Lee Soo Jin, Cho Seok Young, Yi Wonkyo, Kang Kyung Pyo
Department of Internal Medicine, Research Institute of Clinical Medicine, Jeonbuk National University Medical School, Jeonju, KOR.
Biomedical Research Institute, Jeonbuk National University Hospital, Jeonju, KOR.
Cureus. 2023 Oct 14;15(10):e47036. doi: 10.7759/cureus.47036. eCollection 2023 Oct.
Anorectal malformations (ARMs) comprise a broad spectrum of congenital anomalies involving both anorectal and urogenital tracts. After diagnosis, urological problems should be evaluated in addition to surgical correction of ARMs. Commonly encountered urological problems in patients with ARMs are recurrent urinary tract infections, vesicoureteral reflux, and chronic kidney disease. Therefore, the proper timing of urination and appropriate defecation habits are essential for preserving renal function in patients with ARMs. Here, we report a case of acute hydronephrosis by severe stool impaction in a patient with a history of congenital ARMs and neurogenic bladder. In this case, the physicians should consider properly managing chronic constipation and urination in patients with ARMs despite successful surgical corrections.
肛门直肠畸形（ARMs）包括一系列涉及肛门直肠和泌尿生殖道的先天性异常。诊断后，除了对ARMs进行手术矫正外，还应评估泌尿系统问题。ARMs患者常见的泌尿系统问题是复发性尿路感染、膀胱输尿管反流和慢性肾病。因此，正确的排尿时间和适当的排便习惯对于保护ARMs患者的肾功能至关重要。在此，我们报告一例有先天性ARMs和神经源性膀胱病史的患者因严重粪便嵌塞导致急性肾积水的病例。在这种情况下，尽管手术矫正成功，但医生仍应考虑对ARMs患者的慢性便秘和排尿进行妥善管理。
