Cases reported "Urinary Retention"

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1/25. An unusual case of urinary retention due to imperforate hymen.

    A 15 year old girl presented to the accident and emergency (A&E) department with a 24 hour history of lower abdominal pain, and was found to have acute urinary retention. She was discovered to have an imperforate hymen with associated haematocolpos and haematometrium. This is rare and is hence a very unusual presentation to the A&E department. patients presenting with retention of urine should be carefully assessed for the cause.
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ranking = 1
keywords = abdominal pain
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2/25. encephalomyelitis and bilateral optic perineuritis after influenza vaccination.

    We report the case of one patient suffering from headache, urinary retention, bilateral optic disc swelling and a mild bilateral visual defect after influenza vaccination. The presumptive diagnosis was encephalomyelitis with bilateral optic perineuritis caused by influenza vaccination. We stress on the interest to search for this aetiology in unexplained optic neuropathy.
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ranking = 0.020689567471182
keywords = headache
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3/25. Lessons to be learned: a case study approach. 'Spontaneous' intraperitoneal bladder rupture in a psychiatric patient--with diagnostic difficulties.

    The case described here is that of a 34-year-old woman with a psychiatric disorder who was referred to the local surgical receiving unit with abdominal pain and vomiting. She remained well and fully mobile but refused blood investigations until the day following admission. At that time the tests showed a picture of acute renal failure. With the development of increasing abdominal tenderness and pyrexia she was persuaded to have a laparotomy which demonstrated a small tear at the dome of the bladder. Her deranged blood biochemistry returned to normal within 11 h following surgery. The important points demonstrated in this case study are the special clinical difficulties encountered in psychiatric patients, which may consequently lead to delay in diagnosis. This delay allowed significant peritoneal reabsorption of urea and creatinine, which masqueraded as 'acute renal failure' on biochemical testing. The case also highlights the use of procyclidine, commonly used in patients with psychiatric disorders; urinary retention is a recognised side effect of this drug--and it is possible that such retention together with a minor and hence easily overlooked episode of trauma, may have contributed to the patient's condition.
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ranking = 1
keywords = abdominal pain
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4/25. Systemic lupus erythematosus related transverse myelitis presenting longitudinal involvement of the spinal cord.

    Lupus-related transverse myelitis is a rare but serious complication. A 25-year-old Japanese woman with systemic lupus erythematosus (SLE) was admitted because of numbness of the face and left upper extremity, headache, and intermittent fever. Six days later, she developed tetraplegia. MRI of the spinal cord showed longitudinal high intensity signals from medulla oblongata to C5, and from Th12 to conus medullaris on T2-weighted image. These MRI findings were consistent with acute catastrophic neurological abnormalities. Despite administration of the combination of methylprednisolone and cyclophosphamide pulse therapies, as well as plasmapheresis, her condition did not improve. Any vasculopathy in addition to the autoimmune pathogenesis, and narrow therapeutic window may relate to the present refractory case.
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ranking = 0.028909650787737
keywords = headache, upper
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5/25. Acute urinary retention as an unusual manifestation of aseptic meningitis.

    A formerly healthy 32-year-old woman was hospitalized for a closer examination of undiagnosed fever with mild headache. Despite lack of distinct findings on physical and laboratory examinations at admission, she suddenly developed anuresis due to acontractile neurogenic bladder. On the basis of her symptoms and the faint nuchal rigidity revealed later, as well as the results of cerebrospinal fluid analyses, a diagnosis of aseptic meningitis was eventually reached. While aseptic meningitis subsided within 3 weeks, about 10 weeks, including a 26-day period of anuria, was necessary for complete restoration of normal voiding function, necessitating intermittent self-catheterization. Acute urinary retention should be considered an uncommon but critical manifestation of aseptic meningitis.
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ranking = 0.020689567471182
keywords = headache
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6/25. Haematocolpos--an uncommon cause of lower abdominal pain in adolescent girls.

    Two cases of haematocolpos in adolescent girls due to imperforate hymen are reported. Both of them presented with lower abdominal pain and urinary retention. Hymenotomy was performed in both the cases. The condition is discussed with brief review of literature.
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ranking = 5
keywords = abdominal pain
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7/25. iliac artery aneurysm: a fatal cause of urinary retention.

    Our institution recently encountered two patients with ruptured iliac artery aneurysms. The first patient died, but as a result of our increased awareness, the second patient's aneurysm was diagnosed immediately and operated on successfully. The urologic findings provided subtle clues to this life-threatening condition. We present these two cases with the hope that urologic surgeons will include this condition in their differential diagnosis when evaluating patients with uncharacteristic abdominal pain and urinary symptoms.
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ranking = 1
keywords = abdominal pain
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8/25. Acute urinary retention after use of assisted reproductive technology. A report of 2 cases.

    BACKGROUND: urinary retention in women is an unusual occurrence. Various conditions can cause it, including surgery, childbirth, pelvic masses, procidentia, vulva hematoma, incarceration of a gravid uterus, urologic disease, neurogenic disease and psychiatric disorders. CASES: Two infertile women underwent assisted reproductive technology (ART) and luteal-phase support during which acute urinary retention occurred. The patients were evaluated by means of physical examination, urodynamic study and determination of serum progesterone levels. Bladder distention was found during luteal-phase support. Urodynamic studies revealed detrusor areflexia. Serial serum progesterone levels were > 100 ng/mL. CONCLUSION: Cases of acute urine retention during luteal-phase support are rarely reported. urine retention should be considered in the differential diagnosis when abdominal pain occurs after patients undergo ART. Transient elevation of the progesterone level may be the cause of the acute urine retention.
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ranking = 1
keywords = abdominal pain
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9/25. A case of retention of urine and haematocolpometra.

    SUMMARY: A 13-year-old local girl presented to the emergency department with a 12-h history of lower abdominal pain and inability to pass urine. Examination showed that she was in urinary retention and an imperforate hymen was found. Further investigation showed haematocolpos and haematometra. This is a rare cause of the retention of urine and the emergency physician should consider this condition in women between the ages of 12 and 18 years presenting with abdominal pain and obscure urinary complaints.
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ranking = 1
keywords = abdominal pain
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10/25. Ruptured abdominal aortic aneurysm presenting with acute urinary retention.

    Ruptured abdominal aortic aneurysm classically presents with abdominal pain radiating to the back, a pulsatile abdominal mass and circulatory collapse. However, other symptoms may be the only presenting complaint. We report the case of a patient who presented with a history of acute retention of urine relieved by catheterisation, but who then developed clinical features more typical of abdominal aortic aneurysm rupture.
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ranking = 1.0280856546384
keywords = abdominal pain, back
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