Abstract
We report two cases of mechanical intestinal obstruction due to clinically undiagnosed urinary retention. Both patients were able to micturate at the time of diagnosis, however the residual volumes of urine on catheterisation were both over 1000 ml. In both instances, the diagnosis of acute urinary retention was not reached due to the co-existing features of intestinal obstruction. Further investigations showed that extrinsic intestinal compression by a dilated urinary bladder aggravated or caused intestinal obstruction. This is rarely reported in the literature. When diagnoses cannot be made in patients with uncharacteristic presenting features, radiological investigations such as water soluble enema or CT are instrumental in reaching an outcome.
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