Abstract
Objective
Both acute urinary retention (UR) and impacted pelvic mass are rare events in women. We report a case of complete UR caused by impaction of a large myomatous uterus.
Case
A 36-year-old virgin woman presented to the outpatient clinic of our department for further investigation of her pelvic mass. Abdominal sonography showed a solid, hypoechoic, 11 × 9 cm mass filling the pelvic cavity. After sonography, the patient was unable to void second time in that week and a Foley catheter had to be re-inserted. Laparotomy revealed a large myoma filling the entire pelvic cavity. The uterus–mass complex was impacted in the pelvis, leiomyoma had been compressing the uterus into the base of the pelvis. Myomectomy was performed.
Conclusion
It seems that complete UR associated with pelvic mass is usually a sign of pelvic impaction of the mass.
References
Ward JN, Lavengood RW, Draper JW (1968) Pseudo bladder neck syndrome in women. J Urol 99:65–68
Schwartz Z, Dgani R, Katz Z, Lancet M (1986) Urinary retention caused by impaction of leiomyoma in pregnancy. Acta Obstet Gynecol Scand 65:525–526
Yang JM, Huang WC (2002) Sonographic findings of acute urinary retention secondary to an impacted pelvic mass. J Ultrasound Med 21:1165–1169
Hosokowa Y, Kıshıno T, Takamasa O, Oyama N, Momose H (2005) Two cases of female urinary retention caused by an impacted pelvic mass. Int J Urol 12:1069–1070. doi:10.1111/j.1442-2042.2005.01211.x
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Derbent, A., Turhan, N.Ö. Acute urinary retention caused by a large impacted leiomyoma. Arch Gynecol Obstet 280, 1045–1047 (2009). https://doi.org/10.1007/s00404-009-1058-4
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DOI: https://doi.org/10.1007/s00404-009-1058-4