Abstract
Pseudoobstruction is an uncommon manifestation of hypothyroidism. However, hypotony of the bladder in myxedema is very rare, and there were only four such cases reported previously. We present a 45-year-old man with myxedema and ileus, who was started on thyroxine therapy and was detected to have bladder hypotony on the 5th day of admission. There was no evidence of bladder outflow obstruction, and both bowel and urinary symptoms improved with thyroxine therapy. Bladder hypotony may be more prevalent in patients of hypothyroidism than previously reported; hence, it is important to have a high clinical suspicion and perform early urodynamic studies to avoid back-pressure damage to the upper tracts.
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