A 44-year-old man with a history of quadriplegia presented to the emergency department with symptoms of a urinary tract infection. What is the diagnosis?

Answer B. Neurogenic megacolonThe correct answer is neurogenic megacolon. This condition is prevalent among older patients with long-standing spinal cord injuries. Complications of megacolon include abdominal compartment syndrome, volvulus, and fecal impaction. Definitive treatment includes colectomy, colostomy, or medical management. This patient opted for conservative medical management and was careful to avoid antimotility agents.