Neuroblastoma causing acute urinary retention: a rare presentation
Amy Rasmussen1, Antonio E Muñiz, Brent King
1Emergency Medicine Residency, The University of Texas Health Science Center at Houston, Houston, Texas 77030, USA.
The Journal of Emergency Medicine
|June 9, 2009
Summary
Pelvic neuroblastoma, a rare cause of urinary retention in infants, can be diagnosed with thorough clinical evaluation and imaging. Prompt identification and surgical resection are crucial for managing this pediatric malignancy.
Area of Science:
- Pediatric Oncology
- Urology
Background:
- Neuroblastoma is a common childhood cancer, primarily affecting children under five.
- Acute urinary retention is uncommon in pediatric patients, with constipation being a frequent misdiagnosis.
Observation:
- A 9-month-old infant presented with acute urinary retention, initially attributed to constipation.
- Imaging revealed a pelvic mass, later confirmed as neuroblastoma via pathological examination.
Findings:
- Pelvic neuroblastoma can present as a rare cause of acute urinary retention in infants.
- A comprehensive history and physical examination are vital for diagnosing underlying pathological causes of urinary retention.
Implications:
- Highlights the importance of considering neuroblastoma in pediatric urinary retention cases.
- Emphasizes the need for advanced imaging and pathological confirmation for accurate diagnosis and treatment planning.
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