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.
Tabibian N, Swehli E, Boyd A, Umbreen A, Tabibian JH. Abdominal adhesions: a practical review of an often overlooked entity. Ann Med Surg (Lond) 2017;15:9–13. DOI: 10.1016/j.amsu.2017.01.021.
Al-Salem AH, Oquaish M. Adhesive intestinal obstruction in infants and children: the place of conservative treatment. ISRN Surg 2011;2011:645104. DOI: 10.5402/2011/645104.
Wilkins BM, Spitz L. Incidence of postoperative adhesion obstruction following neonatal laparotomy. Br J Surg 1986;73(9):762–764. DOI: 10.1002/bjs.1800730929.
Pouly JL, Darai E, Yazbeck C, Benifla JL, Dechaud H, Wattiez A, et al. Postoperative abdominal adhesions and their prevention in gynaecological surgery: II. How can they be prevented? Gynecol Obstet Fertil 2012;40(7–8):419–428. DOI: 10.1016/j.gyobfe.2011.10.001.
Janik JS, Ein SH, Filler RM, Shandling B, Simpson JS, Stephens CA, et al. An assessment of the surgical management of adhesive small bowel obstruction in infants and children. J Pediatr Surg 1981;16(3):225–235. DOI: 10.1016/s0022-3468(81)80669-0.
Tabchouri N, Dussart D, Giger-Pabst U, Michot N, Marques F, Khalfallah M, et al. Only surgical treatment to be considered for adhesive small bowel obstruction: a new paradigm. Gastroenterol Res Pract 2018:23;2018:9628490. DOI: 10.1155/2018/9628490.
Traslaviña GA, Del Ciampo LA, Ferraz IS. Acute urinary retention in a pre-school girl with constipation. Rev Paul Pediatr 2015;33(4): 488–492. PMID: 26298658.
Vaz GT, Vasconcelos MM, Oliveira EA, Ferreira AL, Magalhães PG, Silva FM, et al. Prevalence of lower urinary tract symptoms in school-age children. Pediatr Nephrol 2012;27(4):597–603. DOI: 10.1007/s00467-011-2028-1.
Chang SJ, Hsieh CH, Yang SS. Constipation is associated with incomplete bladder emptying in healthy children. Neurourol Urodyn 2012;31(1):105–108. DOI: 10.1002/nau.21225.
Miyazato M, Sugaya K, Nishijima S, Morozumi M, Ohyama C, Ogawa Y. Rectal distention inhibits the spinal micturition reflex via glycinergic or GABAergic mechanisms in rats with spinal cord injury. Urol Int 2005;74:160–165. DOI: 10.1159/000083288.
Halachmi S, Farhat WA. The impact of constipation on the urinary tract system. Int J Adolesc Med Health 2008;20(1):17–22. DOI: 10.1515/ijamh.2008.20.1.17.
Chase JW, Homsy Y, Siggaard C, Sit F, Bower WF. Functional constipation in children. J Urol 2004;171(6 Pt 2):2641–2643. DOI: 10.1097/01.ju.0000109743.