as Acute Urinary Retention. Indian J Crit Care Med 2022;26(6):739-741.
大多数腹部手术后常见术后粘连。大多数腹腔内粘连患者无症状；然而，一些患者可能出现从轻度腹痛到有时危及生命的并发症等症状。与术后粘连相关的最严重并发症是小肠梗阻（SBO）。这种并发症在儿童年龄组中很少见。粘连有可能导致肠梗阻。此外，它们还会影响正常的肠道蠕动和运输，导致便秘。文献中报道的几项研究表明便秘与尿失禁和尿急等泌尿系统疾病之间存在密切关联。我们在此报告一例男孩病例，他发生了伴有节段性回肠扩张的粘连性SBO，导致便秘、泌尿系统症状，最终以急性尿潴留就诊于我院。
Zaki SA，Banur D，Chaudhary N，Gebran S。以急性尿潴留为表现的术后粘连性小肠梗阻。《印度重症监护医学杂志》2022；26（6）：739 - 741。
