Acute urinary retention

Case contributed by Dr Bruno Di Muzio


Patient complaining of diffuse abdominal pain.

Patient Data

Age: 82
Gender: Female

CT Abdomen and pelvis

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 catheterized 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 catheterization. 

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



PlayAdd to Share

Case information

rID: 32117
Published: 14th Nov 2014
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included

Updating… Please wait.

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

 Thank you for updating your details.