case_images: PMC11798885_01
case_images: CT abdomen pelvis without contrast was read as marked colonic distension, particularly pronounced in the rectosigmoid region, which is consistent with constipation and fecal impaction (yellow arrow).
case_images: cureus-0017-00000077035-i01.jpg
case_images: PMC11798885_01_cureus-0017-00000077035-i01.jpg
case_images: FIG1
case_images: This condition occurs when the enlarged colon presses against the ureter, causing a backup of urine in the kidney (Figures 1-2).
case_images: CT abdomen pelvis showing right hydronephrosis and hydroureter, likely resulting from external compression due to the significant colonic distension.
case_images: cureus-0017-00000077035-i02.jpg
case_images: PMC11798885_01_cureus-0017-00000077035-i02.jpg
case_images: FIG2
case_images: This condition occurs when the enlarged colon presses against the ureter, causing a backup of urine in the kidney (Figures 1-2).
case_images: X-ray of the abdomen showing massive amount of stool in the sigmoid colon and rectum, reflecting impaction (yellow arrows). The rectal tube tip projects over the left iliac crest.
case_images: cureus-0017-00000077035-i03.jpg
case_images: PMC11798885_01_cureus-0017-00000077035-i03.jpg
case_images: FIG3
case_images: Abdominal X-ray confirmed a large, stable fecal mass in the rectum, with the rectal tube in place (Figure 3).