Adhesive arachnoiditis: a rare cause of postoperative urinary retention.

Autor:	Jonathan C; General Medicine, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India., Senthil N; General Medicine, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India sensuch74@yahoo.co.in., Suja L; General Medicine, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India., Rajendran V; General Medicine, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2024 Sep 13; Vol. 17 (9). Date of Electronic Publication: 2024 Sep 13.
DOI:	10.1136/bcr-2024-261139
Abstrakt:	Postoperative urinary retention is a common consequence of pelvic surgeries. It is often related both to the nature of surgery and the medication used in the perioperative period. Adhesive arachnoiditis (AA) is a rare condition, which has various clinical presentations ranging from back pain to disabling neurological deficits. Numerous aetiologies for AA have been described in the literature, one such noted is spinal anaesthesia. We report a patient who presented with isolated bladder dysfunction in the form of urinary retention after spinal anaesthesia. She was evaluated and diagnosed with AA as the cause of her urinary retention. AA was complicated by raised intracranial pressure. She was treated with corticosteroids and acetazolamide, following which she made a full recovery. We would like to highlight this rare presentation, as well as lay emphasis on the early evaluation of seemingly anticipated symptoms such as postoperative urinary retention. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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