A 60-year-old patient with a history of depressive disorders, with an attempt at self-injury, causing multiple trauma with a fracture of the sacrum, right iliopubic branch (2 years of evolution); subsequently course with constipation and recurrent urinary incontinence.
The physical examination revealed external genitalia agenesis, negative Boney test and discrete cystocele.
Laboratory tests showed biochemistry with normal parameters and preserved renal function.
There was a sediment with leukocyturia and bactiuria.
The urine culture is contaminated.
The urographic study showed good bilateral function, with moderate right pyeloureteric ectasia, lack of bladder repletion and rejection.
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Scan non-pelvic junction: spleen, pancreatic area, kidneys with discrete right ureteral ectasia.
Giant tumor that occupies almost the entire pelvis and produces great bladder displacement.
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We consulted the Digestive Unit, where we proceeded to admission for manual extraction and therapy of evacuating enemas; proceed to cleaning the rectosigmoid.
Improved mimicry and control of constipation were observed in subsequent controls.
