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Acute Urinary Retention in a Female Adolescent
並列摘要
Introduction: Acute urinary retention requires timely evaluation and management in order to prevent damage to the kidneys and urinary tract. Case Report: An n-year-old female child came to the emergency department complaining of abdominal pain for three days and oliguria with dysuria for the last 24 hours. Physical examination showed a palpable mass in lower abdomen up to umbilical level and a bulging mass in the introitus. A Foley catheter was inserted, draining 500 mL of urine with relief of the abdominal pain. After emptying the bladder, a residual mass was palpated. Renal ultrasound showed no abnormalities and pelvic ultrasound demonstrated a large homogeneous echogenic mass in the lower uterine region, diagnosed as hematocolpos. Further surgical hymenectomy resolved patient's symptoms. Conclusion: Acute urinary retention is relatively infrequent in children. Hematocolpos is a rare gynaecological abnormality that results from imperforate hymen. Retained blood in the vagina can cause compression of the urethra and consequent urinary retention. Hematometrocolpos is another rare cause ofacute urinary retention. In the evaluation of a premenarchal adolescent with acute urinary retention and with tanner stage of development 3-4, a high index of suspicion should be placed towards finding an anomaly in the genital tract.
延伸閱讀
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