Acute urinary retention

Case contributed by Dr Bruno Di Muzio

Presentation

Patient complaining of diffuse abdominal pain.

Patient Data

Age: 82
Gender: Female

CT Abdomen and pelvis

Modality: CT

CT scan shows a distended bladder associated with bilateral mild ureterohydronephrosis. No other relevant findings. 

Case Discussion

An inadequate clinical examination failed to perceive a mild abdominal distention in the hypogastric region and a history of recent absence of urination. Patient was catheterised and obtained symptoms relief. 

Acute urinary retention as in this case is usually managed clinically, without image evaluation. Immediate management of it requires bladder decompression with catheterisation. 

Anatomical and functional disturbs are listed as causes for acute urinary retention, such as infection, post-operative pain, and operative analgesia or anaesthetic (e.g. epidural). 

 

 

PlayAdd to Share

Case Information

rID: 32117
Case created: 14th Nov 2014
Last edited: 3rd Sep 2015
System: Urogenital
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.