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

References

  1. Zhuang L, Wang XY, Sang Y, Xu J, He XL. Acute urinary retention in the first and second-trimester of pregnancy: Three case reports. World J Clin Cases. 2021; 9(13): 3130-3139.
    DOI  |   Google Scholar
  2. Chen JS, Chen SC, Lu CL, Yang HY, Wang P, Huang LC, et al. Acute Urinary Retention During Pregnancy--A Nationwide Population-Based Cohort Study in Taiwan. Medicine (Baltimore). 2016; 95(13): e3265.
    DOI  |   Google Scholar
  3. Kubota Y, Kojima Y, Kohri K. Maternal anterior sacral meningocele presenting as acute urinary retention in pregnancy. Int J Urol. 2012; 19(3): 279-280.
    DOI  |   Google Scholar
  4. Weekes AR, Atlay RD, Brown VA, Jordan EC, Murray SM. The retroverted gravid uterus and its effect on the outcome of pregnancy. Br Med J. 1976; 1(6010): 622-624.
    DOI  |   Google Scholar
  5. Han C, Wang C, Han L, et al. Incarceration of the gravid uterus: a case report and literature review. BMC Pregnancy Childbirth. 2019; 19(1): 408.
    DOI  |   Google Scholar
  6. Danis RB, Brannon RK, Pereira N. Acute urinary retention due to a nonincarcerated retroverted gravid uterus. Int Urogynecol J. 2015; 26(3): 453-454.
    DOI  |   Google Scholar
  7. Dai C, Peng J, Chen R. Acute Urinary Retention in the First-trimester of Pregnancy: A Case Report. Cureus. 2022; 14(3): e23057.
    DOI  |   Google Scholar
  8. Tachibana D, Misugi T, Kitada K, Kurihara Y, Tahara M, Hamuro A, et al. Incarcerated Gravid Uterus: Spontaneous Resolution Is Not Rare. Diagnostics (Basel). 2021; 11(9): 1544.
    DOI  |   Google Scholar
  9. Newell SD, Crofts JF, Grant SR. The incarcerated gravid uterus: complications and lessons learned. Obstet Gynecol. 2014; 123(2 Pt 2 Suppl 2): 423-427.
    DOI  |   Google Scholar
  10. Hsu PC, Yu MH, Wang CY, Wang YK, Wang CK, Su HY. Asymptomatic uterine incarceration at term: Successful management of a rare complication in pregnancy. Taiwan J Obstet Gynecol. 2018; 57(5): 745-749.
    DOI  |   Google Scholar
  11. Ntafam CN, Beutler BD, Harris RD. Incarcerated gravid uterus: A rare but potentially devastating obstetric complication. Radiol Case Rep. 2022; 17(5): 1583-1586.
    DOI  |   Google Scholar
  12. Al Wadi K, Helewa M, Sabeski L. Asymptomatic uterine incarceration at term: a rare complication of pregnancy. J Obstet Gynaecol Can. 2011; 33(7): 729-732.
    DOI  |   Google Scholar
  13. Dierickx I, Delens F, Backaert T, Pauwels W, Gyselaers W. Case report: incarceration of the gravid uterus: a radiologic and obstetric challenge. J Radiol Case Rep. 2014; 8(7): 28-36.
    DOI  |   Google Scholar
  14. Slama R, Barry M, McManus K, Latham D, Berniard M. Uterine Incarceration: Rare Cause of Urinary Retention in Healthy Pregnant Patients. West J Emerg Med. 2015; 16(5): 790-792.
    DOI  |   Google Scholar
  15. Chauleur C, Vulliez L, Seffert P. Acute urine retention in early pregnancy resulting from fibroid incarceration: proposition for management. Fertil Steril. 2008; 90(4).
    DOI  |   Google Scholar
  16. Martínez-Varea A, Nohales-Alfonso F, Diago Almela VJ, Perales-Marín A. Arabin cerclage pessary as a treatment of an acute urinary retention in a pregnant woman with uterine prolapse. Case Rep Obstet Gynecol.
     Google Scholar
  17. Charova J, Yunus D, Sarkar PK. Incarcerated retroverted gravid uterus presenting as placenta praevia. J Obstet Gynaecol. 2008; 28(5): 537-539.
    DOI  |   Google Scholar
  18. Lam K, Suen CF. Stranded under the Prom: impacted gravid uterus presenting as acute urinary retention. BMJ Case Rep. 2015; 2015: bcr2015211064.
    DOI  |   Google Scholar


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