Case Study

Acute Urinary Retention in Early Pregnancy: A Case Report

Bagus Ngurah Brahmantara
Mangusada Hospital, Indonesia
Budi Setiawan Harjoto
Udayana University, Indonesia
William Alexander Setiawan
Sanglah General Hospital, Indonesia
* Corresponding author
Gleen Kristie Wanaditya
Udayana University, Indonesia
Mochammad Imam Santoso
Udayana University, Indonesia
I Komang Yogi Arta Suarlin
Udayana University, Indonesia
Godefridus Paolo Bay
Udayana University, Indonesia
DOI icon 10.24018/ejmed.2022.4.5.1494

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Submitted 2022-08-30
Published 2022-10-12

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Table of Contents

Article Main Content

An uncommon obstetric emergency called acute urine retention (AUR) in patients with retroverted uteri necessitates prompt treatment. If left untreated, it could result in major difficulties for the mother or the fetus. Between weeks 9 and 16 of gestation, the frequency of AUR peaked in healthy pregnancies. The female patient, age 31, who came with urinary hesitancy is discussed in this publication. A palpable urinary bladder was found during a physical examination. An intrauterine pregnancy was shown to be viable by obstetric ultrasonography and the uterine was retroflexed. With the implantation of a urinary catheter for one week, prophylactic antibiotics for one week, and follow-up with urology, the patient's symptoms disappeared. The most frequent cause of AUR is a retroverted uterus. Rapid identification and diagnosis are necessary. The risk factors, etiology, and clinical manifestation of AUR in the first and second trimesters of pregnancy should be known to clinicians.

Keywords: Acute urinary retention, first trimester, retroverted uterus

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