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+A 60-year-old patient with a history of depressive disorders, with an attempt at self-harm, causing polytraumatism with fracture of the sacrum, right iliopubic branch (2 years of evolution); subsequently presenting with repeated urinary infections, constipation and irritative incontinence.
+Physical examination revealed atrophic external genitalia, negative Boney test and discrete cystocele.
+Laboratory tests showed normal biochemistry parameters and preserved renal function. There was a sediment with leukocyturia and bactiuria.
+The urine culture was contaminated. The urographic study showed good bilateral function, with moderate right pyeloureteral ectasia, lack of bladder repletion and rejection of the bladder.
+
+Abdomino-pelvic scan: spleen, pancreatic area, kidneys with discrete right ureteral ectasia. Giant faecaloma occupying almost the entire pelvis and causing large bladder displacement.
+
+Consultation with the Digestive Unit, where he was admitted for manual removal and evacuating enema therapy; proceed to cleanse the rectum-sigmoid.
+Subsequent check-ups showed an improvement in her micturition and control of constipation.
+