Acute Urinary Retention Due to Incarcerated Uterus With Adenomyosis: A Case Report.

Autor: Zeba A; Obstetrics and Gynaecology, Hamad General Hospital, Al Khor, QAT., Ashraf K; Obstetrics and Gynaecology, Hamad Medical Corporation, Al Khor, QAT., Krishnan K; Obstetrics and Gynaecology, Hamad Medical Corporation, Al Khor, QAT., Shabbir A; General Surgery, Hamad Medical Corporation, Doha, QAT., Chinnakaruppan S; Obstetrics and Gynaecology, Hamad Medical Corporation, Al Khor, QAT.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Jun 25; Vol. 16 (6), pp. e63170. Date of Electronic Publication: 2024 Jun 25 (Print Publication: 2024).
DOI: 10.7759/cureus.63170
Abstrakt: Acute urinary retention caused by uterine incarceration due to adenomyosis is a rare phenomenon with limited documented cases. This report details the case of a 38-year-old female with acute urinary retention. A pelvic MRI revealed an enlarged retroverted uterus with a mass on the posterior left of the myometrium, indicative of adenomyosis. The size and anatomical location of the mass suggested uterine incarceration with direct pressure on the urinary bladder neck, leading to urinary retention. The patient underwent total abdominal hysterectomy, bilateral salpingectomy, and adhesiolysis. Subsequent follow-ups at one and three months post-surgery showed the resolution of urinary symptoms, underscoring the importance of considering adenomyosis as a potential cause of urinary retention in women with lower urinary tract symptoms. Timely recognition and appropriate intervention are crucial for mitigating complications and improving outcomes in these patients, as illustrated in this case.
Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Zeba et al.)
Databáze: MEDLINE