Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 32: Constipation And Decreased Urinary Output In A 32-Year-Old Man (continued)

Ghazaleh Aram, MD

A 32-year-old African American man presented with the inability to have a bowel movement for 2 weeks accompanied with nausea, vomiting, and decreased urine output. On admission, computed tomography (CT) scan of the abdomen performed at another institution showed bilateral hydronephrosis and a possible rectal mass. He had no significant past medical history, no medication use, and no pertinent family history. He denied rectal trauma or receptive intercourse. On review of systems, he denied fever, chills, sweats, and only reported anorexia. Physical examination revealed no detectable…
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